Our Straight Through Billing
starts with patient appointment scheduling and includes
SOAP notes, superbill, submission of primary and secondary
claims, electronic fund transfer (EFT), payment posting,
and reconciliation of appointments, charges, payments,
EOB’s, and messages.
Billing
Precision Partners with Labady & Randolph
for Billing Compliance;
Chiropractors leverage
Artificial Intelligence and Legal Expertise
for Practice Risk Management
Jeffrey B. Randolph, Esq., has saved
many practices from bankruptcy upon post-payment
audit of their claims and billing procedures.
Billing Precision utilizes specialized
software to encode and leverage Mr. Randolph’s
unique expertise.
Dumont, NJ (PRWEB)
March 29, 2006 -- Jeffrey B. Randolph,
Esq., has saved many practices from bankruptcy
upon post-payment audit of their claims
and billing procedures. “While
standard insurance policies protect the
doctor from most business risks, nobody
offers protection against potentially enormous
penalties in case of billing audit,” says
Mr. Randolph, a partner at Labady and Randolph
and legal counsel to the Association of
New Jersey Chiropractors. “Monitoring
billing compliance is doctor’s responsibility
and ignoring it often results in practice
ruin.”
Billing compliance monitoring is difficult
because it requires testing of every claim
against multiple rules. Additionally, major
insurance firms use proprietary rules for
selection of audit candidates. Over the
years, Mr. Randolph has identified numerous
rules that might trigger billing audit.
Some tests are as simple as ensuring adequate
claim documentation using SOAP notes, while
others call for heavy-duty calculations,
such as statistical pattern recognition,
designed to identify an overused chiropractic
manipulative treatment.
“Billing
Precision utilizes specialized software
to encode and leverage Mr. Randolph’s
unique expertise,” says Dr. Yuval
Lirov, inventor of several patents in artificial
intelligence and computer security and
author of “Mission Critical Systems
Management” book. “Ensuring
billing compliance in a high-volume practice
would be impossible without high-performance systems.”
About Labady & Randolph:
Labady & Randolph, LLC, is a multi-state
healthcare law firm specializing in insurance
litigation, health care audits, arbitration
of medical claims, billing and coding compliance,
and professional licensure matters. Mr.
Randolph is legal counsel to the Association
of New Jersey Chiropractors, a member of
the National Association of Chiropractic
Attorneys, and is licensed to practice
law in New York, New Jersey, U.S. District
Courts for the 2nd and 3rd Circuits and
the Court of Federal Claims.
Billing
Precision, LLC, is a national Third
Party Billing Service, HIPAA compliant,
Certified by New Jersey Department of Banking
and Insurance, and a Business Partner of
Association of New Jersey Chiropractors. Billing
Precision consolidates billing services,
tracks payer's performance from a single
point of control, shares Medicare compliance
rules globally, and creates massive economies
of scale. It guarantees improved practice
profitability and 100% transparency throughout
the billing process. The service leverages
comprehensive practice
workflow technology, including patient
scheduling, digital superbill, SOAP and
SOAAP notes, and billing.