Medical Billing Services

Medical and Patient Billing Services

Nightingale Revenue Cycle Management

A physician services organization committed to working with medical practices to implement solutions that capture and eliminate patient and medical billing and collection problems and inefficiencies in healthcare environments.

  • Increase charges & medical and patient billing reimbursements
  • Streamline operations & reduce overhead
  • Find and eliminate inefficiencies
  • Reduce time in A/R
  • Increasing cash flow & profitability
Remove the burden of claim processing

Our patient and medical billing experts are experienced at helping medical practices improve their operations giving physicians and their staff more time to invest in patients and themselves.

Continuously maximize revenue

Our industry-leading Clean Claim Process and skilled account managers ensure that revenue, cash flow and profitability are continuously maximized and that in-house manual back office work is minimized.

We share the risk with you

Committed to strong partnerships and excellence in delivery, we share in the risk of implementing Revenue Cycle Management.

Outstanding track record of success

Nightingale has over ten years of experience managing the non-clinical operations of healthcare organizations both large and small. Our success is derived from in-depth understanding of the daily operations of a medical practice.

Services provided by Nightingale

 

Accounts Receivable Management

Regularly communicate with office managers and staff to resolve patient billing issues, provide expert guidance and patient balance collection.

Help You Become Compliant

With MEDSAFE we provide guidance and support in developing compliant billing policies and procedures to ensure you are compliant with HIPAA coding and fraud/abuse regulations.

Provider Enrollment and Credentialing

Comprehensive and cost efficient credentialing services, ensuring that your revenue stream is optimized and uninterrupted. Including processing re-credentialing applications as needed, compiling, completing and submitting all required enrollment documents, tracking the enrollment application progress through approval, maintaining critical records of enrollment documentation and monitoring the expiration of your MA, DEA and CLIA registration.

Electronic Claims Processing

Our professional billing and accounts receivable service starts with electronic claims processing, timely, effective patient billing and automated tracking.

Denial Management

We follow a proprietary time tested “clean claims” process that eliminates many commonly denied claims through the use of technologies such as eligibility checking, multiple claims scrubbers in addition to “hands on” review of claims that don’t meet our stringent claims processing policies.

Track payment patterns from all major payors and calculate expected reimbursements, monitor denials and underpayments, compare actual to expected reimbursement and assess denial patterns and trends in an effort to reduce “days in A/R” and improve collections.

Improve Patient Relations

Our approach ensures strong relationships are maintained with patients.. We manage all aspects of self-pay receivables, from mailing and budget payments to collection on bad debt.

Stay informed with real time reports

Provide customers with access to real-time information about their practices along with automated monthly reports analyzing cash flow, expenses and productivity by provider, procedure, payer or location.