Coding & Reimbursement Analysis

Atrium offers the best in Coding services.Atrium performs reasonable and diligent routine follow-up to secure payments from insurance companies and balance-in-full or payment arrangements from patients and guarantors as defined or scheduled by Client. We use the Internet and other state-of-the-art technologies and resources to shorten collection cycles.

Our reimbursement services cover the following functions:

Professional, Technical, or Global Billing
Electronic Claims Filing and Paper Claims Submissions (when mandated)
Supplemental Insurance Billing
Insurance Follow-Up
Payment Posting and Flagging of Incorrect Payments during Posting
Receivables Management
Gross and Net Receivables Tracking
Revenue Recovery
Online Financial Reporting

Professional, Technical and Global Billing
Atrium provides On-site, off-site or shared, demand or batch processing for billing. Atrium supports CPT and ICD codes and work with Medicare/Medicaid, Workers Comp and Blue Cross/Blue Shield and MCO's.

Insurance Claim Edits
Atrium makes optimum use of electronic processing, daily claims processing, on-line electronic "edit" functions, as well as prompt claim rejection follow-up. Stringent audits are done before the claims are transmitted to ensure submission of complete and 'clean' claims.

Insurance Follow up
Atrium provides professional and aggressive follow-up on unpaid and disputed claims. This includes immediate response to payor claim inquiries, tracking of multiple insurance plans for correct reimbursements, and proactive service.

Patient Follow up
Atrium provides personal follow-up with selected "delinquent account" patients. This is done only after aggressive patient account attention to help avoid high collection agency costs. All patient and insurance company calls on billing are handled by a professional Atrium patient account representative.

Payments Posting
Atrium maintains records of payments received against claims and diligently tracks underpayments, denials of claims.

Patients Statements
Atrium works with clients to generate patient statements on a schedule defined by the client. We maintain patient insurance demographics -- initial registration coupled with update services. Statements are sent out to all patients on the defined billing cycle and include all information defined by the client, including the status of all charges, payments, and any claim filing information. Atrium also provides response to patient inquiries.

Pre-Surgery Authorization
Atrium offers this value added service which ensures clean claims are submitted to carriers and maximum reimbursements are collected in a timely manner. Atrium undertakes pre-surgery verification process with the carriers and verifies the patient demographic details, benefits and service procedures to be rendered by the providers, to understand the covered and non-covered services and reimbursement patterns.

Accounts Receivable Review
Atrium performs analysis of aged receivables for its clients and conducts examination of accounts and prior reports to determine why and from whom balances are due. We frequently uncover billing errors, unbilled balances, neglected write-offs, etc and can help our clients collect more of what is due to them. Reporting Services Atrium provides Daily operating reports, Monthly management reports, Customized executive management reports, and weekly deposit reports to its clients to help them manage their practice better. These reports can also be used to determine whether the clients get appropriate reimbursement from insurance companies for the services they provide.