Upstate Billing, Inc. will administer and monitor your entire billing and collection process. This service includes all collection work for Medicaid, Medicare and other insurance billing. We constantly monitor Medicare and Medicaid for new rules and regulations as well as changes in coding and processes. This allows for the fastest possible processing.

Using our state of the art software system we will:

	Print prior approval forms
	Input prior approval rosters
	Create files and transmit to CSC
	Post remittances
	Resubmit denials, pending and held items
	Print private pay patient invoices
	Electronically submit Medicare and Medicaid Bills
	Do HMO billing
	Interface with carriers on clients behalf
	Do all insurance billing
	Provide financial spread sheets showing status and projections

There are some things that a computer system cannot do, such as personally following through on difficult cases, including collection matters from insurance carriers and private payers. Upstate Billing, Inc. is particularly proud of its determination and success in this area. Items that are personally handled include:

Monitoring the Receipt of Pre-hospital Care Report Sheets (PCRs).

We work together with volunteers to make sure all information on the PCR is accurately filled in. PCRs are then searched for ICD-9-CPT Codes and HCPCS Codes and are entered in our computer software system. If a claim payment or response has not been issued within thirty days after the insurance company has been billed we contact the insurance carrier to follow through on the status. All insurance denials are researched and contested.

Collections Monitoring and Follow-Through.

If an insurance payment is not received in full, Upstate Billing, Inc. will represent your interests in the same way we do if there is a denial, to insure you receive payment, as well as collecting directly from the patient, in the instances where the insurance company sends payment directly to them.