Specialty Medical Billing Professionals, Inc. achieves extraordinary results in billing and collections which separates us from competitors by:

• Ensuring all charges are captured and verified by comparing to daily logs.
  
• Coding procedures only from the radiologist written report.
  
• Communicating to the radiologist any issues with the dictated report.
  
• Reviewing all claims for CCI edits to ensure payment with 1st submission.
  
• Confirming receipt of all electronic claims. Producing error reports to identify claims that are incomplete.
  Correct claims immediately and resubmit for processing.
  
• Scan all demographic data, charge and payment data and other correspondence into the system to aid in prompt efficient follow up. This provides a “paperless” system.
  
• Implementing aggressive denial management protocols so issues are resolved and claims re-billed promptly.
  
• Reviewing all denied claims. No claim is left untouched. Denied claims default to a “tickler file” for automatic referral to a billing associate for follow up.
  
• Maintaining an in-house collections department. Patients are phoned with a request for payment or missing insurance information. Credit card payments are also encouraged. Payment plans are available.
  
• Downloading files directly to our outside collection agency. We have a very collaborative working relationship with this agency. Approximately 12% of the total amount SMBP turns over to a collection agency is collected on average.
  
• Recommending contractual changes that are having an adverse effect on billing and collections including timely filling limits, ability to unilaterally change contract terms, and the comprehensive provisions for procedures or modalities that require pre-authorization.
  
• No money is left on the table.