Full Patient Accounting Services & More

Patient Demographics We maintain all pertinent patient information on our local server to file insurance claims for your practice. This information includes, but is not limited to, patient name, address information, D.O.B., sex, insurance information (including policy holder demographics) if the patient is not the policy holder. Data entry of encounter forms Patient encounter forms are entered into our server within 24 hours of receipt. Insurance claims are generated and transmitted daily to our clearinghouse, which in turn transmits them to the various insurance companies that same day. For insurance companies that do not accept electronic claims we process and mail them.

Insurance claim follow-up
Each month we print and review the insurance aging report and follow-up on any unpaid claims. This step can be tailored to meet individual practice requirements.

Patient Statements
Patient statements are mailed from our corporate office on a monthly basis. The patients are billed for deductibles, co-pays, and remainder amounts after the insurance company has adjudicated the claim. We also call the patient and request a payment be made if the balance is over 45 days old.

Aged Patient Accounts
Patient balances greater than 90 days old are reviewed, the patient is called by our company to setup a payment plan, and/or pre-collect letters are generated to these patients. We will provide the practice with a bad debt report quarterly.

Backup Server 24/7
Coastal Medical Billing maintains a satellite server in Minnesota as an extra precaution to protect our clients data should something happen to our local office server. We backup every client’s data daily to the satellite server. Our clients are able to connect to this server (should they choose to do so) to view accounts, print reports in your office any time, or review an account with the patient in your office.

Receivable Cleanup
If you contract with CMB, we will work your old receivables, prepare claims for resubmission, identify bad debts, and prepare write-offs.

Prepare credentialing documents
As an extra added no cost service, we will prepare provider applications with the various insurance companies that you choose to participate with. This includes gathering the supporting information and documentation, presenting the completed package to you for review and signature. We also mail this package “Certified Mail, Return Receipt Requested” to the insurance company Network Provider Office. We follow-up with these applications each month until you become an “In Network” provider.

Workman’s Comp/Third Party Liability
Our service automatically includes maintaining and processing of Workers Comp and Third Party liability claims for you. These claims are maintained separately from the patients’ normal medical claims.

DME/HME
CMB also processes claims and CMN’s for Durable Medical Equipment that is sold or rented to the patient by your practice

HIPPA
All your practice information and insurance claims are fully HIPPA compliant when you contract with Coastal Medical Billing. We will also keep your practice up to date on any HIPPA changes and modifications that are pertinent to you and your practice.

Staff Training
CMB is fully prepared to conduct training with your current or new staff members on a quarterly basis.

Practice Fee Schedules
Our staff continuously reviews the practice fee schedule to insure that you are receiving the maximum reimbursement for your services. EOB’s are reviewed as we post insurance payments to maintain an accurate “submitted charge” to “allowed charge” ratio.

Practice Disaster Recovery
Should your practice experience a fire, flood or any type of natural disaster, you can be assured that backup patient accounting data and documentation will be available.