Business Office Services
Unlock your revenue potential
Maximize Your Healthcare Reimbursement with effective denial management and Professional office services.
Accounts Receivable & Denial Management
Centaur Billing's proven process and methodology enhances collections and reduces AR backlogs and maintains a healthy revenue cycle. By constantly challenging the status quo and setting targets for improvement, we ensure that our clients receive the most efficient and effective service possible.
- Analysis - Each claim is analyzed and researched by an experienced Centaur associate to determine the best course of action.
- Workflow - Prioritize claims based on high dollar, old DOS, and by payers or other business rules to ensure maximum benefits.
- Prevention - Constant monitoring of the AR claims flow can help you to avoid repeated trends and improve the health of your practice.
6600 claims were impacted,
with a total value of $3,165,925
One of our clients was having issues with their claims being rejected due to invalid diagnosis codes. We at Centaur Billing quickly identified the problem as a change in the ICD 10 codes (CMS reviews and updates the ICD 10 codes every October, which can include changes to active and inactive codes). We then educated the practice on which codes to use in order to get their claims approved. All claims were resubmitted with the correct, active diagnosis codes and were subsequently reimbursed by the payers.
Provider Credentialing
The process involves the following steps:
- Application Evaluation: Completing required documentation and identifying exceptions.
- Primary Source Documentation: Verify practitioner/ facility information from physicians.
- Call payers: To obtain missing documents and update the payer's database.
- Follow-up with payers: Follow up on submitted credentialing requests.
- Data Entry: Capture data, label, and link images to specific providers/ facilities in the payer's database.
- Maintenance of Provider Data: Update provider information as per policies and procedures, and CAHQ profile.
"The team at Centaur Billing was always available to answer our questions and help us with any issues that came up... They're experts in their field and they made managing our revenue cycle super easy... We highly recommend them to anyone who needs a great team to support them!"
-Centaur Healthcare Client, Alabama
Provider Enrollment
The process involves the following steps:
- Verification of provider information:
Contact payers to determine if they have the correct provider information on file before we submit claims.
- Updating practice’s Pay-to address:
Validate and update the provider's pay-to address or the billing address.
- Enrolling for electronic transactions:
Our team can enroll providers for four types of electronic transactions:- Electronic Data Interchange (EDI)
- Electronic Remittance Advice (ERA)
- Electronic Fund Transfer (EFT)
- Claims Status Inquiry (CSI)
- Monitoring process:
A group of highly skilled team members trained to perform research and analysis on the possible processor functionality gaps.
Practice Management
- The success and continued growth of your medical practice management depends on your financial control.
- Our job at Centaur is to help Physician Practices and Billing companies of every size – from solo to large groups – monitor their financial growth through a wide range of accounting services.
- With our reporting tools, you get a clearer view into practice operations and revenue cycle management.
- Our online reporting capabilities are focused on increasing your bottom line and giving revenue control back to your practice.
Business Intelligence
- At Centaur Billing, working within your Practice Management system and our workflow system, we are able to run reports and trend data for our clients.
- We provide a set of reports to our clients each month that tells the story about their practice.
- Many of these reports provide not only MTD data but also prior year data and YTD data for comparison review.
- We provide our clients with, cash flow analysis, accounts receivable trends and identify/see revenue leakage and provide a solution that will fix the problem permanently.
230,948 Insurance Claims were followed up with a value of $200,700,000 and still counting on behalf of its clients.
Centaur Billing worked with existing clients and Followed up with insurances within the follow-up period. This resulted in collections by eliminating TFL cross, Addressing Denials within 24hrs time lint and claims worked towards resolution based approaches on the aged claims.
Centaur Billing value proposition to our clients
- Keep your data up-to-date with the payer.
- Process faster payments from insurance and get more patient referrals.
- Mitigate revenue leakage.
- Avoid piles of paperwork and filling-up application forms.
- Reduce denials and identify provider trends.
- Build relationships with different payers.
- Provide real-time status of credentialing and enrollment transactions
- Provide visibility of all the work done via dashboard.