APERTURE
BILLING SERVICE
We Maximize Efficiency Throughout the Entire Revenue Cycle
Aperture is a full service medical billing company with the ultimate goal to provide convenient, streamlined solutions. We have a readily available team of CPAs, physicians, and financial experts to ensure transparency and maximize your practice's revenue. Furthermore, we work to optimize technology wherever present in order to stay up with the latest trends.
Benefit Verification
We review in depth the patient's eligibility and benefits prior to their appointment. We utilize resourceful databases to quickly extract insurance policies and ensure claims will be promptly paid before the patient is seen. Secondly, we will verify all demographics are accurately recorded to prevent rejections and delays.
Utilization Management
Within certain specialities, especially Otolaryngology, there requires special attention to receiving prior authorizations for surgical procedures and other ancillary services that are medically necessary. We will work with insurance providers and ensure there is maximum coverage and time for the patient to receive care.
Clinical Charge Captures and Services
We will work closely with the main providers and staff so that the appropriate assignment of medical procures and diagnosis codes are utilized for each encounter. This will ensure a robust template each time we create a claim in the billing process.
Billing Claims
The clinical side ties closely with billing, and is typically a collaborative approach that involves having the medical staff record and create super bills that meet payer requirements. if a claim is delayed due to medical record requests, we will verify that the records meet or exceed what the payer is demanding before they relinquish payment. This includes utilizing the proper codes that match what the medical records state.
Denial Management and Insurance Appeals
Once a claim is submitted, it will either clear through the clearing house or be rejected. Our first line of defense is rigorously reviewing a pre-claims report so that we can alter any discrepancies that may result in a clearinghouse rejection. This saves time and resources. Lastly, if the claim continuously is delayed and denied, we will begin appeals measures, and if needed filing a formal dispute to the state of California.
Once a claim is submitted, it will either clear through the clearing house or be rejected. Our first line of defense is rigorously reviewing a pre-claims report so that we can alter any discrepancies that may result in a clearinghouse rejection. This saves time and resources. Lastly, if the claim continuously is delayed and denied, we will begin appeals measures, and if needed filing a formal dispute to the state of California.
A/R Report and Monthly Analysis
The last step is essential for monitoring short and long term trends within the medical practice. We verify closely all unbilled and unpaid claims and submit them before timely filing is a concern. We provide monthly reports that visualize the robustness of the practice, which ensure the constant state of improvements and efficiency as time moves forward.
Ready to Optimize Your Revenue Cycle?
Take the first step towards maximizing your practice's revenue by partnering with Aperture Group. Schedule a consultation to learn how our tailored solutions can benefit your practice.