Hospital Services:

  • Initial automobile claim and document preparation, submittal and collection
  • Appeals for all improper payments and denials as well as medical necessity
  • Secondary claim submission and preparation
  • Accruals for secondary payer/patient liabilities post automobile coverage exhaustion (principally in PIP states)
  • Review and renegotiate all current managed care and provider contracts and agreements to ensure maximum reimbursement rates for your specialty
  • Elite Physician Services handles preparing the files for arbitration on all disputed or unpaid claims. Please see medical legal support for more detailed information.

It’s simple and effective: EPS deals with the financial aspects of personal injury claims,workers' compensation, and managed care contracts, freeing hospital staff from the overwhelming burden of these time-consuming and quickly changing functions.  Our expertise will enable you to effectively bill, collect payments, appeal adverse decisions and be ready for a successful arbitration when necessary. EPS can do a free audit analysis where we can show you how we can increase your collection percentages. As for managed care contracts, most hospitals unknowingly have multiple managed care agreements simultaneously in place, leading to incorrectly paid claims. Typically, that’s why 5 out of 10 managed care claims are incorrectly underpaid.  EPS can eliminate these tiresome headaches, maximize your collections and increase your cash flow.

EPS will handle the accounts receivable portion of your worker’s compensation and personal injury claims. From initiation on, EPS follows through until your hospital gets the maximum reimbursement, in the shortest time frame possible. We take care of document preparation, submittals and all collections. Our experienced providers handle appeals, secondary claims and accruals. We work directly with your staff to make sure all managed care contracts and their payment rates are completely understood, and we will ensure that agreements maximize your reimbursement rates for each specialty. At EPS we methodically prepare and organize all your no-pay or partial-paid third party PIP files prior to arbitration. Our experience has showed us that this intense preparation process is crucial to your legal arbitration process outcome. We coordinate all of your no-pay or partial paid files with our legal affiliates to ensure your third party PIP arbitrations are successful. Our experts keep up with the ever changing regulations and keep you prepared.
We strongly believe by our successful track record that Elite Physician Services is your business solution for achieving and maintaining a long term stream of maximum monthly collectability of your receivables to ensure your continued success and profitability.

EPS will coordinate with your office personnel to go beyond what your staff can do. EPS will tackle those onerous clerical tasks that keep them from the important job of patient care. Our expertise and wide-ranging resources will help you build your business and increase profitability while making your staff more satisfied with their performance. How? EPS does not believe in cutting staff – we believe in enhancing your staff to be the best they can be.

EPS collaborates with your staff and lets them focus on what they do best - patient care and medical services. We handle those time-consuming, burdensome but necessary functions such as patient qualification, billing, collections, post-payment appeals, coding audits and so much more. Job satisfaction will increase as you deliver patients the best care possible. For over 22 years we’ve enhanced our clients’ operations and profits and helped them build better teams. Explore our site and see why partnering with us is a healthy move, and why your staff will agree.

Start With A Free Audit!
Let us start with a complete analysis of your current A/R. We will show you where you can save money, increase profits and improve efficiency – and we’ll do it at no charge!

EPS is a complete provider of medical business solutions for physicians, hospitals and ambulatory surgical centers. At EPS we will take the time to walk you through our exciting array of services to see what best suits your needs. Best of all, you can pick and choose the services you want, from simple back-office enhancements to full team-building or complete support functions. We will tailor our services to your needs. We can help you with billing, collections, scheduling, pre-certification, claims, follow-ups, procedure assessments, receivable funding, insurance eligibility, auto claims, expense and overhead analysis, medical legal services and policy/procedure protocols.

BULLETIN NO. 10-30

TO: ALL NEW JERSEY PRIVATE PASSENGER AUTOMOBILE INSURERS AND MOTORBUS INSURERS AND THE NATIONAL ARBITRATION FORUM

FROM: THOMAS B. CONSIDINE, COMMISSIONER

RE: INTERPRETATION OF DOBI RULES ON PIP REIMBURSEMENTS

It has come to the Department’s attention that some Dispute Resolution Professionals (DRPs) have issued decisions that disregard our administrative rules. The purpose of this Bulletin is to identify some examples of this practice and to remind insurers, the Department’s PIP arbitration vendor and DRPs that, in accordance with N.J.A.C. 11:3-5.4(a)8, the determinations of the DRPs shall be fair, efficient and consistent with substantive law and the Department’s rules for the handling of PIP claims.

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