End-to-end billing: 390 Operations takes care of End to End Revenue Cycle Management for the clients.
Appointment Scheduling: On behalf of the client management, 390 Operations staff can provide appointment scheduling services and other administrative support related to appointment and scheduling management, appointment reminders.
Limited Documentation and Coding: Provider documents services including reviewing documentation to ensure it is complete and signed by provider. Service codes including verifying codes accurately reflect patient services, and review to ensure coding reflects documentation. Coding services includes ICD-9 and ICD10, and responsible for staying on top of coding changes.
Data Validation and Correction: 390 Operations provides additional verification of the data by cross checking inputted data with other sources of data.
Claim Submission: Provide paper and electronic claims submission. Run claim error reports before submission, and review submitted claims and investigate rejected or denied claims. Check the results of the submission with the clearing house or Health Plans.
Payment Processing: Reviews the Remittance Advices to ensure it corresponds with the billings. Checks planned and scheduled disbursements of payments. Ensures payments are made into the back account. Payments and denials are also captured and recorded. Internal quality assurance is also performed.
Secondary Billing/Appeals: Investigate denials, and make corrective actions to resubmit billing or to submit an appeal. The follow-up will be timely. After submission, follow-up on all claims submitted after reasonable time.
Reports: Provide high level and summary reports to management for review. Ad-hoc reports will be generated depending on time constraints and workload.