BILLING HEADACHES? STAFF OVERLOAD! DENIALS LOST REVENUE

Transcription

1 BILLING HEADACHES? STAFF OVERLOAD! DENIALS LOST REVENUE

2 END BILLING HEADACHES! - NBI WILL INCREASE YOUR REVENUE. - NBI WILL DECREASE BILLING COSTS. - NBI WILL REDUCE DENIALS. - NBI WILL PROVIDE 100%OFFICE AUTOMATION. - NBI WILL INCREASE YOUR CASH FLOW.

3 National Billing Institute Your Complete Medical Billing Solution!

4 NATIONAL BILLING INSTITUTE --- FULL SERVICE PRACTICE MANAGEMENT --- FULLY TRAINED, EXPERT STAFF --- WE GET YOUR CLAIMS AND BILLS PAID EFFICIENTLY AND EFFECTIVELY --- WE STRIVE FOR 100% CLAIMS PAYMENT

5 NATIONAL BILLING INSTITUTE MICHAEL J. EVANS FOUNDED NBI IN With over 26 years in the medical insurance billing field, he once was responsible for the implementation and training of medical billing systems for major medical labs throughout the United States including Unilab, MetPath, and Quest Diagnostics. He was also the Billing Manager for MetWest/Unilab and Immuno Laboratories. ONE OF THE FIRST COMPANIES TO OFFER CLOUD BASED BILLING SOLUTIONS.

6 NATIONAL BILLING INSTITUTE OUR MISSION National Billing Institute strives to be the most advanced in the medical billing field and offers the latest in medical billing solutions that suit the needs of any type of medical facility or practice. TEAM OF PROFESSIONAL BILLING EXPERTS TEAM OF TECHNOLOGY GENIUSES NO OUTSOURCING ABSOLUTE DATA INTEGRITY ONLY COMPANY TO GUARANTEE SERVICES!

7 ALL OF THESE SERVICES ARE INCLUDED! - FREE online EMR program integrated with our online Medical Billing Software that provides your staff with an easy-to-use tool for patient registration and scheduling, charge/encounter capture, patient note charting, E- prescribe, lab Integration and a patient portal with document management! - Billing charges are instantaneously sent to our office and reviewed by a certified coder before they are transmitted. Only clean claims are submitted to the insurance companies. - FREE INSTANT ELIGIBILITY CHECKING, no more denials for lack of coverage! - Claims are scrubbed using the CCI Edits and then manually reviewed by our certified coders to make sure that all the codes submitted will be paid, and VIRTUALLY ERROR FREE! - Generate medical claims electronically to Commercial Insurance Carriers, Medicare, Medicaid & Secondary Insurance Companies. - Claims not paid within 20 days are followed up on so that the aging is being constantly worked. - Follow up and dispute insurance denials, including appeals.

8 ALL OF THESE SERVICES ARE INCLUDED! - Review pricing and analyze CPT codes for maximum reimbursement. - Identify areas where reimbursement can be increased. - Review payments from insurance companies and identify payment problems relative to individual insurance companies. - Answer patient calls regarding billing questions and take patient payments for your office. - Answer and make insurance calls regarding claims and billing. - Print and send patient statements (postage charge is not included). - TOLL FREE NUMBER for patient inquiries. - Full Accounts Receivable Management. - Help set, change or modify your patient financial policy so that you are collecting on all co-pays and deductibles. - Train your staff to make sure co-pays and deductibles are paid at the time of service.

9 ALL OF THESE SERVICES ARE INCLUDED! - Print outstanding balance aging reports and productivity reports based on medical services performed. - All procedures are cross-referenced to payment statements, to check for accuracy in payment. If there is a discrepancy, it will be followed up on. - All payments are sent directly to your office. We never come in contact with your money % HIPAA compliant. - Complete review of all unpaid claims quarterly to insure all outstanding monies are being collected. - Electronic storage of all EOB s on a secured database for easy access. - All data can be easily scanned directly into the billing software for retrieval and storage.

10 WE INCREASE YOUR REVENUE BY REVIEWING THE CODING! We do more than just submit your claims. We help you with the appropriate coding and pricing of your procedures. We review your insurance payments and procedure codes to ensure you are maximizing your reimbursement and guide you in ways to increase your reimbursement. We will identify areas in which changes can be made so you are getting the reimbursement you are entitled to receive. We also will help you set up a patient financial policy to help lower patient receivables.

