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MEDICAL BILLING FOR WORKERS’ COMPENSATION PROVIDERS.

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Presentation on theme: "MEDICAL BILLING FOR WORKERS’ COMPENSATION PROVIDERS."— Presentation transcript:

1 MEDICAL BILLING FOR WORKERS’ COMPENSATION PROVIDERS

2 A Few Words About Westshore Westshore Medical BillingWestshore Medical Billing is a full-service medical billing company. With the skill and up-to-the-minute knowledge of our Billing Team, we provide our clients with maximum, consistent income to their practices. As a part of our service, we offer our clients the technology to utilize Electronic Medical Records capability. This, in turn, essentially allows our clients to “go chartless”. Westshore Lien Management Westshore Lien Management provides Workers' Compensation AR collections, Lien Negotiation, and WCAB Representation for California Workers' Compensation claims. Our team of Work Comp collectors and litigators gets our providers paid the maximum possible amounts on their liens, in the fastest amount of time. (877)

3 Medical Billing and Collections for our clients. We increase your profit. Pure and simple. We provide a stable, consistent, and professional billing service with up-to-the- minute knowledge of billing and coding to generate the maximum income to your practice. We have 22 years of experience SPECIALIZING in Workers’ Compensation billing and collections. We take the time to understand both your practice and your vision for the future of your business; and we commit to collaborating with you to make that happen. In short, it is about experience, follow through, and having both an interest in and commitment to your financial success.

4 Westshore’s Billing Process

5 Workers’ Compensation Billing

6 P2P Link: Electronic WC Billing Through Westshore (877)

7 Electronic Workers’ Compensation Billing Through P2P Link: Payments arrive on average in 15 business days. Verification within 24 to 48 hours that your bills were received. Online claim number and date of injury verification.

8 ADVANTAGE TO YOU of E-BILLING YOUR WORKERS’ COMP CLAIMS Claims and Reports acknowledged as received by Insurance Carrier. 45 Day “Clock” starts immediately. Electronic Verification of Receipt if litigation is later required.

9 P2P Link – Technical Workflow Model

10 Westshore’s Follow-Up and Collections Of Your Claims

11 Review EOB’s and Appeal Improperly Paid Claims: Additional Reimbursements to You

12 We Handle Your Denials: We professionally respond to: – MPN Disputes – UR Denials – AOE/COE Disputes – Coding, OMFS Issues – Medical Control Disputes – LC 4600 Disputes – Medical-Legal Issues

13 If Insurance Refuses to Pay: We file an EDEX Inquiry on your claim. We file your lien through EAMS We frame the issues and lay the foundation for Lien Resolution We attend all required WCAB Hearings on your behalf.

14 We File EDEX Inquiry and Case Watch

15 We File Your Lien Electronically Through EAMS

16 Your Liens and Documentation are filed Electronically

17 As EAMS “E-Form Trial” Participants, we can request WCAB Hearings (DORs), and get an immediate Calendar date. That means, your liens get on calendar on average 3-6 months before anyone else’s. The Litigation Advantage

18 Our collectors resolve your liens through: – Telephone negotiation with Claims Examiner or Defense Attorney. – Settlement Demands, Written Correspondence. – Filing Declaration of Readiness To Proceed and requesting WCAB Lien Hearing. The Maximum Recovery Of Your Liens in The Minimum Amount of Time.

19 1.Review and Appeal Billing and Previous Payments 2.Research current Case Information through EDEX 3.Electronically File your liens through EAMS 4.Frame the issues, lay the foundation for recovery of your lien. 5.Pursue Collections via Telephone and Correspondence 6.Aggressively Litigate at WCAB Lien Recovery Process

20 Maximum Recovery Through Skilled, Professional WCAB Lien Litigation

21 Management Reports: We Generate Any Statistical Reports You Require, at Any Interval You Require.

22 Accountability, Reports

23 Westshore’s Technology

24 $EMR – Want to go chartless? Now you can. Westshore Medical Billing uses the latest Raintree billing software that utilizes the Electronic Medical Records. Fully Integrated Electronic Medical Records. $E-Billing for Workers’ Compensation Claims through P2P Link. $Access - Want to see the status of your billing accounts at 11:00 PM on a Sunday night? Now you can! We offer our clients access to our billing software 24-hours a day, 7-days a week. Access is quick and easy. You will never again have to wait to get up-to-date information on any of your billing accounts.

25 Raintree Systems Billing and Collections Software Available to you 24/7

26 Proprietary  2009 StoneRiver, Inc.

27 Go to and complete inquiry form.www.westshorenet.com/contact.htm Or call us at (916) for free quote. Getting Started…

28 Tell us a little about your Practice. – Your Specialty – Your Volume of Monthly Billing – Whether you also need AR Collections – Any Special Circumstances Next…

29 With Information you have given us we will: – Give you a quote for Billing if you are interested – Let you know our Fees for Collections of your AR and WCAB Representation. Our Collections Fees will always be on Contingency, that is, a percentage of the amount we collect for you. Westshore Lien Management (877) We’ll Provide a Free Quote

30 Our Team will facilitate transition of your accounts. You will be given Total Access to our Billing Collections Software We’ll minimize any disruption in Cash Flow. Deposit Checks to Your Business Account Frequent Reporting To You. We’ll Make The Transition Painless:

31 “I can honestly say Westshore is the reason I am still in business…” E.S. Pittsburgh, CA “Finally my billing is effortless, my income consistent, and I feel confident that Westshore can handle any problem that might arise.” C.F. San Francisco “Westshore’s hard work and ‘thinking outside the box’ attitude has resulted in the collections of what would otherwise be written-off claims.” P.K. Riverside. What Our Clients Say About Us:

32 OUR COMMITMENT TO YOU: To Provide You With an Experienced, Organized and Professional Billing Service. To Research, Code, Authorize and Submit Your Claims properly so that We get you the maximum dollar for every service you provide. You be the doctor. We will get you paid.

33 Westshore Medical Billing, Inc. Westshore Lien Management (877) Call us Today!


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