Our Services

Department of Labor Billing Services

TP Professional Medical Billing Services, LLC works in collaboration with David A. Testone to provide specialized billing and credentialing services for providers treating injured federal workers through the **U.S. Department of Labor **Office of Workers' Compensation Programs (OWCP).

Our partnership allows medical providers to navigate the complex federal workers’ compensation billing system more efficiently while maximizing proper reimbursement.

Our Department of Labor Services Includes

• Provider credentialing and enrollment with OWCP
• Accurate submission of Department of Labor medical claims
• Correction and resubmission of denied or underpaid claims
• Recovery of previously underpaid claims for up to five years
• Assistance with obtaining authorization for medical treatment up to six months in advance
• Billing compliance review and documentation support
• Ongoing claim tracking and payment follow-up

Why Providers Work With Us

The Department of Labor billing process can be complex and time-consuming. Through our collaboration with David A. Testone, TP Professional Medical Billing Services, LLC helps ensure claims are submitted correctly, payments are maximized, and providers receive the reimbursement they are entitled to under OWCP guidelines.

Providers We Support

We work with a variety of healthcare providers, including:

• Chiropractors

• Hospitals
• Medical clinics
• Physical therapy providers
• Wound care specialists
• Durable Medical Equipment (DME) providers

Partner With Us

If your practice treats injured federal workers under the Office of Workers' Compensation Programs,TP Professional Medical Billing Services, LLC can help streamline your billing operations and recover revenue that may otherwise be lost.

TP Medical offered a specialty:

Acupuncture

Addiction Medicine

Allergy / Immunology

Anaesthesiology

Audiology

Bariatrics / Weight Management

Cardiology

Chiropractic

Dentist

Dermatology

Diagnostic Radiology

Durable Medical Equipment

Emergency Medicine

Endocrinology

Family Practice

Gastroenterology

General Surgery -Geriatric - Haematology - Home Health - Infectious Disease - Integrative Medicine / Holistic Health- Internal

MedicineLaboratory / PathologyMassage

Therapist

Medical Oncology - Mental Health / Psychiatry - Nephrology - Neurology - Nursing Home -

OB / GYN

Occupational Therapy - Ophthalmology- Optometry - Orthopaedics - Otolaryngology

Pain Management - Paediatrics - Physical Medicine and Rehabilitation- Physical Therapy- Plastic and Reconstructive Surgery- Podiatry

Preventative Medicine - Psychiatry- Psychology - Pulmonary Disease - Radiation Oncology - Rheumatology -

Social Work / Counsellor / Behaviour Health - Speech Language - Pathology Thoracic Surgery - Urgent Care - Urology Vascular Surgery-

Wound Care

TP Medical Working Strategy :

Electronic Referral System

Save time, save money is a web-based service that enables providers to send electronic referrals directly to participating diagnostic facilities of their choice. This service relieves providers of the need to rely on patients to schedule procedures. It also eliminates the need for paper referrals.

Medicare Compliance

Referral is designed to help guide providers through the process of writing medicare-compliant referrals and improve overall physician practice management. Our question-and-answer format ensures that all referrals meet medicare requirements.

Immediate Scheduling

Providers can add insurance information, locations, and their electronic signature to be able to send referrals quickly in just a few easy steps. Facilities then have the capability to schedule immediately, which results in an easy, hassle-free process for the patient.

Eligibility & Benefit Verification

Easy, Efficient & Cost-Effective

Are you or your staff tired of waiting on the phone or jumping from website to website to verify patients’ insurance eligibility? Being able to verify a patient’s eligibility and benefits information in a timely manner is critical. To do this consistently, you need support that is easy, efficient, and cost-effective. Eligibility simplifies this process for you.

Get Complete Information from One Source

TP Medical Billing’s insurance eligibility and benefits verification service obtains all pertinent information required – not only coverage confirmation, but what kind of coverage the patient has, what their deductible is, and how much has been applied. Having all the necessary information generates more revenue and reduces administrative costs.

Simplified Eligibility Verification Process

Eligibility increases office efficiency and staff production by eliminating hours on the phone or using multiple websites to obtain eligibility information. Further, it reduces the number of claim delays and denials by receiving timely coverage responses.

