WHAT WE DO
Delivering End-to-End Revenue Cycle Management Solutions
Med Staff Plus partners with your team to seamlessly manage the complexities of initial patient onboarding to back-end financial recovery.
HME/DME, O&P – Managing the Front-End Onboarding Processes
- Accurate Intake & Setup- Capture precise patient, physician, and diagnosis data to eliminate front-end billing errors.
- Same-Day Insurance Verification- Urgent requests processed within the hour.
- Contract Validation-Confirmation that the patient can be fully serviced under your specific provider agreements. Determine if covered under DME or Pharmacy benefit.
- Upfront Financial Transparency- Provide patients with clear, easy-to-understand breakdowns of their financial responsibility before delivery.
- Prior Authorizations – We handle the complex paperwork so your team can focus entirely on patient care.
- Medical Necessity Procurement – We bridge the gap between providers and physician to gather compliant prescriptions, chart notes and orders quickly.
- Verify, Register and Maintain Ordering Providers in the Billing System.
HME/DME, O&P – Managing the Back-End Financial Processes
- Held Revenue- Investigation and resolution of claims holding in the system for additional information.
- Claims Submission- Clean claim submission, clearinghouse tracking, and initial adjudication.
- Payment Posting & Reconciliation- Payment posting (ERA/EFT), contractual adjustment verification, and account balancing.
- Revenue Recovery- Denial management, appeals, and underpayment tracking.
- Patient Billing & Collections- Patient billing statement generation, payment plans, and compassionate collections.
- Aged A/R Management- Persistent auditing and tracking of outstanding 30,60, and 90+ day claims to accelerate cash flow.
HME/DME, O&P and Home Infusion – Consulting and Project Management
- Develop and Maintain a Comprehensive Resource Document outlining contracted carrier coverage guidelines.
- Process Improvement.
- Management Reporting – Revenue Cycle Analysis, Monitor metrics; KPI’s, AR days and Clean Claim Rate.
- AI Preparedness.
- Software Conversion Assistance.
- Reimbursement Helplines.
Home Infusion
Med Staff Plus specializes in navigating the complexities of component split billing, NDC-to-HCPCS crosswalking, and per diem reimbursement schedules.Our team manages the critical front-end work—including major medical vs. pharmacy benefit coordination and aggressive prior authorization tracking—to eliminate costly denials and ensure your high-cost therapies are fully and accurately reimbursed.
Revenue Cycle Optimization
Med Staff Plus, Inc.Phone: 248.941.1752 Email: cmaylone@medstaffplus.com
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