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EBS

YOUR ONE-STOP SOURCE FOR REIMBURSEMENT SERVICES

YOU AND YOUR FACILITY ARE OUR MOST VALUABLE ASSET.

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Oval: Hot Topics

 

 

 

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Program Services
Screening and Processing
Billing Services
Medicaid Claims
SSI/SSD Appeals
Government Assistance Program (GAP)

 

Program Services:

EBS specializes in screening and processing patient accounts which may be classified as self pay, private pay, unfunded or otherwise bad debt for local, state, and government medical programs.  We maximize reimbursement dollars to your facility.  Our comprehensive services are provided at no risk to your facility and include these federal, state and local programs:

  • Chronically Ill & Disabled Children's Program (CIDC)
  • County Indigent Program
  • Crime Victims
  • Kidney Health Program
  • Medicaid (All Programs)
  • Social Security Disability (S.S.D.)
  • Supplemental Security Income (S.S.I.)
  • Rehabilitative Services

EBS experienced staff of medical patient advisors can assist you by providing in-house representation at your facility.  We provide full services to off-site facilities.

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Screening and Processing:

An effective qualifying program has certain characteristics.  At EBS we understand what it takes:

  • Properly screening patients categorized as self-pay,
  • Building a rapport with patients to gain their cooperation and trust,
  • Easing the burden on patients through home visits, bilingual staff, and courtesy transportation,
  • Staying abreast of programmatic changes that impact eligibility criteria and application processing, and
  • Diligent follow-up to ensure no account becomes caught up in red tape.

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Billing Services:

EBS not only handles the program screening step, but can carry the account across the finish line with our self-pay billing services.

In fact, our billers are highly skilled at initial billing, rebilling, appealing, and following through on accounts no matter what the financial class.  This allows you to dedicate your staff to turning the receivables that keep your cash flow strong.

Our services are flexible and our fees contingency-based.  We'll work with you for a single problem account or as a total outsourcing partner for any patient accounts you designate. 

So for accounts that are aging, are self-pay, or may involve complicated government programs, call on EBS.

As a company founded on integrity, professionalism, and industry expertise, let us be your single resource for eligibility and billing services and watch how we unlock your self-pay receivables.

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Medicaid Claims:

We have a knowledgeable, experienced staff with the capability to handle all areas of Medicaid claims processing and reimbursement.  Services that can be provided to you on a full time or project basis:

  • Medicaid electronic claims submissions that provide the required edits to ensure the transmission of clean and accurate claims
  • Tracking and management system equipped with detailed reports indicating the status of all pending accounts
  • Resolution of aged Medicaid claims that have caused a loss in revenue and an increased your A/R days
  • Appropriate handling of denied claims

All of our Medicaid claims services can be customized to meet your specific needs.

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SSI/SSD Appeals:Social security issues.

EBS has the expertise to process your social security disability and supplemental security income cases including claims involving psychiatric conditions.

EBS patient advisors have proven themselves to be an invaluable asset to SSDI/SSI Department.  They have established contacts and sources within the Social Security Administration (SSA) and with various healthcare providers.

This level of expertise has allowed EBS to distinguish and submit SSI claims to the SSA based on a profile of need.  Below are the descriptions of these categories:

  • TERI Cases - This special classification defines terminally ill patients who are not expected to survive.  These claims are handled on an expedited basis due to the time limitations imposed by the patient's medical condition.
  • Presumptive Cases - This classification applies to claims in which the patient's disability is visible or readily identified.  Examples of such cases include AIDS, loss of limbs, complete paralysis, etc.
  • Categorically Eligible Cases - Candidates falling within this classification of cases must be or have been disabled for twelve (12) consecutive months and the disability must be the result of at least one of the thirteen(13)impairments defined by the SSA Below:
  1. Musculoskeletal System
  2. Special Senses & Speech
  3. Respiratory System
  4. Hemic and Lymphatic System
  5. Endocrine System and Obesity
  6. Digestive System
  7. Genital-Urinary System
  8. Neoplastic Disorders
  9. Skin Disorders
  10. Neurological System
  11. Mental Disorders
  12. Cardiovascular System
  13. Immune System

EBS has developed a processing procedure for patients/claimants seeking disability benefits from the SSA.  We have worked very closely with Social Security Administrations and Disability Determination Sections in Developing procedures and specific forms to help expedite the processing of SSI claims.  All referrals submitted to SSA are prescreened by EBS staff.  This measure benefits local SSA offices by reducing the number of applications filed unnecessarily. Click here for Social Security links to helpful websites.

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Government Assistance Program (GAP):

Brief description of the services:

  • GAP assists hospitals in maximizing the recovery of uninsured patient accounts through federal, state, and local programs.

Benefit/Solution you gain from this service:

  • Reduction in bad debt, decreased A/R days, and positive good will toward the community they serve.

Why should I contract with EBS to provide this service?

  • effectiveness-quality
  • reduction of bad debt
  • reduction of A/R days
  • skilled at integrating services in business office scheme
  • information system/reporting capability

What advantages does EBS have?

  • Skill of personnel and information systems and reporting capability.

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Copyrighted (ebsbottomline.com) March 2002-2005   Website was updated 07/27/2005

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