WORKERS COMPENSATION SPECIALISTS. Westshore Medical BillingWestshore Medical Billing is a full-service medical billing company. With the skill and up-to-the-minute.

Slides:



Advertisements
Similar presentations
©2010 Coventry Health Care. All rights reserved. Proprietary – Do not copy, distribute or disclose without permission of Coventry Health Care. Provided.
Advertisements

©2010 Coventry Health Care. All rights reserved. Proprietary – Do not copy, distribute or disclose without permission of Coventry Health Care. Provided.
Independent External Review of Health Care Decisions in Vermont Department of Banking, Insurance, Securities and Health Care Administration.
SUPERIOR COURT OF CALIFORNIA FAMILY LAW FACILITATOR OFFICE
PRP specializes in working with its client to achieve the maximum recoveries on their accounts receivables. Through review of your current processes and.
Draft DDB Service Charter Our Vision Every person affected by an occupational dust disease receives timely, accurate and effective services delivered with.
505 North 20 th Street Birmingham, Alabama Telephone: csattorneys.com PROBLEM SOLVERS CONTROLLING LITIGATION COSTS.
AR R ECOVERY S ERVICES Let Us Discover what we can Recover for you!
MEDICAL BILLING FOR WORKERS’ COMPENSATION PROVIDERS.
Learn How To Earn FDCPA 101 Recognizing Violations and Submitting Clients.
M IKE R OME H OLDINGS, LLC Leaders in Commercial Collections & Debt Recovery.
Insurance Claims Resolution and Self-Pay Recovery Spend more time with patients, and less time worrying about receivables.
Windsong Solutions, Inc. PO Box 935 Burnsville, MN
Medicare Secondary Payer and Negligence Lawsuits an Overview Patricia J. Foltz Anderson, Rasor & Partners, LLP June 21, 2013.
Micah Legal Aid Volunteer Training.  Collection cases  Bankruptcy  Car Repossession  Utility issues.
Overview of the Claims and Appeals Process February 2010.
Utilization Review Update Durham Center Access February 23, 2011.
Claims Recovery Service. Prerequisites Treat patients with commercial health insurance and/or out-of-network Possess/have access to claim records: + 835s.
SJDC Health Benefit Overview Retiree Coverage – Group I March 7, 2012 Suzanne Franco Employee Benefits Specialist.
Rule 16-Requests for Prior Authorization for Medical Services Who Wants to Be a Millionaire?
Page Bill of Collections and Overpayments – Federal Contracts November 10, 2011 Midwest SBLO Meeting.
Law & American Society Lawyers. Lawyers/Attorneys There are more than one million lawyers in the United States today 65% are in private practice 15% are.
UNEMPLOYMENT COMPENSATION WHAT EMPLOYERS NEED TO KNOW Employer Conference August 6, 2014.
SEMINAR NAIC/ASSAL/SVS REGULATION & SUPERVISION OF MARKET CONDUCT © 2014 National Association of Insurance Commissioners Complaint Handling.
Frequently Asked Questions. No, in fact DOCTUS considers itself a strategic extension of your organization. Hence, we deliver the work the way you do.
Should a “carve out” be in your future? CAJPA 2012 Patti Williams, ARM, WCCP Risk Manager.
What employers should know about the system in California CALIFORNIA WORKERS’ COMPENSATION.
Qualified Medical Evaluations and Spinal Surgery Second Opinion Presented by Janet Coulter, WCALJ James Fisher, Industrial Relations Council III Suzanne.
Lesson 9-3 Consumer Protection Laws LEARNING GOALS -LIST AND EXPLAIN CONSUMER PROTECTION LAWS THAT ARE RELATED TO CREDIT -DISCUSS THE PROCESSES OF USING.
Louisiana Association for Justice Ethics Webinar December 5, 2013 Robert E. Kleinpeter Yigal Bander.
Legal Fees, Timekeeping, and Billing Chapter 5 Practical Law Office Management, 3 rd Edition, Thomson Delmar Learning ©2007 Thomson Delmar Learning. ALL.
