We’re here to help
Claim Services is focused on helping hospitals receive proper reimbursement — providing the highest level of service to both the hospital and its patients.
Our services
COB Solutions
Additional Claim Denial Solutions
Medicare Solutions
Training & audits
Business partnership
COB Solutions
If COB-related denials are impacting your A/R, we can help.
At Claim Services, we understand that coordination of benefits can be confusing for patients, and advocates are needed to help them understand what exactly their insurance wants from them. Payors often use COB as a reason to delay or deny payment, and on top of the other priorities your staff may have, it can lead to unnecessary and unresolved claims. Not only does this negatively impact your bottom line but also your patient experience.
Our COB solutions put the patient first. Calling on behalf of your business office, we connect with patients and their insurance to get the correct information and facilitate timely claim resolution. With our after-hours and Saturday calls, we provide better, quicker results.
Why our solutions?
- Increased revenue & ROI
- Increased patient satisfaction
- Business office burnout/staffing relief
- Account resolution in 30 days or less
Additional Claim Denial Solutions
Along with COB, CSI also resolves the following denials:
- Accident detail updates
- Add baby
- Certificates of Creditable Coverage
- Claim forms
- Lien Information
- Medicare Secondary Payer (MSP) Questionnaire
- Subrogation forms
- And many others
Medicare Solutions
Our Medicare Solutions Team is uniquely qualified to assist hospitals in this ever-changing domain.
Whether the need is to obtain completed Medicare Secondary Payer Questionnaires, determine payer order or remove billing obstacles, the Medicare Solutions Team provides you with expert assistance.
Our team can help with:
- Common Working File updates
- Medicare Secondary Payer (MSP) audits
- Identification of no-fault and liability payers
- MSP-compliant questionnaires
- MSP training and seminars for patient access and patient billing
- Conditional billing
Claim Services conducts MSP training exercises and seminars on patient access and patient billing at hospitals around the country, as well as at industrywide events.
Training & audits
The aim of our Medicare Secondary Payer (MSP) audits is to uncover costly billing errors. Since 2010 when Claim Services first developed these audits, we have identified over $3 million in health plan payments that were subject to take-backs.
Our MSP audits are equivalent to those conducted by a Medicare contractor. However, our audits allow the client hospitals, rather than the Medicare contractor, to discover and correct errors in time to avoid lost revenue.
Claim Services provides training to hospital business office and registration staff. We lead your staff through a comprehensive review of your facility’s Medicare Secondary Payer Questionnaire, reinforce proper Medicare billing practice and data collection, and dispel misconceptions regarding Medicare compliance.
Valued business partners
Business office outsourcing companies benefit from our expertise, reducing days in accounts receivable and maximising payments to their client hospitals. Claim Services seamlessly provides assistance to these vendors.
What our clients say about us
