Our services
A service bureau is a company or individual who is approved by Medical Services Plan, and authorized by you, to act as your data center for your medical claims processing. This allows them to submit claims on your behalf, pick up remittance and claim information, and correspond and communicate with MSP and other insurers regarding the services you provide to patients and the payment of those services.
There are many reasons to choose a service bureau:
Lack of trained staff to handle the submission and accounts receivable processing.
Inadequate time to manage the billings and follow-up.
No more hidden losses due to mismanagement of claims.
No more software support fees or update glitches.
No late billings or payments due to staff illness, maternity leave, or quitting, and no more retraining costs when they do.
No more dealing directly with public or private insurers.
Cost savings: paper, toner, drums, labor, hardware and software support and updates, and, in the case of some software, no more paying for necessary program changes.
Peace of mind that comes with hiring an experienced professional biller!
So why Valley Vista?
Our office has been in business since 1993 and celebrated our 30th year in 2023. We specialize in medical billing and can provide advice, training, and ongoing support. We provide easy-to-read and fully reconciled and reviewed Submission and Remittance information.
We are a full-service medical billing service bureau. That means that we follow up on refusals including researching for missing or incorrect patient information, claim correction and rebilling, billing to all insurers, and collections follow-up. We provide reliability, expertise in all aspects of billing and types of practices, and we are dedicated and determined to ensure that you receive the maximum remuneration you are entitled to. When entering claims, we screen for errors before and while entering, to help reduce the risk of errors.
We review all claims not paid exactly as billed, even if you were paid more, and report back to you both pre-entry and post-adjudication if any claims were a challenge. We are also able to advise you if you are missing payment opportunities and, due to our advanced software (Profile) and the large volume of claims we manage, we can provide feedback and comparisons regarding your billing, which can help identify red flags that could result in an audit.
We have many levels of backup in all service areas. You are not relying on a single biller who can get sick, take leave, or quit and leave you with un-submitted claims or delays in payment, or a biller with one computer that can go down, leaving them and you stranded. We use Infinitive Web tech support which has been committed to keeping us running at top speed with the latest and greatest in hardware for over 25 years. Our tech support is proactive whenever we have an issue or request and prepared to do whatever it takes to ensure that our clients are not affected by any downtime.
In addition, we can offer value-added services such as staff and physician billing training, auditing and consulting, and Intrahealth Software billing support.
Mismanagement of just a few claims a month can add up to more than the cost of having an experienced biller like Valley Vista reconciling, reviewing, and rebilling your claims each month. Receivables management is complicated and MSP explanatory codes are often not clear. We have over 30 years of experience and a very good relationship with MSP which helps us get to the bottom of your billing issues and maximize your income.
Due to our experience, we are fast and accurate and the cost (labor, software, hardware, and lost income due to mismanaged claims) is almost always less than doing it in-house. We offer peace of mind when it comes to your billing and let you focus on patient care.
References are available upon request. Since 1993, almost all new accounts have been via referral from satisfied clients.
Data Entry
We provide data entry services on our own Ministry-approved data center to clients who, for a variety of reasons, prefer not to manage their own MSP submissions or reconciliations.
In addition, we provide remote data entry services for physicians using Profile EMR software. Once secure access has been enabled, we can manage the day-to-day billing and/or accounts receivable remotely. This is an ideal situation for offices that prefer not to handle their own billing but still want daily access to patient and claim information, or who are operating with full electronic medical records, or even just scheduling and billing components.
Depending on your location or hospital affiliation, we are also able to offer weekly pick-up of your claims. All reports are delivered electronically using our secure FTP site.
Claims can be submitted by fax, mail, courier, or email, uploaded to our secure FTP site, dropped off at our office, or they can be left in your hospital box if you are on our weekly courier route.
Please contact us for a list of rates and services.
Auditing and consulting
With our many years of experience in medical billing and knowledge of MSP codes, rules, and explanatory codes, we offer auditing services. These are often requested when physicians are concerned about their mounting accounts receivables. Unfortunately, the corrections and rebillings are often the most neglected aspect of managing the billing and doctors are often unaware of how much money they are losing.
Generally, this is due to a lack of staff time and/or expertise. The billing rules for BC are complicated, with many exceptions, and often open to misinterpretation. An audit consists of a review of submissions, remittances, and accounts receivable, as well as write-offs for all insurers, and includes recommendations and directions on how to "clean up" the current claims as well as manage the future ones. A plan of action can be provided and a training component can be added if needed
Please contact us to discuss your specific needs and our rates.
Accounts receivable management
With our transition to Intrahealth's Profile software in 2008, it was important to change with the times and we have been providing remote Accounts Receivable Management to a growing list of clients. This service will be a benefit to those offices that have integrated scheduling and billing systems but need assistance with Remittances, corrections, and rebilling. On a bi-monthly basis, we remote in and manage the accounts receivable which includes a full review of all claims not paid as billed, correction and rebilling of all recoverable income, and reporting back to the staff and physicians about any ongoing billing concerns.
At this time, we offer these services exclusively to Intrahealth Profile users. Please contact us for a quote and information about our rates and the different levels of service we can provide.
Training
After years of traveling throughout BC and facilitating medical billing seminars for medical office staff as well as physicians, we are now concentrating our efforts on private training. Depending on where you are located, this can be facilitated on-site, in our offices, or remotely if needed. Training includes customizing pre-send-off checks to minimize refusals, assisting with filter settings (EMR specific) to ensure no claims are missed, and optimal processing methods for MSP receivables, adjustments, and refusals. Training for our clients is included in our services.