STATEN ISLAND PERSONAL INJURY LAWYERS A personal injury lawyer in Toronto provides legal representation to those people claiming that they have been injured.
Claims Management. Initiatives Bureau of Workers’ Compensation (BWC) Industrial Commission (IC)
Self-Insurance Quarterly Workshop Dave Sievert – Interim Director, Self Insured Department.
How to Prepare for an Informal Conference “IC”. Who will be there? Representative from the Workers’ Compensation Commission “WCC” The Injured Worker “IW”
Handling the P.I. Case Attorney’s Role. The P.I. Case No “cappers” or “ambulance chasing” The initial interview Determine factual basis for cause of action.
Filing in the Law Office A Primer. Filing in the Law Office Materials: File folders Sub-file Folders (suggestions)  Accounting  Correspondence (attorney/client)
1 1 Fees, Billing, Collections, and Credit Lesson 1: Fees, Billing, Collections, and Credit.
OHIO MUNICIPAL LEAGUE INCOME TAX SEMINAR JULY 9, 2015 Did Someone Say the State Changed How Municipalities Audit, Assess, Refund & What’s the 30,000 Rule?
Everything You Need to Know About Settlement Negotiations Kirk Willis, Partner September 13, 2005.
Looking for Improper Medicare Payments in All the Right Places.
TennCare Program Provider Independent Review Process An Information Guide for Providers of TennCare Services February 17, 2011.
Recovery Audit Contractor Program The Demonstration Project Experience - California.
HP Provider Relations October 2011 Medical Review Team.
2007 PLUS MEETING Anatomy of a Claim - From Both Sides M. Anthony Luttrell May 2007 Presented by 2007 PLUS MEETING Seattle, WashingtonDirector, Northwest.
Insurance Payment Posting
Chapter 11 Trial Preparation.
Management of Hardcore Delinquent Accounts
More paperwork, less return, more frustration More paperwork, less return, more frustration Collections Piled Up? Collection Denials? Bills.
Requirements for a Retainer Agreement Start with a Written Contract! ALWAYS!
0 “TURKISH PROPERTY Dispute resolution and litigation” by Ayse Ozcan Founding Partner Acacia International.
Fool me twice… Shame on Me Metro Toronto Convention Centre February 2, 2010.
Cash Control Systems Chapter 7. Why use checks instead of cash? Cash is easily transferred from one person to another without question of ownership. Cash.
Indiana’s Access to Public Records Act Heather Willis Neal Public Access Counselor Brownsburg Police Department Brownsburg Police Department February 26,
Civil Law Civil Law – is also considered private law as it is between individuals. It may also be called “Tort” Law, as a tort is a wrong committed against.
CALIFORNIA DEPARTMENT OF EDUCATION Tom Torlakson, State Superintendent of Public Instruction 1 Monthly Family Fees CAPPA Conference, October 2015 Sandy.
Thank you for joining! All phone lines are muted To communicate with the host, use the chat feature on the bottom right corner of your screen.
Debts Recovery in Romania. INTRODUCTION Recovering a debt can be a complex process everywhere, for every business, regardless of the industry. The Romanian.
Workers Compensation Basics Prepared for Fresno County Self Insurance Group-FCSIG.
Brady Act Requirements In November 1993, the Brady Handgun Violence Prevention Act of 1993 (Brady Act), Public Law , was signed into law requiring.
CHWCA Annual Program Review For Period of 1/1/11-12/31/11 April 27, 2012 Prepared and Presented by: Innovative Claim Solutions, Inc.
California Workers’ Compensation
Issue Codes Claim not on file Claim in process Claim forwarded to
2012 Business Guidelines for Association Membership
Civil Pre-Trial Procedures
Legal Recoveries Proposal
Civil Pre-Trial Procedures
ENROLLEE DUE PROCESS for Medicaid Managed CARE 42 CFR § 438 et seq.
RAC Update January 8, 2018.
Details to Check during Insurance Eligibility Verification Process
Presentation transcript:

