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Why
Outsource?
Oftentimes physicians are hesitant to outsource their billing due to fear
of losing control over their Accounts Receivable. However, keeping the
billing in-house is not a guarantee of control. Lack of a dependable staff
that possesses coding knowledge, employee turnover, and failure to tend
to never-ending follow-up are problems when combined, or by themselves,
can lead A/R to quickly spin out of control.
When utilizing the services of Guardian, a physician or office manager
can maintain control over their A/R by reviewing the totals of the practice’s
Aging Reports on a regular basis. In addition, Guardian offers physicians
and office managers remote access to their practice’s stats, which
may be viewed on a daily basis if desired.
Outsourcing dramatically reduces expenses for payroll, payroll and unemployment
tax, health and disability insurance, pensions, profit sharing plans,
supplies, postage, office equipment, necessary educational expenses, sick
pay, personal and vacation time, supervision, as well as the cost of expensive
software upgrades and support. Less office space is required, lending
the area to be used for additional exam rooms, or just less space rented.
Gone are the problems encountered with employee turnover, personnel issues
and the challenge of finding qualified, reliable staff. Time and labor
spent on training are eliminated.
Industry
average shows that 30% of all claims submitted are returned, or unpaid
due to errors. Up to 15% of these claims are never resubmitted, resulting
in lost revenue.
Services
Offered:
Full
billing/practice management services include:
• Electronic claim submission to Medicare, Medicaid
• Electronic claim submission to over 750 commercial carriers
• Submission to patient's secondary and tertiary insurance
• Follow-up on all denied and underpaid claims
• Resubmission of claims when required
• Patient statements
• Handling of patient's billing inquiries
• Soft collections, patient payment plans
•
End-of-month and production reports.
• A variety of reports, as well as custom reports, are available
upon request
• Assistance with coding and HIPAA questions
• Review of fees
• Remote access to your account is available
Limited Services:
• Utilize Guardian's services to provide full service for Medicare
and Medicaid only.
• Assistance with collection of old receivables.
• Assistance to new physicians creating forms and signing with insurance
carriers.
• Claim submission only.
Benefits:
What you can expect:
Experience/Coding Certification
• 12 years of hands-on medical billing/practice management experience.
• Coding certification - maintained by completing required yearly
CEU’s.
• Experience in billing for the specialties of Ophthalmology/Optomertry,
Urology, Oncology/Hematology, and Family Practice.
• Guardian will learn the billing intricacies of any speciality
requesting our services.
• Seminars presented by the Wisconsin Medical Society and others
are attended to remain well informed. Pertinent information learned is
passed on to our clients.
• Completion of several HIPAA courses
State-of-the-art software
• Physicians have secure, remote access to their account.
• End-of-month reports are detailed and concise.
• A variety of reports are available, and custom reports are available
upon request.
Electronic
claim submission
• Medicare and Medicaid claims are sent electronically.
• Capability to send claims electronically to over 750 commercial
carriers.
Relentless follow-up
• All denied, unpaid, and underpaid claims are reviewed and challenged
if necessary.
Patient Statements
• Patient statements are sent out on a weekly cycle to promote even
cash flow.
• We handle all billing inquiries, freeing your staff of the responsibility.
• We assure patient’s billing questions are courteously and
expeditiously addressed.
Soft Collections
• Letters are sent to patients with past due accounts.
• Payment plans are offered if necessary.
• The physician's office controls when an account is sent to collection.
HIPAA
• Guardian does have a compliance program in place, which follows
the guidelines set forth by the Office of the Inspector General.
Fees:
Guardian's fee, when providing complete billing services, is based on
a percentage of the amount of receivables collected each month. This method
of invoicing assures our customers that our objective is the same as theirs
– to collect the full allowed amount for each service provided.
Separate Services Offered:
• Collection of old receivables, at a hourly fee.
• Assistance to new physicians creating forms and signing with insurance
carriers, at a hourly fee.
• Claim submission, with no other services, is charged on a per
claim basis.
About
Guardian Medical Billing Service, LLC
Letter
from the Owner:
As the owner of Guardian I think it is important visitors to our site
have information in regard to the experience and knowledge held by Guardian.
Prior to making the decision to build my own company, I accumulated over 12 years of hands-on medical billing/practice management experience, having managed all aspects of a medical practice for 11 years, and assisted in the development of a medical billing service for an investment group. I have performed every function from billing, hiring, battling insurance companies for payment to credentialing, and know the day-to-day tribulations a practice may encounter. I have acquired experience in billing for the specialties of Oncology/Hematology, Ophthalmology/Optometry, Urology, and Family Practice, maintain coding certification, completed several HIPAA courses, and currently serve as a Certification Proctor for Practice Management Institute. I also held the position of Oncology/Hematology Investigational Study Coordinator, worked closely with patients and physicians, and witnessed how the clinical and billing aspects of a practice interrelate.
Guardian is dedicated
to providing optimal service; tailored to meet the needs of our clients.
Thank you for taking the time to visit our site, and we hope to hear from
you in the future.
Contact
Information:
Telephone: 414/431-0676
Toll Free: 800/449-0935
Fax: 414/431-0678
Address: 4008 S. Howell Avenue
Milwaukee, WI 53207
Email: guardian6@earthlink.net
Useful Links:
Wisconsin Medical Society - http://www.wisconsinmedicalsociety.org/default.cfm
Physicians Info. Resource for MEDICARE - http://www.cms.hhs.gov/physicians/
HIPAA - http://www.cms.hhs.gov/hipaa/
AdminaStar Federal
- http://www.adminastar.com/anthem/affiliates/adminastar/content.html
Part B News - http://cms.hhs.gov/providerupdate/whatsnew.asp
American Medical Association - http://www.ama-assn.org/ama/pub/article/9255-7621.html
OSHA - http://www.osha.gov/
Small Business Administration
- http://www.sba.gov/
Practice Management Institute - http://www.pmimd.com
Member of:
K&L's Website For Medical Billers - http://www.billerswebsite.com/
American Medical Billers Association - http://www.ambanet.net/AMBA.htm