11 REASONS TO USE NATIONAL BILLING 1. National Billing is a full service, practice management company, providing the practice with a comprehensive and cost effective solution to all of your billing needs. We take care of all your billing while you take care of your patients. 2. We have been in business since 1995, and our staff is comprised of expert billers and coders. We know how to get your claims paid quickly and efficiently and are the only major billing company to offer a Guarantee on our services! 3. We do not outsource any work to foreign countries, nor do we allow our staff to work from home. Your data is kept secured in a HIPPA compliant office in the United States. We also ensure that all of our partners and vendors are HIPAA compliant. 4. All of our services are offered for one low rate. We do not have any hidden charges or extra fees, except for mailing patient statements where there is a small postage fee 5. Our services include FREE cloud based EMR/EHR and Billing software that allow you to enter charges, schedule patients, chart notes and send the billing instantly to us to scrub and process. The software eliminates errors and speeds up the time claims are processed so you get your money faster with far less denials! You may also chose our more advanced EMR/HER software at a low cost that is more customizable to the practice. If you are currently using an EMR, don t worry, we can still work with your practice and might be able to integrate directly with our billing system. 6. We do FAR more than just submit your claims. We help you with appropriate coding to make sure you are getting the maximum reimbursement and billing for all that you do. We review all your procedures and payments to identify areas that we can help you to increase your revenue. We also will help set up a financial policy for your practice and help train your employees to verify coverage before the patient is treated and Much more!

12 WE INCREASE YOUR REVENUE BY REVIEWING THE CODING! We do more than just submit your claims. We help you with the appropriate coding and pricing of your procedures. We review your insurance payments and procedure codes to ensure you are maximizing your reimbursement and guide you in ways to increase your reimbursement. We will identify areas in which changes can be made so you are getting the reimbursement you are entitled to receive. We also will help you set up a patient financial policy to help lower patient receivables.

13 FAQs Why should I spend all that money on a billing service when I can do it cheaper in-house? In many cases, a billing service can be more cost effective than in-house billing. Our cost analysis on an "average" two to five doctor practice shows that our costs are comparable to the cost of staffing, office space, storage, etc for an in-house computer system. In addition, we estimate we can improve collections between 2% to 10% at the "average" practice. How long have you been in business? National Billing has been in business since Why should we use National Billing? Because of our experience, knowledge and equipment. All of our computer equipment and software is the most advanced in the medical billing field. Claims are scrubbed no less than three times to ensure accuracy and a clean claim. Our staff is highly trained and knowledgeable, and we offer a high level of personal service and commitment to your practice and your patients. We have been operating for over a decade, and keep on top of all the changes in the laws and regulations regarding medical billing. Is it smart to let my billing go out to another company? Industry experts agree that it can be extremely good business to concentrate on your core competencies, like providing quality medical care, and intelligently "outsource" your ancillary functions, like billing. National Billing specializes in medical practice billing and practice management software. Our senior staff averages over 15 years in the medical billing industry and are true physician oriented professionals.

14 FAQs What are your fees? Our general rate is as low as 6% of what we collect for you; if you don't get paid we don't get paid. Depending on volume and revenue the rate is negotiable. Do you charge for extras? Such as re-bills, reports, patient statements, denials, etc? No! All we charge is the flat rate, which includes all of our services. Is there a set up cost? No. Are you HIPAA compliant? Yes and all the clients we do business with are compliant as well. Are your claims submitted electronically? Claims are submitted electronically to all insurance companies that accept electronic claims. Do you follow up on denials and work appeals? All denials are worked until resolved. Denials will be substantially smaller than now since the claims are sent virtually error free so non-payment is a rarity.we appeal your claims at no extra cost.

15 FAQs How long does it take to get started? In most cases we can be up and running in a couple of weeks, sometimes it only takes a couple of days. What type of edits does your software check for? Our software first checks the claims to ensure all the information for a claim is present. These claims are then sent through our in house scrubber that mimics the Medicare scrubbing system. If Medicare would find an error we will find it before the claims is sent. These claims are then transmitted to our clearing house which checks the claims and ensures they match the criteria for each carrier, such as id field, and other edits each insurance carrier may have. I.e.: Medicare requires 9 digits than an alpha, AVMed needs 11 digits. The claims are then sent to the insurance carriers, which also scrub the claims. If there is no patient on file, it rejects back to us, if the policy is not in effect it rejects to us. These rejections are sent to us via computer not to you in an EOB. Does it matter if our practice is not in Florida? No! Many of our clients are out of the state of Florida; we can bill any insurance company in any state. Is your web based system safe? Yes. The entire site exceeds HIPAA standards and is encrypted using the same encryption as the banking and credit card industry. All users are logged and tracked.

