All Services

Missing Piece is your true revenue partner. When you sign with us, Missing Piece staff will train you and your employees in billing procedures, protocols, documentation and more. We provide you ongoing support, all while providing the following services:

Comprehensive Service List

  • Accounts Receivable
  • Our Accounts Receivable department at Missing Piece is a group of knowledgeable, relentless team members who are in constant contact with insurance companies to resolve issues that might hinder or prevent claim payment.
    We will determine if a potential patient’s insurance includes coverage for the services you intend to render before the service is performed, avoiding nonpayment for your time and expertise.
  • Comprehensive Eligibility checks
  • Continued support in determining eligibility and benefits specific to the patient’s treatment plan and services as the need presents itself.
  • Authorizations
  • We will determine if the patient’s insurance plan requires an authorization for the services you plan to provide. Our team will then work with yours to obtain written confirmation of authorization to provide medically necessary services to your patients prior to services being performed. Although prior authorization is the best practice, we are also knowledgeable and equipped to obtain retro-authorizations for services that were rendered absent an authorization.
  • Claim submission
  • Working closely with your team, Missing Piece will gather billing information for each of your patients and submit your billing in the unique format demanded by each insurance company in a timely and accurate manner.
  • Claims tracking
  • Upon submission of the claim, via the method specified by insurance, Missing Piece follows up to confirm receipt. Follow up is continued through the adjudication process to ensure correct and timely processing of the claim.
  • Posting of payments
  • When insurance makes payments on claims, Missing Piece posts it to your account. This will show how much was paid, the amount of any contractual obligations (adjustments), and any amount set out to the patient.
  • Patient statements
  • We will give you the option of sending invoices to your patients on a monthly basis outlining the balance insurance sets to your patient’s financially responsible party to pay.
  • Patient payment follow-up/initial collection efforts
  • If an invoice remains unpaid for 31 days, Missing Piece will reach out to the family or responsible party with friendly reminders by phone, answer any questions they have regarding the invoice, and assist them in knowing how to make their payment.
  • Patient liaison
  • Parents often have a rudimentary understanding of the terms of their insurance plan and do not understand their invoices. Missing Piece specializes in working with families to understand their invoices and even assists them in working with insurance to resolve issues.
  • Contracting with insurance
  • Our Contracting Department can help you decide if being in network or out of network works best for you. If in network is where you want to be, we will handle it.
  • Credentialing
  • Making sure you and your employees are properly credentialed with insurance to avoid payment delays.
  • Insurance liaison
  • We will work with insurance on your behalf during every phase of the process- from checking eligibility until you get paid.
  • Re-credentialing
  • Once we have you credentialed, we follow up and make sure you and your employees stay properly credentialed with insurance.
  • Appeals - both internal and external
  • If your claims are denied, we will handle the appeal process for you- both internal and external appeals filed with insurance and, if warranted, complaints filed with the appropriate government department.
  • Medical necessity assistance
  • We will assist you in demonstrating medical necessity to insurance. Your Missing Piece team will assist in ensuring your documentation contains the required information used by insurance to determine covered services when you are asked to demonstrate medical necessity.
  • Single case agreements
  • We can help broker this agreement between you and a potential client's insurance company so you can provide your needed services to a patient who would otherwise be excluded from receiving them because of lack of coverage.
  • Account audits
  • Regular and thorough audits of your account (including but not limited to billing sheets, patient responsibility, and insurance balances) keep it healthy, paying, and enabling you to grow.
  • Insurance audits
  • Missing Piece keeps you, your employees, and your documentation audit ready. If or when it happens, we will be there to assist you.
  • Legal assistance from Missing Piece’s Legal Department
  • Our legal department can assist you in a wide variety of legal matters.
  • Provider profile maintenance
  • Missing Piece will work with you to ensure all supporting documents (Certificate/License, Professional Liability Insurance) are accurate and current
  • CAQH support
  • Insurance payers will utilize CAQH to access provider profiles when credentialing. It is vital to update your Personal, Professional, Education, and Employment History when necessary to avoid possible delays with the credentialing process.
  • NPI support
  • A national provider identifier (NPI) is a unique ten-digit identification number required by HIPAA for all health care providers in the United States. Providers must use their NPI to identify themselves in all HIPAA transactions. Missing Piece can help.
  • State mandate advisement
  • Interpreting and understanding each state’s mandate regarding the services you provide your community is important to the success of your business. We can help.
  • BOX
  • A confidential online HIPPA compliant “file cabinet” between your practice and Missing Piece (or you can use our EMR partner, BestNotes). This allows you to simply drop your documents into our “mail box” without creating email clutter or security concerns.

Provider Portal System Reports

  • Account Receivable with Balance to 360
  • Adjustments
  • Authorizations
  • Claim list
  • Deposit Slip
  • Disbursements
  • Patient Demographics
  • Patient List
  • Patient list with payer names
  • Patient Services
  • Payment List
  • Payments and adjustment by date and payer