Everest Billing and Consulting

Sustainable Solutions

Billing & Collections

Apply our innovative approach to your current processes to increase your organization's productivity and collect your well-earned profits. Customized aging reports, electronic claims processing, and monthly status updates ensure a smooth billing and collections process.

Generate essential data about your practice quickly and easily to better project your future revenue cycle and monitor your practice's performance.

Utilization Review

Achieve the best total coverage possible for your patients. As your advocate, Everest works with insurance providers to obtain coverage for your client's treatment episode. Get the information on whether a payer approves a request directly from our experienced utilization team.

From a patient's admission through discharge, you can rely on our proficiency to provide a customized process that strives for higher levels of care and longer lengths of stay.

Patient Responsibility Collections

The risk of bad debt write-offs is high with the wide variety of healthcare plans and patient out- of-pocket responsibility. Everest Consulting and Billing Solutions understands that risk and offers Patient Responsibility Collections.

Everest will work with your facility and your patients to collect patient responsibility. By partnering with patients and family members, we can establish and resolve collections of out-of-pocket responsibilities while allowing you to focus on patient care.

Auditing Procedures

The absence of controls is among the biggest risks faced by healthcare entities. These include the undesirable consequences arising from :

inappropriate arrangements with providers (AntiKickback Statute and Stark Law);
revenue integrity/revenue cycle management (RI/ RCM) processes.

Never worry about an audit again. Having Everest Consulting and Billing take care of your health care billing and claims ensures that your claims and documentation always match up.

Everest's software will prevent a claim from being sent twice or without documentation, saving you the cost of printing and mailing claim forms.

Verification of Benefits

We solidify your verification process to save time and money in the long run. Get the professional guidance you need to make timely and well-informed admission decisions, eliminate the risk of misinformation, and increase turnaround times by directly working with a team of verification specialists.

You'll receive a customized insurance verification form that eliminates potential errors and promotes proper documentation of your patients.

Reimbursement Negotiations

Get a thorough review of your reimbursement negotiations to avoid errors and to ensure payments are received on time.

We recommend what negotiations your facility requires, and we help you complete them swiftly and successfully. You'll save time and money by having quality control checks upfront.

Uncollected bills, untimely expenses, and the constant back and forth between you and the insurance company will be managed by Billing Solutions.

Account Review & Analysis

Recognize the strengths and weaknesses of your revenue cycle management (RCM) operations and enhance overall team performance.

The accuracy and timeliness in your billing cycle, aging receivables, and payment posting cycles are evaluated to avoid the loss of potential patient admissions and to overcome challenges regarding your RCM functions.

You will be provided with monthly accounts receivable reports to review with your team on the company's financial profitability.

Appeals

Our appeals processing service aggressively and consistently follows up on all unpaid or underpaid claims.

Save time and effort by having a team of specialists identify and correct potential errors in your insurance documents.

We deal with the inadequacies of the appeal process from start to finish and share our knowledge about the appeal process with you.

Contracting and Credentialing

We ensure your facility is contracted with health insurance plans to increase admissions by access to care for patients in need of help and managing their out-of-pocket responsibilities.

By establishing the contracted agreements, we ensure the insurance companies and your organization are aligned for the best patient outcome and the financial development of your organization.