Our Services include the following;
Eligibility
Patient Ledger Verification
Insurance Verification
Follow-Up & Collection
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Cash Posting
Payment Review
Denial Management
Charge Capture
Revenue Reporting
Patient Payment Analysis
Over the past 20 years, Patient satisfaction surveys have gained increasing attention as meaningful and important sources of information for recognizing gaps and developing an effective action plan for quality enhancement in healthcare organizations.
Patient Services
Improved patient care has become a top priority for all health care providers with the general objective of accomplishing a high degree of patient satisfaction. Greater awareness among the public, increasing demand for better care, stronger competition, more healthcare regulations, the rise in medical malpractice litigation and concerns about poor outcomes are factors that contribute to this change.
The quality of patient care is vital, without the powerful effect of marketing, patient expectations would probably be far simpler, less expensive and straightforward than much of what healthcare organizations are attempting to provide. Patients normally want what any susceptible person who finds themselves relying on strangers wants from those they are dependent on. They want safe, effective and timely clinical care from skilled clinicians who are able to make them feel personally cared for and relaxed in terms of decision making.
TerraMed’s PS Department works together with other internal and external functional areas to effectively, seamlessly, efficiently and ethically manage patient accounts receivables. We ensure both customer satisfaction and revenue integrity.
Our audit monitors, identifies & rectifies the critical errors that lead to potential revenue loss & compliance issues.
We simplify billing and claims for small and mid-sized practices. Increase revenues by an average of 5% in the first two months.
We simplify billing for small and mid-sized practices. Increase revenues by an average of 5% in the first two months.
Spend more time with patients and less time with paperwork. We take care of enrolling you in the networks you choose.
What happens if I cannot make the payment in full?
At least once a month, you will receive a statement that lists what your insurance company still owes and what you owe. Statements continue until all payments are made in full.
What does an adjustment mean?
If your insurance plan does not cover the services you received, you are financially responsible for your charges.
Why does the statement show a total account balance when I have insurance coverage?
“Adjustment” refers to the portion of your bill that your hospital or doctor has agreed not to charge you.
How often will I receive a statement from you?
Then it’s up to the physicians if they agree to offer you an installment plan or give you a discount and we will settle your account and adjust the remaining balance.
What happens if I see a mistake on my bill?
We will cross verify the information with the insurance carrier and will adjust the balance accordingly and you will be receiving another statement with the correct balance.
Why are there two charges for the same department and date of service listed on my bill?
We use a combined billing statement, which means we bill you for both the doctor and the use of the facility and equipment on the same bill. This allows you to receive one bill and make one payment for both charges.
May I pay by credit card over the phone?
We are not allowed to receive payments however for the payment either you need to call the office directly or cut down a check and mail out to the office.
Or
Yes, we accept Visa, MasterCard, Discover, and American Express for few clients.
Why did I receive a bill from a doctor I did not see?
Medical professionals assist in your care even though you may not meet them. Nurse practitioners; pathologists; radiologists; and X-ray and imaging technicians involved in your care may be listed on your statement.
Why are my bills so high—I already paid my co-pay at the time of the visit?
Deductible and co-insurance requirements per your contract benefits may be the additional responsibility, however, let me confirm the status on your claim.
Why am I getting calls from a collection agency?
After a 120-day billing cycle, your balances may transfer to an outside agency.
I called my insurance company and they said you have coded this wrong—can you re-code and re-bill it?
We can have it reviewed by coding and compliance.
Why am I being billed from your facility when I have never been there?
Please confirm if it’s a correct bill and after receiving the confirmation, please get back to the patient.
Why do I receive separate bills from the hospital and from the physician?
When a physician specialist performs these services, he/she is generally required to submit their bill separate from the hospital’s bill.
I see the same item listed on the physician’s bill and the hospital bill. Why?
Every hospital visit involves both physician and hospital resources. Although the hospital and the provider may use the same language to describe each charge, their bills are for separate services. The physician’s bill will be for professional assessment, direction and oversight. The hospital’s bill will be for the technical resources, including procedures and equipment, medications and supplies.
Will you bill my primary and secondary insurance carriers?
Please investigate and explore the system in order to give them the appropriate answer.
My insurance should have paid my bill, what should I do?
Please verify that your insurance carrier has received and processed the claim. If the claim has not been processed, then carefully review your insurance policy or contact your insurance carrier to determine if the services and procedures are covered.
Why am I getting a bill now, when services were provided so long ago?
TerraMed will process and send a bill to a patient after payment is received from the insurance carrier and it is confirmed that the balance is owed by the patient. The length of this process depends on how long it takes to receive a response from your insurance carrier, and whether there is secondary insurance.
Already paid?
Please investigate and then inform the patient that the Payments received after the Statement Date will appear on your next statement
What does “in-network” and “out-of-network” mean?
If you receive your health care services from a hospital, physician or other health provider that participates in your health plan, they are considered “in-network.” Hospitals, physicians or other health care providers who do not participate in your health plan may be referred to as “out-of-network.” You may have a higher co-insurance and/or co-pay for out-of-network services. In some cases, out-of-network services are denied totally.
What should I do when my insurance carrier has changed?
When you experience any changes regarding your health insurance you should advise the front desk at the time of service.