SouthCare Billing Inc
Individual and group billing

No matter what size your practice is we can provide you with excellent service, qualified representatives and a billing methodology that is based on your needs.

Assessment of your current billing methodology

We will meet with you to analyze your current case load, what methods are being used to bill out your cases, and discern if your current service is doing all that is necessary to maximize your reimbursement.

Easy and cost protective transition from previous billing situation

Change can be confusing and costly for practices, We will do all we can to help during the transition process to maintain a positive cash flow.

Electronic Claim Submission

We bill electronically for all carriers who have made it available. We currently use EMDEON for our electronic filing.

Credentialing Services

We will credential all providers with any carrier they choose, as well as ensure your provider file is up to date with each carrier. We will handle all paperwork involved with credentialing to ensure there is no lapse in reimbursement.

Negotiate contracts with carriers

Many providers are contracted with insurance carriers at rates below what they should be receiving. We will negotiate with the carriers to ensure you are getting the proper reimbursement for your area.

Coding

It is very important that providers understand that some of the work they perform is bundled with another procedure. Our staff of certified coders will ensure that each cases is coded properly.

Payment posting

We post payments on a daily basis. Payments can be sent to a lockbox set up by the client or by other means chosen by the client. Payments are reviewed to ensure they were processed correctly. Payments that are incorrect are followed up with the carrier to ensure the proper payment is received. All secondary carriers and patients are balanced billed as appropriate.

Storage of information


We use the services of ebridge solutions to scan all documents in a secure and safe file. Ebridge is HIPPA and CMS compliant.

Reporting

Every practice is different and will not need the same reports. We provide a variety of reports for tracking various items. We can create reports to meet your needs.

Transfer of charts

We have several ways to obtain charts. Scanning, Electronic interface, Fax or mail service. We will work with you to choose the best method for your practice





Billing services for

Anesthesia
Surgery
Orthopedics
Radiology
Emergency Department
Opthalmology
OB