WHY WE ARE THE BEST
We understand the process of entrusting a billing company can be daunting. We are dedicated to maintaining the highest levels of quality, professionalism, and customer satisfaction in order to assist our clients in achieving their goals and values.
Why Choose Us?
Higher Reimbursements, Lower Fees – Collect more from insurance while paying less in billing fees.
Specialized Billing Teams – Experts in handling treatment center claims, VOBs, and UR.
Dedicated Biller for Each Facility – A personalized approach to ensure maximum efficiency.
Fast, Reliable, and HIPAA-Compliant – Secure and compliant billing solutions to protect your business.
VERIFICATION OF BENEFITS
Hire us and we will assure you timely updates (via e-reports) regarding eligibility, necessary restrictions, permissions, and recommendations
UTILIZATION REVIEW
Hire us and our expert utilization team will conduct regular audits of your treatment facility and clinical team to optimize patients’ insurance benefits and billing procedures.
RECOVERY SERVICE
Hire us and our skilled revenue recovery team will examine, submit, and audit the claims payment process accurately and within the stipulated time.
PROCESSING CLAIMS
We ensure that clients’ billing and recovery-related claims are processed within 72 hours of the services offered. Also, we place follow-ups on paramount priority to ensure substantial recovery
AGING REPORTS
We assigns an exclusive and competent team to process your revenue-recovery and claims and we update the status of these claims to our clients on a regular basis.
PATIENT INVOICING
We hire experienced staff that can regulate patient invoices and calls even on older co-pays, co-insurance or deductibles.
Credentialing and Contracting
Medical credentialing is the process of getting a license to practice healthcare services after document verification. Credentialing verifies the qualifications of the healthcare provider.
MORE ON OUR SERVICES
Our knowledgeable Verification of Benefit specialists comprehend all good billing begins with this crucial step and are highly trained in assessing benefit eligibility in a prompt manner. We ensure our clients receive a detailed electronic report including coverage details, eligibility, pertinent restrictions, authorizations needed, and recommendations given when you communicate with our professional insurance representatives. Electronic reports include deductible information, coinsurance, and copay information for every level of care, including drug testing, and are received 24 hours including weekend, after hours, and holidays.
We employ licensed and experienced Utilization Specialists to assist your clinical team and treatment facility by maximizing patient’s insurance benefits. Our Utilization Specialists are ready to assist your skilled staff in documenting the needed information to ensure the patients always meets the level of care you are billing for. Pertinent information is relayed to us via Electronic Medical Record keeping and our aggressive Utilizations Specialists fight for needed days and sessions so that your clinicians can continue to focus on treatment of your patients. Our Utilization Specialists update swiftly regarding updated clinical information needed, and outcome of concurrent reviews.
Efficiency in submitting the correct claims is vital to ensuring you get paid promptly for your services. We place heavy emphasis on supporting your facility by processing claims within 72 hours. Every claim submitted is followed up with a status audit every week, and the status of every claim submitted is relayed to the client in a comprehensive weekly charge report. Through this diligence, we safeguard your facility from any confusion or mishaps that may happen in regards to receipt of payment from the insurance company, and can promptly begin the appeal process if any claims have been denied.
Insurance companies know healthcare providers are busy taking care of more important things like their patients therefore, they deny claims and hope the deadline to appear will expire before you realize it is too late. We address the details of each denial and all claims less than two years will be audited and appealed if needed. We will check for incorrect and incomplete claim filing while establishing proper payout and amounts and CCI edits. Patient invoices and calls will be generated on any past due co-pays, coinsurance or deductibles.
We've created a comprehensive Dashboard customized for each individual facility. The Dashboard gives complete transparency and allows the facility to check in real time for claims billed, payments received, outstanding balances, utilization reviews completed, daily/weekly/monthly census reports, and an interactive verification of benefits form. This integrative, cloud-based software hosts a Full-service revenue cycle management and offers robust reporting features which are updated daily.
Revenue cycle management (RCM) is the process used by healthcare systems in the United States and all over the world to track the revenue from patients, from their initial appointment or encounter with the healthcare system to their final payment of balance. The cycle can be defined as, “all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue. It is a cycle that describes and explains the life cycle of a patient (and subsequent revenue and payments) through a typical healthcare encounter from admission (registration) to final payment (or adjustment off of accounts receivables).
Trusted by Industry Leaders & Accredited by Kipu
Certified. Trusted. Proven.
SMART STATIM is a recognized leader in medical billing, trusted by top treatment centers nationwide. We are proudly accredited by Kipu Health and other industry leaders, ensuring compliance, efficiency, and maximum reimbursement for your facility. With a proven track record of increasing collections and reducing claim denials, we stand behind our services with absolute confidence.
FAQS
1. Does Smart offer consulting services?
Yes, we offer consulting services tailored specially for your practice. We also offer personalized data analytics of your practice economics as part of our Medical Billing services.
2. Can patients pay their bills using credit cards?
Yes, we do accept Credit Card payments from Patients.
3. Who receives the payments?
Your office will receive the payments directly from the Payer. At times, electronically submitted claims payments are received by providers within as little as 7 business days of submission. For Medicare claims, providers generally receive payments in 14 business days after submission.
4. Do I need any special software or system for you to do our billing?
NO. Whether you already have Software or if you are not computerized at all, we can handle your billing. NO COMPUTER IS NEEDED.
5. How do you charge for your services?
Our fee is based on the percentage of the revenue you collected as a result of our service throughout the month.
6. Will I get a dedicated team for my billing?
Each client is assigned a designated Account Manager, giving the security and comfort of working with a representative who is uniquely familiar with your practice.
7. How long does it take to get started with STATIM?
We can start billing most insurance carriers immediately. Medicare and Medicaid/Medi-Cal require special authorization and it usually takes 2-3 weeks before we can submit claims on your behalf.
8. What information does our office need to provide STATIM?
We need your patient’s demographics and insurance information, super-bills or charge sheets, and any EOBs that come to your office for posting purposes.
9. How often should we send our new billing to STATIM?
We recommend that you send it daily or weekly to ensure consistent cash flow.
10. How will you handle billing our patients?
We will bill your patients for any balance due. Your patients will receive a comprehensive billing statement with our telephone number to direct all billing questions to our call center. A self-addressed envelope with your practice name and address is included.
11. How do you handle denials from insurance carriers?
We will review the denial to verify validity. If the denial is not valid we will appeal and resubmit the claim at no additional charge to the provider.
12. How often do you follow up on claims?
We aggressively follow up on all claims immediately after the established time frame for reimbursement has passed by.
