Claim Services is focused on helping hospitals receive
proper reimbursement — providing the highest level
of service to both the hospital and its patients.

Document Retrieval

There are many reasons patients do not provide the documents or information needed to facilitate the processing of a medical claim, but the result is always the same — lack of complete documentation holds up the payment cycle.

Claim Services obtains that missing information or document necessary to move the claim forward with the insurance company.

Documents we frequently retrieve include:
    Coordination of Benefits (COB)
    Medicare Secondary Payer (MSP) Questionnaires
    Pre-existing Questionnaires
    Accident Details Form
    Subrogation Forms
    Lien Information
    Claim Forms

And many others.

Click here for a full list of documents »

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Medicare Solutions

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Kevin Willis leads our Medicare Solutions Team. Kevin, a former Medicare Secondary Payer auditor, speaks across the country on Medicare issues.

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:
    Medicare Secondary Payer (MSP) audits
    Health plan recovery defensive audits
    Identification of no-fault and liability payers
    MSP-compliant questionnaires
    MSP training and seminars for patient access and patient billing
    Billing compliance
    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.

For more information,
contact our Medicare Solutions Team »

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.

To Learn About Our Training Options, Contact Us »

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Valuable Business Partners

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Business office outsourcing companies benefit from our expertise, reducing days in accounts receivable and maximizing payments
to their client hospitals. Claim Services seamlessly provides assistance
to these vendors.

If you are interested in discussing a strategic alliance,
Contact Claim Services Business Development »