Billing & Follow-Up Services
PHNS offers a robust reporting module to detail all ongoing billing, follow-up and payment activity, and to maintain individual, claim-specific records on each hospital account. PHNS produces this data to create analytical and management reports, which can include the following depending on the hospital’s requirements:
- Patient demographic information, including account number, name, policy number, etc.
- Total amount placed/assigned
- Date of referral
- Billed charge amount and date billed
- Visit-specific information, including date of service, service codes, etc.
- Current status of accounts (billed, paid, denied, closed)
- Last activity date
- Status of account
- Total number of paid-in-full amount total payments
Our staff will perform timely follow-up to expedite claim recovery for eligible hospital accounts. We will prioritize accounts by hospital-defined variables, including balance stratification, payer, follow-up date, account age and others. These variables allow the hospital’s staff to report, track and monitor at the individual claim level and control document requests.
Follow-up involves a telephone call with the individual payers. Upon availability by the payer, our staff will make electronic claims inquiries. Any action taken, as well as any resulting contact with payers, is captured by us at the account level.