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Claims Filing Only (Without Follow-up)
Trillium Billing Solutions will:
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Enter and submit primary and secondary claims, per date of service.
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Provide a Submitted Claims Report that includes claim detail and information needed to perform in-house tracking of claims.
Full Service Insurance Billing (With Follow-up)
Trillium Billing Solutions will:
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Input and submit primary and secondary claims, Worker's Compensation claims, and Personal Injury claims.
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Follow up with insurance carriers and/or the clearinghouse to ensure claims have been accepted.
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Call insurance carriers, attorneys, and adjustors to check the status of your claims.
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Post payments to your insurance claims.
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Immediately handle all denied or improperly processed claims by telephone follow-up or sending Letters of Appeal or Medical Necessity when necessary. To ensure proper processing of appealed claims we follow each individual insurance companies appeal and grievance procedures.
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Resubmit claims as needed.
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Provide notification regarding any "Incomplete Claims" which were unable to be processed for any reason or when additional information is required by the insurance carrier to adjudicate your claims.
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Generate patient statements (paper) on a monthly basis to any patient with a balance due of $5.00 or more. This will include any balance remaining after the insurance carrier has made payment and whether balance billing is permitted in the provider's agreement.
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Provide End of Month Reports that reflect: Claims Submitted, Accounts Receivable Aging, and Practice Analysis. Almost any report related to insurance billing or collections can be generated so clients can successfully evaluate practice statistics.
Full Service Billing & Practice Management (Insurance and Patient with Follow-up)
Trillium Billing Solutions will perform all of the tasks listed above for both insured and uninsured patients:
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Patient Billing also includes generating statements on a monthly basis to any uninsured (self-pay) patient who has not paid at the time of service or uses a payment plan. This can include Missed Appointment Fees for those offices that charge them.
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Our staff uses a "soft" collection method with patients, and will continue to work with any patient who has a balance due until instructed to do otherwise by the Client.
A/R Recovery (An increased registration fee may be required, varies among clients)
Before writing off old claims which remain unpaid, we will exhaust every avenue available to attempt the collection of receivables due on claims previously submitted and uncollected. (NOTE: If you are contracting with Trillium Billing Solutions for Full Billing & Practice Management services, this would apply to any previously submitted and unpaid claims prior to your contract with us).
Our fees for this service are customized to meet your specific needs.
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Consulting
Trillium Billing Solutions provides a variety of consulting services, including office staff training, fee schedule reviews, coding reviews, form reviews, and others.
Amber Gunderson personally conducts the training using her 12 years of Practice Management experience to enhance and motivate your staff and improve clinic performance. The new skills learned by your staff in training sessions can increase practice profits and the value of staff to your practice.
Verification of Benefits
Trillium Billing Solutions will verify benefits before a patient is seen in the provider's office. This is vital to any practice, and an essential step to ensure reimbursement from insurance carriers. Understanding how a patient's specific benefits for your office services is anticipated to be rendered will help not only your practice but your patients as well. Ideally performed in-house, Trillium Billing Solutions offers this service to those practices that are insufficiently staffed to handle this task.
Patient Referral Recognition
Compliment your patients who provide referrals by sending a gift or letter of appreciation so they understand that you acknowledge their trust and confidence in your office and staff. We will prepare your thank you gifts and/or cards and deliver them to your office so you can personally hand them to your patients or we can send them via mail on behalf of your office.
Birthday Cards
Sending your patients birthday cards is a wonderful way to strengthen your relationship with them, promote new referrals, and promote repeat business. Some of your patients may only receive one birthday card a year, the one that comes from your office. This is a very powerful marketing tool and patients appreciate that their doctor remembers their birthday.
Newsletters
Most practices would like to communicate at least monthly or quarterly with their existing patient base, however it can be very time–consuming to research new and exciting information that can be used for your literature. We provide custom newsletters made specifically with your office and patients in mind. These can be mailed to your patients or sent via e-mail.
Form Creation
Our staff can customize your office forms to ensure adequate information for insurance review and to allow better work flow for your staff. This includes Customized Superbills, Insurance Verifications, New Patient Registration forms, etc.
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