• Failure to perform timely follow up, resulting in rejected claims
• Down coded claims where the payer reduces the level of service by coding to a lower category
• Payers who refuse to pay according to contractual terms

Our coding, computer, and insurance specialists are experienced, dedicated professionals who can help you to solve these three problems and become more profitable.

Katwa’s Medical Claims Processing is charged on a per claim basis and includes additional services, including:

• Insurance Follow up
• "Soft" Collections
• Collection Agency Referrals
• Patient Statement Billing
• Monthly Management Reports
• Superbill Analysis
• Conferences

Any claims rejections are immediately pursued with the primary goal of securing appropriate payment for your services and the secondary goal of keeping your key management personnel focused on essential operations, free from the diversion of having to pursue such matters themselves.

Our system puts rejected claims back into the collection cycle within 24 hours. If a claim needs correction to be paid, it is corrected and resubmitted. If a claim needs to billed to another payer, it is done immediately. And if a consistent problem is uncovered that causes multiple rejections, proper training will be initiated, either for your personnel or for ours, to rectify the situation and to minimize future rejections.

All claims are monitored to ensure that the proper codes are being billed and that payers are adhering to their contractual obligations.

And finally, your cash flow can suffer fewer interruptions when claims are consistently presented in proper format. Our submissions system uses most common formats, including:

• HCF or NSA (National Standard Format)
• HCFA 1500 Form
• American Dental Association form
• Hospital out patient UB 92 forms

Hospitals are required to include HCPCS codes for all services in order to be paid accurately under OPPS (Outpatient Prospective Payment System). In addition to ICD 9 coding, we offer HCPCS’s three level coding.

Confidentiality of Information
To ensure privacy and confidentiality, all electronic transfers of data via multiplex or modem are encrypted and password protected using dedicated lines and firewalls prevent unauthorized access.

Confidentiality of patient and practice information is assured. Katwa has a zero tolerance policy for any breech of confidentiality. Records are kept secure and all appropriate laws are observed for handling the release of information.

Features
We have all the essential resources and expertise to offer successful claim processing for all health care providers. We encourage you to take advantage of the following services:

• Electronic claims submission
• HCFA forms processing
• Patient information and charge entries
• CPT, ICD 9, and HCPCS coding
• Web based, customized Management Information Reports
• Assertive follow up procedures
• First time filing accuracy
• Assured security and confidentiality of transactions
• Quick turnaround times
• Rejection rates as low as 1%