Business Service and Process Outsourcing. Metropolitan Business Solutions

Transcription

1 MBS Business Service and Process Outsourcing

2 Who We Are! A provider of business service and process outsourcing committed to enhancing our clients profitability reducing the cost of business operations increasing overall productivity

3 MBS Our Strengths Experienced Management Dedicated Team Work Measurable Results MBS

4 Experienced in Healthcare! Expertise in medical billing, claim filing and processing! Member of the American Academy of Professional Coders AAPC

5 What We Do! Building on our foundation as a medical management company, we provide " Healthcare Financial Services " Revenue Recovery Services " Physician Practice Management " State of the Art Software Solutions

6 Revenue Recovery! FeeSaver " Affordable and effective collection services for healthcare and commercial organizations! RMR Auditing! Re-adjudication & Management! review " A cost effective Insurance Resolution Program to recover payments for denied and delayed claims INCREASED INCOME DECREASED COSTS Recover payments Decrease bad debt write-offs Reduce the cost of collecting past due accounts Accelerate cash flow by focusing your staff on current billing activities

7 The Hidden Cost of Past Due Accounts! Accounts that are over 90 days past due depreciate at a rate of 0.5% a day, losing 15% of their original value every month. As reported by the United States Department of Commerce

8 The FeeSaver Advantage! Ten Day FREE Demand Period Insurance follow up+ patient collections! Fees that are significantly less than regular collection rates! 24/7 access to reports that are updated on daily basis

9 Diplomatic Mediation We understand that your two most important assets are cash flow and your patients The focus of our collection efforts is to recover your past due payments while maintaining good patient and payor relations All collectors receive ongoing training in diplomatic mediation techniques and to be fully compliant with all federal, state and local laws

10 Denial Defense Program an ounce of prevention is worth a pound of cure! an intelligent database and reporting system! payor specific edits, rules, payments matrices and benchmark reporting! Identifies the cause and effect of denials! Avoids future payment delays and collection costs

11 RMR Auditing Re-adjudication &Management review! A cost effective Insurance Resolution Program to recover payments for denied and delayed claims! Review and recover payments for denied, down- coded, adjusted claims by auditing payor contract obligations MBS RMR Formula Your Refund Your Data Insurance

12 The RMR-Auditing Advantage (Re-adjudication & Management Auditing Review)! Match and enforce your provider contracts! Carriers have not fully paid what is due to you! Accelerate collection of delayed payments! Reduce the costs of claims follow-up! No interruption of your office routines! Review of previously paid claims! Appeal and challenge payor denials! Improve cash flow by focusing on current billing! Customized Denial Defense Program

13 Three obstacles that cause the unnecessary loss of income exorbitant follow-up costs Lost Income unresponsive claim payors complex & changing reimbursement rules

14 Unresponsive Payors highlights from an article in Medical Economics! delayed, downcoded and mishandled claims are so common that most of the sources assumed that insurers use payment hassles deliberately for business reasons! Insurers tend to make things very complicated and don t disclose their rules and how they want the claim handled and documented to play the float by adopting paymentdelaying tactics! a 1999 report by the General Accounting Office (GAO) details carrier s efforts to save money, often at the doctor s expense, by such strategies

15 Changing Reimbursement Rules! ICD-10 is here is not far behind! Training and Seminars geared to your specialty and office needs! Automatic coding &reimbursement up dates! Routine Software maintenance &updating! RAC and other audit prevention training, chart review expertise.

16 Follow-up Costs Eroding the Health of Your Income! Follow-up on denied or delayed payments is TRIPLE the cost of submitting the claim! Follow-up activities account for almost 50% of all billing staff man-hours and expenses

17 The Key to Improving Productivity! Because we are working on your denied claims, your staff can focus on new billing, enhancing patient care and ensuring the profitability of your practice.

18 Let MBS help you improve your financial health! We can save you money because our fees are up to 20% lower than average rates.! We can increase your revenues by delivering results that exceed industry standards.

19 MBS Business Service and Process Outsourcing Your Solution for all your Needs