Professional Services
Physician Practices • Community Clinics • FQHCs • RHCs • CA 1206(d) • ASC • Ancillary Services
Physicians, Clinics, and Ancillary providers continue to see declines in payments from both governmental and commercial payers. Providers need to be diligent to ensure they get 100% of their expected reimbursement. We can ensure this happens by optimizing your coding, charging, and billing processes.
Physician billing
We can provide a coding and billing services for single and multiple physician practices, multi-specialty providers, clinicians, and hospital-based professional services. We'll ensure you are compliant with governmental regulations and take a hard stance against commercial payers that choose not to pay claims promptly. Tenax goes to the root-cause of denials to reduce the amount of appeals and re-billing. The end result is an increase in both your clean claim rate and first-pass claim payments.
Hospital-based services are also another huge source of payment delays. Your cash may be held up pending a facility claim. We work with your staff and the hospital to develop a process that reduces delays and assures that both entities are paid for their services. This symbiotic relationship builds a strong bond between providers and assists in getting both claims paid.
Clinic billing
Community, Rural Health (RHC), Federally Qualified (FQHC), and stand-alone Clinics can benefit from our cost-effective coding and billing services. We can also assist you with any commercial or worker's compensation clients you may have that fall outside the scope of your Medicare or Medicaid covered services. Looking to convert from one designation to another? Maybe take advantage of a hospital-based clinic setting between your RHC and a Critical Access Hospital (CAH)? Let Tenax provide the help you need to make this happen.
California hospital-based 1206(d) clinics can benefit from our expertise. We specialize in global, split-billing, and shared-risk arrangements ensuring that your claims are billed appropriately and you are receiving maximum reimbursement for the services you provide.
Ancillary billing
We offer full business office functionalities for all ancillary providers including Radiologists, Pathologists, TPN , PT, RT, OT, ST, and ER Physician Groups. We have an excellent payment delay and denial process that is integrated into our billing process. It's seamless to the provider with reporting functions that deliver full transparency on your financial operations.
Urgent Care billing
Tenax can code and bill Urgent Care claims efficiently and ensure prompt payment. We also partner with self-pay vendors that can handle patient calls, demand letters, bad debt recovery, and credit reporting for those reluctant to pay for the services you provided in good faith.
Medical Group billing
Tenax staff is very fluent in managed care and all aspects of shared risk, capitation, and split-liability billing. Whether you are a California Knox-Keene entity or part of a Medicare or Medicaid managed plan, we will ensure your claims are paid promptly and accurately. We can also train your staff on the requirements of managed care , authorizations, and referrals.
ambulatory surgery center billing
The Tenax team is well-versed in ASC billing and global payment methodologies. We have the knowledge to maximize reimbursement and use a front-end approach to reduce denials and delays in payment. We work with your scheduling team to ensure prompt and secure payment of your claims.