WORKERS COMPENSATION SPECIALISTS

Westshore Medical BillingWestshore Medical Billing is a full-service medical billing company. With the skill and up-to-the-minute knowledge of our Billing Team, we provide our clients with maximum, consistent income to their practices. As a part of our service, we offer our clients the technology to utilize Electronic Medical Records capability. This, in turn, essentially allows our clients to go chartless. Westshore Lien Management Westshore Lien Management provides Workers' Compensation AR collections, Lien Negotiation, and WCAB Representation for California Workers' Compensation claims. Our team of Work Comp collectors and litigators gets our providers paid the maximum possible amounts on their liens, in the fastest amount of time. (877)

Why Westshore Lien Management ? $ Professional Medical Billing Team for Coding, OMFS and Billing Issues $ E-Billing for Resubmissions and Document Service $ EDEX Case Research $ EAMS E-Form Trial. Liens and Documentation Electronically Filed. $ Strong, Aggressive Collections Team. $ Expert WCAB Representation at all California WCABs. $ Knowledgeable, Courteous, Accountable Service.

From This: To THIS.

1) Review and Appeal Billing and Previous Payments 2) Research current Case Information through EDEX 3) Electronically File your liens through EAMS 4) Frame the issues, lay the foundation for recovery of your lien. 5) Pursue Collections via Telephone and Correspondence 6) Aggressively Litigate at WCAB

We file a Case Watch to maintain ongoing updates regarding your Case. EDEX notifies us electronically of all upcoming WCAB hearings.

Your bills, liens and medical reports are electronically sent to the WCAB. WCAB Hearings scheduled electronically. Declaration of Readiness to Proceed filed electronically on your behalf. Your lien and documentation INSTANTLY attached to WCAB file.

As EAMS E-Form Trial Participants, we can request WCAB Hearings (DORs), and get an immediate Calendar date. That means, your liens get on calendar on average 3 months before anyone elses.

Our collectors review each account to determine the issues posed by Defense and to cure any defects that pose a barrier to recovery. Determine Dates of Service, Date of Notice of Injury. Review Medical Reports Review Billing for accuracy. Research Denials regarding UR, MPN, Pre-Authorization, AOE/COE, etc. Demand all Medical Reports, AME and QME evaluations, copies of Settlement Documents. Enter Exhibits into Evidence. (We do this through EAMS)

Our Collectors recover your lien through: Telephone negotiation with Claims Examiner or Defense Attorney. Settlement Demand, Written Correspondence. Filing Declaration of Readiness To Proceed and requesting WCAB Lien Hearing.

Keeping abreast of the ever-changing Case Laws and rules that effect YOUR lien resolution. Effective WCAB Negotiation

(877)

Take time and learn what we can do for you! (877) E-Billing through P2P Link Raintree Practice Management EMR Integrated Software EDEXis EAMS Chartless, Paperless Litigation System

Go to and complete inquiry form. Or call us at (916) for free quote.

Tell us a little about your Practice. Your Specialty Amount of AR in need of Collections Average Size of Account Average Age of Account Any Special Circumstances

With Information you have given us we will: Give you a quote for Billing if you are interested Let you know our Fees for Collections and WCAB Representation. Our Collections Fees will always be on Contingency, that is, a percentage of the amount we collect for you. Westshore Lien Management (877)

Our Team will pick up Your Files. You will be given Total Access to our Billing/Collections Software Well Immediately Get to Work Collecting Your Accounts. Deposit Checks to Your Business Account Frequent Reporting To You.

I can honestly say Westshore is the reason I am still in business… E.S. Pittsburgh, CA Westshore effectively managed and collected our large and often unpredictable accounts receivables. We couldnt be more pleased. R.M. Tustin. Westshores hard work and thinking outside the box attitude has resulted in the collections of what would otherwise be written-off claims. P.K. Riverside.

Westshore Lien Management (877)