Medical Billing.
With Superior Results.
Mission Statement
Medical Billing
Practice Management
Advisory Services
Career Opportunities
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The process of billing for medical services can make or break a physician's practice. The health of your organization is heavily dependent on how well your client accounts and reimbursements are managed. With regulations mandated by HCFA and constant policy changes from carriers, it is crucial that each function of the billing process be approached with great care and scrutiny. The risks of financial loss as well as the possible liability of fraud are abundant.

Hawthorn's medical billing professionals have an insider's knowledge and seasoned capacity to meet your collection system goals. Our finely-tuned expertise brings a number of benefits to clients -- throughout changing medical and regulatory environments:

Strengthened cost control for the physician's practice.
Reduced medical legal risk.
Emphasized financial strength.
More informed decisions.
Peace of mind.

Protection from Risk and Strengthen Reimbursements

What are the steps involved in successful billing? Hawthorn has an extensive program designed to take the work and risk out of medical billing for the physician. Here's a quick look at our delivery system:

Service Features

  • Timely month-end reporting.
  • Regularly scheduled month-end meeting at client site.
  • Annual fee schedule analysis with recommendations.
  • Meetings with representatives of third party payers to discuss issues.
  • Payment level monitoring for all insurance plans and self-pay.
  • Interface with client's professional support staff as needed (CPA, Attorneys & Financial Advisors).

Operational Procedures

  • Interfacing with hospital information processing systems.
  • File maintenance of patient records and billing information.
  • Internal audit controls to verify and monitor documents received.
  • Oversight & guidance of comprehensive diagnostic and procedure coding.
  • Automatic sequential filing of claims.
  • Aged summary of open claims by carriers.
  • Depositing/posting of all cash receipts.
  • Processing of patient refunds.
  • Itemized statements and pre-collection notices.
  • Patient telephone inquiry and correspondence follow-up.
  • Monthly management and operational reporting.

Third Party Management

  • Electronic claim submission direct with Blue Shield, Medicare, Medicaid.
  • Electronic claim submission through claims clearing house.
  • Electronic remittance with Medicare (if applicable).


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