- 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.
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.
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.
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.