Patient Insurance Pre-Authorization

Submit Authorization Requests for All Insurance Carriers. TP Medical Billing offers a much-needed service for insurance authorization. Insurance Auth is a web-based service that allows providers to sign up online and submit prior authorization requests for all health insurance carriers.

Assigned On-Demand

An On-Demand Specialist is assigned to work on the request, coordinate all needs with the insurance companies, complete all follow-ups, and send results expediently back to the provider. Our success rate in obtaining insurance authorization approval is over 95%.

High Quality Insurance Authorization Service

TP Medical billing reduces the provider’s overhead by relieving the time-consuming administrative burden of obtaining insurance authorizations for their patients. Data fields for online request forms are pre-populated with your provider information to save you time. Insurance Auth also reduces paper by maintaining your authorization records electronically.

Timely & Proper Claims Submission

No Error, No Delay

Our innovative PARCS software is designed to ensure every medical claim is submitted properly. Our system metrics was created with a unique series of checks and balances, which allows for a quick turnaround time.

At TP Medical Billing, we have a strict “no error, no delay” policy. This process reduces the number of days your medical claim is outstanding. We understand our clients’ cash flow requirements.

Account Managers Coordinate

All Requests. Each client is assigned a dedicated Account Manager. This gives your staff the security and comfort of dealing with the same representative, who is familiar with your practice. All inquiries made to your assigned Account Manager are answered expeditiously via phone, fax, or email. We maintain close relationships with each client. At TP Medical Billing, we realize every practice is different, and we work with each client to establish an appropriate schedule and method to receive billing information. When claims are received, they are processed within 24 hours. Detailed reports are provided, summarizing work received and clearly identifying any missing or incomplete information.

Claims Follow-Up & Denial Management

Timely Follow Up. A critical step in the billing process is resubmitting any claims that are not received by the insurance company or need to be corrected and resubmitted. All submissions are confirmed with the insurance company within 10 days to prevent any denials for untimely filing. Claims automatically pop up in user buckets if they are not paid within the allowable timeframes.

No Claim Is Left Behind

If claims are not paid during a specified time period, we follow up with the carrier regarding the unpaid claim. All calls are logged. Based on the information gathered, we will take necessary action on the unpaid claim to correct and resubmit it. This may include re-billing, re-coding, or sending appeal letters.

Denial Management Increases Revenue

Our denial analysis tools allow us to identify the most common denials and their causes. We then work with our clients to develop an action plan and make sure corrective measures are taken to reduce those denials and improve revenue recovery in the future. How it works: Full Cycle RCM Solution. As the leader in revenue cycle management (RCM), TP Medical Billing has pioneered a comprehensive system that maximizes revenue generation for healthcare provider practices and hospitals while reducing administrative costs.

Our RCM System delivers an intelligent platform that enables you to generate revenue to the fullest potential.TP Medical billing focuses all its expertise to provide you with a full-service solution that:· Increases revenue collection by ensuring patients are eligible for medical services and verifying pre-authorization before the exam· Gives you access to our proprietary software where you can see and track each stage of a claim or batch from first logged to posted payment· Actively follows up with unresolved claims issues and diligently appeals denied claims· Analyses denial rationales and coding errors to establish follow-up procedures that maximize recovery rate· Uses predictive modelling to help you forecast future revenue streams and support cash flow· Is compliant with Medicare and HIPAA, and offers an optional certified EMR platform that satisfies HITECH requirements, qualifying you for performance incentives· Provides unparalleled transparency through comprehensive reporting and web-based tools that let you manage performance.

TP Medical Billing RCM Workflow

TP Medical Billing’s innovative RCM System encompasses a comprehensive approach to medical billing and collection, which is supported by our proprietary, state-of-the-art software specifically built for revenue generation.

This system is designed to ensure every step of the RCM is completed. Our systematic process leaves no medical claim behind. Our unique approach to RCM identifies each claim as its own entity and treats it as such throughout the claim’s life cycle. Our robust workflow considers the full cycle life of a claim, encompassing:

Validation of patient pre-authorization through Insurance Auth·

Verification of member eligibility and benefits through Eligibility·

Proper claims processing and submission·

Timely payment postings·

Management of denials, including an intelligent appeals strategy·

Proactive AR follow-up · Comprehensive or customized reporting that enables you to manage performance·

Access to software which allows you to see each stage of a claim or batch from initial logged to posted payment·

Internal and integrated litigation that go after specific revenue losses.