Practice Alternatives Inc.

Billing Process

Value Package:

Client Responsibility:

  • New patients are entered into REXPERT system (Patient demographics, insurance, etc)
  • Appointments are scheduled in REXPERT system.
  • Calls for any required authorizations are made.
  • Charges are entered into REXPERT system.
  • Co-pays and personal payments are posted against charges (PBS non-billable activity)
  • Sending EOB and copies of checks to PBS in timely manner for payment posting.

Practical Billing Solutions Responsibility:

  • Field all inbound calls related to patient balances.
  • Run missing charge reports verifying that all scheduled appointments have a corresponding charge.
  • Run charge verification reports ensuring acceptance of all submitted claims.
  • Submit claims (electronically whenever possible)
  • Follow-up on all A/R (Resubmissions, appeals, calls to insurers, balance billing patients and patient calls)
  • Posting of all charges
  • Gathering of monthly reports
Full Service

Same as Value Package plus PBS enters all patient demographics and charges.


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