Billing for services provided is a function that is critical to the overall success of H3. Billing functions are greatly facilitated by the use of a healthcare software system which is internet-driven and highly efficient. There are several procedures thatare used to ensure that billing statements match service information on clients charts and records. These procedures are essentially regular audits or reviews that are conducted by the Billing Director. The purpose of these reviews is to confirm that dates of services coincide with the specific care provided and the billing accurately reflects the services provided. Below is a breakdown of the type of audit or reviews conducted and the frequency of their occurrence:
●Daily ReviewDaily Routing Slips are compared to the daily schedule to ensure all information contained on both sets of records match for both client data and procedures.
●Weekly ReviewAll billing information is transmitted via the software system for electronic delivery to each insurer.
●Monthly ReviewEach client record is reviewed in order to compare procedures contained on charts against the diagnosis codes on the billing transmittals.
In addition to the procedures detailed above, the use of an independent professional billing service is utilized.