FAQs
Why should you outsource to POST & CLAIM
We login remotely to healthcare professionals EMR (Electronic Medical Record) systems
Submit claims electronically through a clearinghouse or health insurance portals
Works closely with office staff to obtain authorizations for required services (if applicable)
Assists with reporting requirements for MIPS/Value Base Payment (Medicare)
Submit claims to health insurance carriers based on payer guidelines
Review patient demographics for accuracy to avoid denials
Account Receivables & Denial/Rejection Management
Prepare patient’s accounts for collections
Minimize denials and increase revenue
Who can receive Medical E-Billing?
For-Profit Facilities & Non-Profit Organizations
Providers with licensed credentials recognized in the healthcare industry
What medical billing specialties we specialized in?
Behavioral Health- MD, NPP, PhD, LCSW, LMSW, LPC, Substance Abuse Counselors
Cranial Prosthesis- License Cosmetologist / Accredited DME Salons
Dietitian/Nutritionist
Maternal Health- Midwives, Lactation Consultants, Doulas
Pediatrics
Laboratories
What do we need from the provider?
Must be a or have licensed healthcare professional to submit claims to health insurance carriers.
Healthcare Professionals must have an Electronic Medical Record System for POST & CLAIM to log in remotely.
We request healthcare professionals assign a point of contact person working with POST & CLAIM while manage your administrative billing tasks.
How to get started with Billing Services?
Schedule a consultation with us at km@postandclaim.com or complete the form under contact us.
Healthcare professionals will be required to sign a contract.
POST & CLAIM will perform a coding and billing analysis to identify your medical billing administrative tasks ( at no cost to the provider) only applies to signed contracted clients.
POST & CLAIM will perform your medical coding and billing tasks as contracted. Please be advised contract must be signed and if any payment is due, must be paid for P&C to proceed to provide services.
What are the Medical E-Billing Fees?
The entity will pay P&C a percentage of how much revenue is received from payers monthly.
Medical Billing for Non-Profit Organizations- 7%
Medical Billing for For-Profit Facilities- 9%
A/R Management Only- 10% + $50 retainer fee (non-refundable)
Front Desk Management – Contact POST & CLAIM for rates
Additional Service Fees
Investigation Services $175 (up to 4 plans) / $295 up to 10 plans)
Identify entity is a participating provider with health insurance carriers
Verify the effective date of the contract
Obtain contract and fee schedules and identify provider representative for practice
Set up EFT (direct deposit) and health insurance portals $35 per plan
Set up ERA (electronic remittance advice) $25 per plan
Set up EMR/EHR system $500-$1500
Practice Demographics
Clearinghouse
Entering Procedure Codes
What are the Credentialing Fees?
Credentialing fees are based on how many plans the owner/provider is seeking to become a participating provider with payors.
Sole Practitioners - Purchasing 2 or more plans per entity is allowed 1x per practitioner. Providers seeking to become participating providers with additional plans must select the individual plan for $75 per plan. During checkout, the entity will be asked the quantity (how many plans).
Effective January 3, 2024, to ensure open communication with the provider we request provider respond to P&C within 72 hours of receiving an email or text. If P&C does not hear back from the provider within the time frame stated, your services will be terminated -NO REFUND. If you want to have services reinstated, there will be a $125 charge for services to be restored for each termination that occurs.
What is the CPC Training course duration?
The course duration is for 20 weeks. The maximum of participants is 10 per cohort. Course start date varies and is based upon how many participants register for the course. We strive to have at least two cohorts per year.
What is the CPC Training course fee?
CPC Medical Coding Training Course is $1750 (includes)
Registration Fee- $50 (non-refundable) / Late Registration Fee $150 (Register after JUNE 1, 2024)
Books
AAPC Membership (required to schedule exam)
Exam
Career Development -Professional cover letter and resume
Payment plan option available ($600 deposit required to reserve your seat and books)
ONLY APPLIES TO NEW JERSEY RESIDENTS
EFFECTIVE 7/13/2023 WE ARE NOW A PRIVATE CAREER SCHOOL FOR NJ DEPARTMENT OF LABOR
RECEIVING UNEMPLOYMENT BENEFITS & IF YOU ARE INTERESTED IN BECOMING A CERTIFIED PROFESSIONAL CODER, INFORM YOUR CAREER COUNSELOR YOU WOULD LIKE TO ATTEND POST & CLAIM MEDICAL CODING COURSE.
ENROLLMENT REQUIREMENTS
Must be 17 years old on the first day of class
Must have and submit a copy of your High School Diploma or G.E.D Diploma
Where is the CPC Training course located?
We are located in Northern NJ or via Google Classroom virtual . Please be advised it does not matter what state you reside, each state utilizes the same procedure/service codes.
Who can receive Patient Advocacy service?
Businesses and organizations seeking to fulfill government contracts
Consumers (general public)
What is the process for consumers seeking Patient Advocacy service?
POST&CLAIM shall receive a fee of 15% of the amount saved on the medical bill. Example: Consumer saves $125 and will pay P&C $18.75. There will be no fee to the consumer for medical claims savings under $30. In many states, your healthcare professional(s) can charge consumers a fee for requesting copies of their medical record(s). Fees varies for each state, the consumer will be responsible to cover the cost for the medical records request.