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Client Request

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PMRNC:
Standard practice management reports are monthly:
 A/R by days
Payments/adjustments
Billed claims
pending claims

I also do quarterly and bi-annual reports with meetings for all clients. We go over contracts with providers, address problems, claims, denials, appeals, etc.

Your contract is vital in what you do next. IF you are providing full practice management you should be responsible for reporting. I would say based on what your doing that it is a form of full practice. When I get a client that wants "pick and choose" services.. I'm very mindful in explaining to them the legalities of making sure that all functions are being taken care of. For example, if I get a client that only wants me to provide insurance billing and they claim they are going to do all patient billing.. nope, I'm not contracting with them. Reason is that there is too much margin of error for fraud/abuse.. two sets of books = PROBLEMS.   I WILL do a claims only solution BUT only if I know that they are keeping the other end ..meaning they have all source documents, system in place, etc.. but with your client ASKING for this information scares me because that means.. someone .. somewhere dropped ball and something is not being covered. That to me means that you might want to review your contract and provider and billing company responsibilities and clarify with the provider who is doing what.

Crush3174:
Thank you! That is the direction I needed. I appreciate your help and experience!

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