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TP Medical is a single outlet for all primary health care services- eligibility verification, coding, billing, AR follow up, collections, denial management and collections. We offer cost effective and reliable services compatible with the latest trend in healthcare industry.

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Expertise

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.TP Medical has evolved as a translator in the niche of providing health care services. Our simplified and jargon free approach, streamlined operations, clean work distribution pattern and dedicated resources have been proven to propel cash flow of healthcare providers (i.e., Medical Billing companies, Hospitals, Integrated Health Networks and Large Physician groups) of all sizes

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TP Professional Medical Billing Services offers:

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1. Appointment Scheduling
2. Eligibility Verification
3. Benefit Verification
4. Charge/Demographic Capture
5. Billing and Rejections
6. Scanning and Indexing
7. Payment Posting
8. Credit Balance Refunds
9. AR Follow Up and collections
10. Denial management
11. Appeal management
12. Patient Collections
13. Patient Statements
14. Credentialing

Ø Extraordinary AR management team.
Ø Stupendous AR scrutiny and follow-up processes.
Ø 95% of your claims will be set on within 60 working days.
Ø 99% of your claims will be set on within 120 working days.
Ø 365 days availability –working to your time zone.
Ø The cause for AR accumulation is ruled out for ever.
Ø Higher AR collection rate at incredibly low costs.
Ø On-time reporting with analytic.
Ø Reduce the average AR days to less than 45 days
Ø Reduce the AR over 90 days to less than 10% of the total AR
Ø Increase the collection from the current level to a higher level

WHAT WE CAN DO FOR YOU:

• Quick cash flows
• Your claims are processed and submitted within three business days. Our diligent follow-up with insurance companies
ensures quicker revenue for your practice.
• Increase your patient base
• You have more time to give quality care to your patients and build your practice.
• Save resources
• We take care of all issues related to medical billing and free your staff to concentrate on other tasks.
• Reduce rejected claims
• Our stringent quality checks ensure an accuracy level of over 98% in processing the claims.
• Knowledge Retention
• The business and process knowledge of your practice remains with us even if your staff leaves the practice, with the
claims being processed on time; your cash flow remains unaffected.

(TP Medical Billing) Physician Credentialing Services We Offer:

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Prevent revenue disruption by choosing physician credentialing solution because we collaborate with nearly any practice providers to source detailed information and speed up enrollment with insurance carriers at fraction of the cost. Our professionals are adept at guidelines followed by many leading Medicare, Medicaid, and commercial insurance payers. We offer high-quality physician credentialing services that will help with the following.

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1. Form preparation based on insurer guidelines.
2. Provider enrollment formalities and credentialing.
3. Tracking CLIA, CAQH, DEAs, NPI, and MA registration, as well as expiration of NYS registration.
4. Re-credentialing support.
5. Form and document submission for faster approval.
6. Record and certificate verification.
7. Aggregation of document and certification details coupled with the preparation of application forms.

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Initial credentialing and re-credentialing services

• On-site/remote primary source documentation collection using our secure scanning solution.
• Rapid data entry into our credentialing workflow software.
• Comprehensive par/non-par analysis to identify which providers are par and non-par.
• Missing elements review to ensure all proper documents required to enrol your physicians.
• Application and signature page consolidation and management.
• Use of UPS, FedEx and/or certified mail to track and trend mailed applications.
• Dedicated application follow-up to ensure that are payors are actively processing your applications.
• Extensive payor contacts to escalate processing issues.
• Sophisticated reporting designed to track and trend all stages in the physician's credentialing life cycle.
• Compilation of all Provider Identification Numbers (PINs) for easy billing system entry.

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Re-credentialing services

• Conduct all re-credentialing services based on insurance plan requirements.
• Application and signature page consolidation and management.
• Use of UPS, FedEx and/or certified mail to track and trend mailed applications.
• Dedicated application follow-up to ensure that are payors are actively processing your applications.

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Expiable management services

• Pro-actively monitor document expiration (e.g., license, DEA registration, board certification).
• Conduct all ongoing CAQH re-attestations.
• Expiring document report analysis to ensure advance notice that a document is soon to expire.
• Respond to provider enrollment billing issues/edits.

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Delegated credentialing management

• Manage delegated credentialing rosters for all delegated payors.
• Manage weekly/monthly roster submissions.