Services And Solutions

Clients receive cost-effective rates while Lowcountry delivers professional solutions to optimize timely reimbursement. Professional solutions include:

• Data entry.
• CPT / ICD-9 coding with appropriate modifying and list order.
• Detailed review of coding for correct use of Relative Value Unit (RVU).
• Electronic claims submission.
• Unsurpassed claim follow-up.
• Account A/R management including patient statements and collections.
• Fee schedule reviews.
• Quantitative account reporting. 

Lowcountry delivers individualized professional solutions with rates based on industry standards. Considerations are made for specialty of the practice, volume of claims, specific applications desired, expected growth, charges, dollar value of reimbursement per claim, demographic error rate, clarity of coding documentation and operative notes, collections on aged A/R and payor mix. Our professional solutions are based on the concept that quality must come first. Our professional staff, experience and focus on quality allows us to process claims in a timely fashion. This provides our clients cost effective solutions for billing, coding and collections so our clients can focus attention and office staff activities on patient care. 

Lowcountry's result-driven professional solutions have delivered...

• shortened revenue cycles.
• increased cash collections and insurance payments.
• reduced error rate.
• quantitative improvements in A/R management and collections.

The follow up process is an essential step in managing the revenue cycle and is often over-looked. Lowcountry's professional staff follow-up on our client's submitted claims thereby shortening their revenue cycle. We offer a systematic follow up approach which entails reviewing clearinghouse reports, insurance reviews, insurance appeals, explanation of benefits (EOB) reviews, and extensive, direct contact with payor claim specialists.

The longer claims stay outstanding, the greater the opportunity becomes for that claim not to be reimbursed. Lowcountry can effectively follow-up and collect on any volume of claims our clients submit. Our professional staff's knowledge and experience with Medicare, Medicaid, and third-party payors allow us to diligently pursue and collect each dollar allowable. Our virtual response unit (VRU) will be in direct contact with insurance companies claims specialists allowing for quick and effective communication in determining possible problems with claims. In addition, Lowcountry will appeal claims that insurance companies fail to pay within the time the law allows.

Lowcountry  provides solutions to follow up and reconcile reimbursements of our client's submitted claims. Our surgical clientele receive a detailed follow up within 10 to 15 days of submitting a claim and all clientele have a 30 day detailed follow up to ensure aging A/R is kept at a minimum. Experience and knowledge with Medicaire rules, insurance company claims systems, and the Correct Coding Initiative allows our professional staff to stay constantly updated with common claim denials and in policiey and procedural updates. State-of-the-art software and clearinghouse provide excellent support in catching and scrubbing errors in claims, as well as extensive information in order to track unpaid claims.

Lowcountry  solutions include experience with EMR and with billing software including (but not limited to): Leonardo, Next Tech, Nex Gen, Fox Meadow, Medisoft, Compusystems, Coretex and McKessan.