Gateway's quality assurance team checks all claims for:
• Incorrect or missing ICD-9 diagnosis
• Incorrect or missing CPT-4 modifiers
• Additional information needed to process the claim
• Incorrect CPT procedure code
• Physician's name and/or UPIN is missing or incorrect
• Incorrect or missing place of service code
• Incorrect or missing quantity of services
• Services inappropriately billed
• Data entry on patient demographics are accurate
• Coding is as per diagnosis and specialty
• If there are unposted or duplicate charges
REPORT MANAGEMENT
GMB will call you or electronically contact you daily with items to be resolved.
Get, as frequently as you wish, the A/R reports.
At month's end the following reports will be sent to you:
• Aged accounts receivable report
• Total accounts receivable outstanding report
• Collections applied
• Adjustments / write-offs applied
• Charge submissions report
• Collection ration statistics and trend
• Days outstanding and trend
REGULATIONS
GMB stays current on the latest compliance regulations.
GMB keeps you up to date on all CPT and ICD-9 codes.
GMB is OIG and HIPAA compliant