Kdove provides exceptional medical billing services to physicians and healthcare
providers throughout the state of Texas. We have more than 22 years experience
in strategies of Healthcare Practice Management, Accounts Receivable Management
and Medical Claims Processing.
Kdove has been providing outsourced medical
billing services to medical providers and practices throughout the state of
Texas since 2004. We utilize the industry's leading technology in electronic
reimbursement, remote access scanning & practice management software solutions.
Our goal is to
Eliminate overhead, increase cash flow with accurate coding
and oustanding follow up.
Individual and group billing
No matter what size
your practice is we can provide you with excellent service, qualified
representatives and a billing methodology that is based on your needs.
Assessment of your current billing methodology
We will meet with you to
analyze your current case load, what methods are being used to bill out your
work, and discern if your current biller is doing all that is necessary to
maximize your income.
Rescue for financially abused providers of any
size:
Many providers, through no fault of their own, find themselves the victim
of inadequate, incorrect or improper billing practices. Medical billing, and in
particular anesthesia billing is a very complicated field with many variables
and changes. You need a billing service whose staff is educated and informed
about all aspects of their field. You need a biller that will work with your
best interests in mind. Many of our clients come to us because they suspect that
the billing system they currently use is not adequate to their needs. We are
here to help and often we will take over existent billing to see if we can cure
the problems of the past.
Easy and cost protective transition from previous
billing situation:
Change can be confusing and many providers avoid change for
fear of losing financial consistency. Expenses need to be met and we do all that
we can to help maintain an operating cash flow during the transition period.
Electronic claims submissions
We bill electronically for all carriers who
have made it available. We currently use EMDEON through WEBMD. This system is
the industry leader.
Full credentialing services:
For providers already
listed with insurance carriers, our in house staff will help you to coordinate
your records and submit them to all carriers, prior to actual billing, so that
there is no lapse in payments during transition. For new providers our in house
staff will manage all your paperwork and establish you with all insurance
carriers.
Negotiate contracts with carriers:
It is no surprise to us that
many providers are participating with carriers at rates far below what they
should be getting. We have many years of experience and have done extensive
research in the area of contractual fees and always get our providers the
highest rate possible for their participation. We firmly believe that a provider
has the right to get the maximum amount that the current market will bear and we
will accept no less than that.
Identify and eliminate bundled services and
coding errors:
It is very important that anesthesia providers understand that
some of the work they do is included in the main procedure codes. Constant
unbundling of services is a red flag for audits. PBA staff members keep current
with all the bundled and unbundled codes. They are certified and educated in
proper coding procedures
there are occasionCompliance review by certified
compliance officer:
All claims are monitored prior to submission to determine
if all correct coding requirements are in place. Questions will be referred to
you if the need arises in order to prevent audits and payment delays
Aggressive follow up of all primary and secondary unpaid claims:
We do not
pre-judge which claims should be called on. Regardless of primary or secondary
balances due, all claims will receive our full attention.
Help with new
practice formation:
If you wish to look into the possibility of forming a group
practice, we will sit down with you and help you to find the right way to do it.
Our in house staff will assist you with the necessary paperwork. We can also
refer you to professionals who will make the process as quick and painless and
possible.
Work load tracking for group monitoring:
Our reporting system
will help both individual practitioners and groups to determine if they are
making the best use of their time, personnel and resources.
Custom reports
for specific needs (Accountability)
All practices are different. One solution
doesn't work for all. Many of our
reports are flexible and comprehensive
enough for everyone to use, but s where specific needs must be addressed. We can
create reports to meet those needs. If you are curious about a specific code,
location, carrier or any other aspect of your practice we can review and report
back to you on its performance and viability
Payment posting and
balancing
PBA takes care of all your financial needs. We post all payments and
make your deposits. Each payment is reviewed immediately upon receipt to
determine if it is correct. Incorrect or insufficient settlements are then
inquired and followed up on until the correct adjustment is made. Secondary
carriers and patients are balance billed as appropriate.
Safeguards for
incoming work
We use several methods for receipt or transmission of your work.
We advise a daily or weekly submission either by fax or by traceable mail
Notary public
We have a notary on staff during regular business hours
Tuesday through Friday
Secure storage of all documents:
We use an advanced
automated indexing/scanning system that is state of the art. We store all face
sheet, super bills, correspondence and explanations of benefits. Every paper
document is scanned, archived, and available for instant access through our
proprietary system.
