Surgical Billers

Surgical Billers offers Practice Management Accessment by our team of certified reimbursement specialist and compliance professionals. The purpose of the Accessment is to determine areas of weakness that are detrimental to the practice's cash flow of the practice. Each of the areas of review are important to the process of building a strong revenue stream. If any of these areas are deficient, the effect on the cash flow can be devastating. The areas of review are as follows:

• Review the front desk operations to make sure the staff has adequate tools and knowledge to process patient benefit information correctly.
• Review of patient eligibility and authorization system.
• Review patient forms to insure they meet compliance requirements.
• Review superbills and/or other charge forms used to generate billing for errors and/or omissions.
• Review the codes submitted to payors to insure proper coding.
• Review data entry and claim processing methods.
• Review of payment cycles for all payors.
• Review of current fee schedules

The Practice Management Accessment is conducted on days that are convenient for the office and will not interfere with patient interactions. All findings are confidential and shared with the doctor only. If a plan of action is implemented that requires further services of Surgical Billers, a short term contract is presented to the doctor for his/her approval. The fee for Practice Management Accessment is priced per hour, with a two hour minimum per appointment.

Patient Chart Audits

Regularly scheduled patient chart audits are a necessary function of any practice's compliance plan. Both administrative and coding reviews should be conducted on a random selection of charts. Surgical Billers provides chart audit services which comprise an administrative audit to monitor the practice's patient documentation, including necessary signatures, releases, lab reports, consultation letters and referral forms. In addition, a coding portion of the audit examines the charges are accurate based on the treatment notes and there are no errors or omissions. Audits should be performed at least twice a year or more based on the volume of the practice. Audits should be impartial, which is why we recommend an outside audit service such as Surgical Billers. We will ensure the practice is meeting the ever changing regulations necessary to stay compliant with both HIPAA and the Office of the Inspector General.

Diana Newhouse, President, Director of Surgical Billing

Diana Newhouse oversees our team of certified coders and reimbursement specialists. Ms. Newhouse has over 12 years of experience in the healthcare industry specializing in operations management, regulatory compliance, information system design and implementation, third party credentialing, and strategic planning. She has advised medical practices regarding financial management, insurance reimbursement and healthcare compliance. Ms. Newhouse founded Medbill Express, Inc. in 1992 specializing in healthcare reimbursement and medical office management. Surgical Billers, a division of Medbill Express, Inc., was established in 2000 to provide billing, coding and practice management services to surgical practices and facilities.