Automation by itself does not solve the problem. It can only work if the practice’s underlying revenue cycle processes are sound. From collecting accurate information, and verifying coverage, to properly submitting bills and following up on unpaid patient balances and denied claims.
Pre-Visit and Scheduling
Utilizing our advanced scheduling software capabilities, we can provide your office with the capability of multiple resource scheduling, and automatically and electronically verifying patient demographics, insurance eligibility, referrals and authorization before the visit.
The Automated Eligibility Verification (AEV) system automatically checks scheduled patients’ eligibility without any extra time from the staff. The results are shown in a daily eligibility report listing all patients scheduled that day.”
-- Shelley Carson, Support Services Manager/Credentialing Coordinator
Check-In Process
Our software will help you collect the correct deductible/co-pay at the time of appointment and confirm patient’s demographic and insurance eligibility information.
Coding, Charge Capture, Charge Entry
Charges are entered into the system within 24 hours of the visit.
KSL has certified coders on staff to review and verify physician coding, and to ensure that every patient is billed accurately. Payable diagnoses are attached to procedure codes and the system will alert you to diagnoses that are incompatible.
"Because our billing software includes scheduling, we track charges for every patient who checks into the practice, and it allows us to identify missing charges. Handheld technology assures charges are entered as soon as care is delivered, virtually eliminating lost charges"
- Antoinette Foote, Account Manager
Claims Processing
Daily, claims are pre-billed and checked to be sure they are correct and electronically transmitted to payors.
Our software has a ‘claims scrubbing’ ability to alert us to missing information and allows corrections so that information is complete and accurate when it is submitted to the insurance companies.
"All claims are submitted electronically within 24 hours. Immediate feedback alerts us to rejected claims due to errors so they can be corrected and resubmitted. Every claim submission is expedited and assured."
- Paulette Zobrist, Account Manager
Payment Posting
KSL will help your practice gain peace of mind knowing the payor monitoring system matches reimbursements to negotiated fee schedules. Payments are posted within 24-hour period, patient statements are sent, and accounts and patients are reviewed to resolve any balances owed.
"KSL pre-empts problems before they occur. We constantly update allowable rates into our system so that reimbursements can be instantly compared to what should be paid, and any underpayments appealed to payors."
- Nancy Hodschayan, Billing Manager
Follow-Up & Collections
Claims are followed up on a timely basis, with an awareness of payor turnaround times. We stay on top of these claims and pay attention to any irregularities on the part of the payor.
"Timeliness and accuracy make all the difference. Charge data is checked and entered within 24 hours of receipt. Insurance accounts are reviewed in appropriate time frames and then every 30 days until resolved."
- Vicki Talley, Billing Manager
Denial Management
The software that we utilize has the capability of denial management. We can then track denials and check trends from insurance companies. When we receive denials from insurance companies, we follow up immediately to resolve issues.
Reporting
We provide standardized monthly reports to each practice in a timely manner—no later than 10 calendar days after the month is closed. We also have the ability to customize reports for each practice to suit every practices’ needs.
"KSL is dedicated to providing exceptional customer service. We work closely with all our customers to provide them with all of the information they need to monitor their practice and ensure their success."
- Anna Blankenship, Data Analyst
