Extended Business Office and Third Party Billing Services
The Midland Group processes hospital claims of all payers, governmental and commercial, in all 50 states. Hospitals can refer claims to us at a specified point, on a project basis or individual case. Outsourcing business office functions is becoming routine as facilities recognize the need to plan for change. With Midland as your “stand-by” staff, you are prepared for any of the following scenarios. Computer conversions. It isn’t necessary to let your A/R days escalate as you move to a new system. While working to get your staff trained and your new system up and running, Midland can do the daily work or process older accounts from the previous system. FMLA leave or staff shortages. With Midland as your extended business office, you can maintain efficiency and productivity until your employee returns or you hire a permanent employee. Aged Accounts. Billing experience, tenacity and time are the keys to resolving your aged accounts. Let Midland's seasoned staff work these time-consuming accounts while your staff stays focused on more pressing matters. Lack of Expertise. The increasing complexities of payer rules make hiring and retaining competent staff an ongoing challenge. The infrequent occurrence of certain kinds of claims such as; TriCare, Workers' Compensation or out-of-state Medicaid may cut into staff efficiency and productivity. Special projects or training may require that your business office staff be redirected temporarily away from daily billing activities. Again, Midland can perform the daily work until your staff returns. Midland can access the hospital's system through a remote terminal service or provide staff on-site. Our billing staff consistently provides: w Timely and accurate billing of accounts. w Constant communication with insurance carriers. w Active account follow-up. w Monthly status reports. w Communication with State Insurance Commissioner's Office, when necessary. w Assistance with contract enforcement, fee schedules and state regulations. Worker's Compensation Billing and Claims Tracking Our Workers' Comp team has over 25 years combined experience tracking, managing and resolving Workers' Comp claims. We monitor state's Workers' Compensation systems for notification of pending settlement hearings as well as verify that the patient has met their obligations. We will ensure that the hospital bill is vigorously advocated in the settlement process. Accident/Liability Lien Filing When a patient is involved in a personal injury accident a claim must be filed with the liable party’s insurance company. It is in the best interest of hospitals to aggressively pursue payment because reimbursement is generally higher than what is paid on a typical health insurance policy. In many cases, payment from the insurance carrier is made directly to the injured party. Without a lien or a claim in place, recovering payment for hospital services can be problematic, if not impossible. How we make the claim will depend on the type of insurance. Each claim must be considered for its unique circumstances, state statutes, legal implications, and other complicating factors. Midland’s expert staff has more than 20 years combined experience working in the accident/liability insurance and healthcare industries. Midland’s lien staff works as a team to ensure each lien is filed correctly and expeditiously. If a Motion for Interpleader must be filed for the hospital to be paid, a Midland attorney will appear in court on behalf of the hospital (at no additional charge to the hospital) to argue for a share of the settlement. Contact Us to assess your needs, determine the long-term impact cash flow and integrate our financial counseling services with your existing processes. |
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