With Health Data Solutions, your money still comes directly to you. Many other billing companies require you to change the address your checks are sent to. Not with us. We believe that the providers' money should go directly to the provider.
Many practice-management books and CPAs will tell you that to prevent theft, your mail should be opened by a different person than posts the payments. A delineation of duties ensures that your money is safe and accounted for. That's why the checks come to you, and we depend on you to fax or scan your EOBs over to us for posting.
We post payments within 96 business hours whenever possible. If your current billing company is a week or more behind in posting, then your true accounts receivable and key performance indicators are unknown.
Secondary and Tertiary Claims
Many patients have more than one insurance. This can be Medicare, followed by a supplement. Or sometimes it's a person who has their own employer-coverage, and dual coverage through a working spouse. We sometimes encounter a person that has three insurances.
We will bill your secondary and tertiary claims immediately after posting the primary insurance payment. Some carriers will allow us to submit secondary claims electronically, and we take advantage of this whenever we can. Some require us to submit the secondary claim on paper, with a copy of the primary EOB attached. We take care of printing, redacting, assembling and mailing this information.
Many providers are under the misconception that Medicare always forwards claims on to the secondary payers (often called a "crossover claim". This happens frequently, but is nowhere near "always." We know who the offending payers are. We send them out manually no matter what the Medicare EOB says. The result? You get your money from secondary payers faster.
Overpayments and Refunds
To help keep you in compliance with OIG, Medicare and third-party payer guidelines, we identify instances when a payer or patient may have overpaid you for services. We will alert you to these overpayments so that you can take appropriate action and maintain compliance.