Patient Enrollment
Demographic Information
Insurance Information
Admission & Discharge (Daily Census)
MC171 Reporting (Admission/Discharge)

Verification Department
Insurance Verification (Medi-Cal Eligibility, Medicare- CWF or HMO - prior admission).
Monthly Check of Medi-Cal Eligiblity for SOC information
Process Monthly No Eligibility Notification
Estimate Share of Cost for All Medi-Cal Pending Patient
ETAR processing (Initial/Reauthorization)
HMO Authorization

Customer Service
Patients/responsible party will call HMBFS directly for all billing inquiries.
Coordinate with our clients for yearly survey.
Coordinate with our clients Accountant for yearly cost reporting.
Quarterly Medicare Credit Balance reporting.
Coordinate with Clients for monthly QA Fee.
Vendor will contact HMBFS for Patients insurance verification.
Process A/P Request for any AR related Invoices.
Coordinate with Clients for Yearly Utilization Review Reporting.

Billing and Reconcilling of Accounts
Charge entry
Cash posting
Monthly Private Statement w/advance billing
Electronic Weekly Medi-Cal Split Billing
Monthly triple check with clients
Medicare Part A&B Electronic Billing
Medicare Part B Medical Supplies billing by using treatment records.
HMO/Hospice/LTC Insurance/Third Party Billing
Provide Weekly Check Write Status Notification
Process Non-Covered Services by completing DHS6114.
Provide Monthly Aging Review Documentation
Provide Weekly Percentage A/R Collection Report
Provide Monthly A/R Cash Projection
Monthly Census & Cash Receipt Reconcilliation

Accounts Receivable Collections
Insurance collection
Patient/Responsible Party Collection
Old AR follow-up and collections

Legal Department
Collection Agency
Process Small Claims Court Filing

Resident Trust Accounting
Deposit & Withrawal Recording
Process Bank Fee & Interest Allocation
Monthly Bank Reconcilliation