16 FAQs What makes you think you can improve my collections? First, we are experts in this field. We know how to do medical billing properly to maximize your reimbursements. Equally important, we concentrate on the billing without all the distractions that occur in a medical practice. We will periodically review your fee schedule to insure that your coding is done to your advantage. We can improve your cash flow, in many cases, by reduced data entry problems, improved claims tracking and turn-around time on rejected claims. We work your accounts receivable collections each and every month. Why is your percentage rate sometimes higher than other billing companies? Our fees may be higher for a couple of reasons, the major reason is the large number of services that are included for one low rate. We provide many more services than other billing companies, such as taking patient calls, handling claim appeals, a software application that allows you to schedule your patients, help with insurance eligibility through our direct website and many more services, all of which are listed here on the SERVICES web page. The second major reason is that we DO NOT outsource any of our billing to other countries to save on costs. We are proudly owned and operated in the United States, and not a front company for billers in India, or an Indian owned or foreign company. The majority of billing companies advertising and offering low rates are operating in foreign countries, or hire employees outside of the country so they can save money on employee costs. We also offer excellent customer service, and each client is given a personal representative to handle their account. The majority of our billers have at least 10 years of medical billing experience, our senior staff having up to 15 years of experience. This personal service, and employees education levels gives our providers peace of mind that their billing is being handled by a certified coder with years of medical billing experience.

17 FAQs Why doesn t National Billing outsource work to other countries if it saves the client money and reduces costs? We don t outsource to other countries for a number of reasons. The first reason is that there are no controls and no way to know if the people outside of the U.S. are HIPAA compliant as they do not have to abide by the same laws and standards as companies operating in the United States have to abide by. There also is the high threat of identity theft and the sending of your patients protected information around the world. We will not and do not compromise our clients protected information just to save on expenses and make some extra profit at our clients expense. We pride ourselves in doing your work here in the USA and keeping jobs here in the USA.

18 WHY NATIONAL BILLING? PAID CLAIMS... GUARANTEED! We don t just submit claims, we get your claims paid. In fact, we have a MONEY BACK REIMBURSEMENT GUARANTEE!

19 WHY NATIONAL BILLING? FULLY AUTOMATED BILLING! We automate your billing with our FREE online billing software and EMR systems.

20 WHAT ABOUT THAT NATIONAL BILLING GUARANTEE? Glad you asked...

21 NATIONAL BILLING GUARANTEE We guarantee our work, while striving towards 100% claims payment --- DAILY CLAIMS GENERATION --- DAILY EOBS REVIEWS & IMMEDIATE FOLLOW UP ON SECONDARY CLAIMS AND APPEALS --- DAILY CLAIM ACCEPTANCE/DENIAL REVIEW FROM INSURANCE CO. --- DAILY UNPAID CLAIMS PORTAL REVIEW - -- DAILY FOLLOW-UP ON UNPAID, DENIED, OR REJECTED CLAIMS HIPPA COMPLIANCE AT ALL TIMES 100% CLAIMS PAYMENT!

22 MONEY BACK GUARANTEE We guarantee our work, while striving towards 100% claims payment --- If a claim is not paid and has to be written off due to a billing error, and it is the sole fault of National Billing or the fault of a National Billing employee, then we will gladly reimburse the client the amount that the claim would have paid the provider. 100% CLAIMS PAYMENT!

23 NATIONAL BILLING ALL-INCLUSIVE ONE LOW RATE AUTOMATED SECURE 100% GUARANTEE ANY QUESTIONS?

24 NATIONAL BILLING ALL-INCLUSIVE ONE LOW RATE AUTOMATED SECURE 100% GUARANTEE ANY QUESTIONS?

25 YOUR PROBLEM, OUR SOLUTION INFORMATION FLOW PROBLEM! YOUR PROBLEM: The flow of information between the billing company and the provider is difficult to manage, many charges and EOBS are missing, and providing information to the billing office is time consuming. OUR SOLUTION: National Billing Institute offers FREE to all our clients a software program that allows the practice to transmit the billing charges instantaneously to NBI. The program has a patient scheduling system that makes sure every scheduled patient gets a charge entered, eliminating missed charges. This is a Web-based, real-time program that transmits all patient data and charges instantly to our offices. No longer will a provider's office mail of fax over charges! EOB PROBLEM! YOUR PROBLEM: Missing, storing, and receiving EOBS. OUR SOLUTION: EOBs are obtained electronically from the insurance carrier, directly into our software. All paper EOBs are scanned directly into the software for easy access by both National Billing Institute and you, the client. No more mailing of faxing of EOBs! LOST CHARGES PROBLEM! YOUR PROBLEM: Lost charges resulting in a decrease in revenue and an increase in paper work. OUR SOLUTION: The provider can scan any document directly into the patients record which is seen immediately by the billing office. The provider will now be sure that all charges were sent to National Billing in a timely, error free manner.