BILLING HEADACHES? STAFF OVERLOAD! DENIALS LOST REVENUE

Size: px
Start display at page:

Download "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.

Practice medicine not management

Practice medicine not management Practice medicine not management Maximize your collections Reduce your time to payment Significantly improve your cashflow Spend more time with your patients Physicians Group Management One of the biggest

More information

Top 10 Reasons to Outsource Your Medical Billing

Top 10 Reasons to Outsource Your Medical Billing Top 10 Reasons to Outsource Your Medical Billing What is outsourcing? Subcontracting, Support Managed services However you define it, outsourcing has become the hot, creative solution that is helping more

More information

BILLING COMPANY STANDARDS

BILLING COMPANY STANDARDS BILLING COMPANY STANDARDS ASSESSING PRACTICE VALUE OF OUTSOURCING Cost Saving Efficiencies gained Improved collections Compliance Once a decision to out source is made the following due diligence should

More information

Revenue Cycle Management

Revenue Cycle Management Revenue Cycle Management Optimized Have you heard about Revenue Cycle Management (RCM)? It is the process of managing the healthcare revenue cycle within your office that typically results in increased

More information

Learn to understand aged AR Learn to work AR. Learn to manage AR. Get the old stuff paid. Where do we go from here?

Learn to understand aged AR Learn to work AR. Learn to manage AR. Get the old stuff paid. Where do we go from here? Learn to understand aged AR Learn to work AR Get the old stuff paid Learn to manage AR Where do we go from here? Accounts Receivable are unpaid payments/charges that are owed to you by the patients and/or

More information

Our Billers Collect More & Faster

Our Billers Collect More & Faster Our Billers Collect More & Faster advancedbiller ADP ADVANCEDMD PARTNER PROGRAM we are experts experienced your medical billing solution Diversified Reimbursement Systems, Inc. WHO WE ARE Diversified Reimbursement

More information

What Every Medical Practice Must Do to Optimize Workflow and Maximize Revenue While Decreasing Costs

What Every Medical Practice Must Do to Optimize Workflow and Maximize Revenue While Decreasing Costs What Every Medical Practice Must Do to Optimize Workflow and Maximize Revenue While Decreasing Costs Don t just trust that your staff is maximizing time and revenue. It is up to you to monitor, analyze

More information

Optum Intelligent EDI. Achieve higher first-pass payment rates and help your organization get paid quickly and accurately.

Optum Intelligent EDI. Achieve higher first-pass payment rates and help your organization get paid quickly and accurately. Optum Intelligent EDI Achieve higher first-pass payment rates and help your organization get paid quickly and accurately. The new benchmark for EDI performance Health care has outgrown commoditized EDI,

More information

Revenue Cycle Management Process

Revenue Cycle Management Process OVERVIEW It is important for everyone involved in the billing cycle process to be familiar with how each step of the encounter provides opportunities to assure successful and compliant billing. The purpose

More information

Claims and Billing Process. AHCCCS Provider Identification Number and NPI Number

Claims and Billing Process. AHCCCS Provider Identification Number and NPI Number Claims and Billing Process AHCCCS Provider Identification Number and NPI Number All United Healthcare Community Plan providers requesting reimbursement for services must be properly registered with AHCCCS

More information

Our clients count on us, and we deliver.

Our clients count on us, and we deliver. Experts in Revenue Cycle Management For Medical Practices and Imaging Centers For over 20 years, we have forged successful partnerships with medical practices and imaging centers to improve their revenue

More information

The benefits of electronic claims submission improve practice efficiencies

The benefits of electronic claims submission improve practice efficiencies The benefits of electronic claims submission improve practice efficiencies Electronic claims submission vs. manual claims submission An electronic claim is a paperless patient claim form generated by computer

More information

Management Report Services. Staff Training and Education Services

Management Report Services. Staff Training and Education Services Management Report Services Your management team will receive reports that are clear, well defined and serve as a tool for increased performance. These include a brief description emphasizing how the information

More information

Medical Billing. You need to streamline your Medical Billing today! Copyright Pradot Technologies Private Limited. India. United States of America

Medical Billing. You need to streamline your Medical Billing today! Copyright Pradot Technologies Private Limited. India. United States of America Medical Billing Are you aware that a part of all medical practice income is lost on account of Under Pricing, Inaccurate Coding, Missed Charges or Unreimbursed Claims? Have you ever felt that the charges

More information

Surgical/ASC Claims Revenue Cycle Management: An Introduction to Our Processes and Protocols

Surgical/ASC Claims Revenue Cycle Management: An Introduction to Our Processes and Protocols Surgical/ASC Claims Revenue Cycle Management: An Introduction to Our Processes and Protocols 200 Old Country Road, Suite 470 Mineola, NY 11501 Phone: 516-294-4118 Fax: 516-294-9268 www.businessdynamicslimited.com

More information

The following online training module will provide a general overview of the Vanderbilt University Medical Center s (VUMC) technical revenue cycle.

The following online training module will provide a general overview of the Vanderbilt University Medical Center s (VUMC) technical revenue cycle. The following online training module will provide a general overview of the Vanderbilt University Medical Center s (VUMC) technical revenue cycle. This Revenue Cycle Overview training will establish a

More information

Chiropractic Billing

Chiropractic Billing Chiropractic Billing How To Gain A Competitive Advantage In This Challenging Reimbursement Environment Welcome to CloudChiro! We ve been working with over 500 chiropractic offices over the years, and we

More information

Medical Management Outsourcing We specialize in providing such strategies by automation details... MDMANAGE LET YOUR PRACTICE BE A PRACTICE

Medical Management Outsourcing We specialize in providing such strategies by automation details... MDMANAGE LET YOUR PRACTICE BE A PRACTICE Medical Management Outsourcing We specialize in providing such strategies by automation details... MDMANAGE LET YOUR PRACTICE BE A PRACTICE MDManage Profile Simply put, you and your practice will get a

More information

HIRING A QUALIFIED OFFICE STAFF

HIRING A QUALIFIED OFFICE STAFF Tinsley, Reed. Streamlining Medical Practice Reimbursements. Career Pulse December 1994: 38-41. Streamlining Medical Practice Reimbursements Physicians must actively manage their medical practices for

More information

ASA Medical Services Company Brochure

ASA Medical Services Company Brochure ASA Medical Services Company Brochure ASA Medical Billing Services 588 56 th Street 2 nd Floor West New York, NJ 07093-1236 Office: (201)-770-1103 Fax : (201)-770-1104 www.asamedicalbilling.com Why Use

More information

Optimize Healthcare Facility Revenue in minimum time. Billing /Coding/ Patient Management

Optimize Healthcare Facility Revenue in minimum time. Billing /Coding/ Patient Management TALISMAN SOLUTIONS Optimize Healthcare Facility Revenue in minimum time Billing /Coding/ Patient Management We put together a team of healthcare, financial and management experts to identify ways to optimize

More information

Rycan Revenue Cycle Management Solutions Overview. Target Audience: Evident and Healthland May 18, 2016

Rycan Revenue Cycle Management Solutions Overview. Target Audience: Evident and Healthland May 18, 2016 Rycan Revenue Cycle Management Solutions Overview Target Audience: Evident and Healthland May 18, 2016 Rycan Revenue Cycle Management Solutions (RCM) Overview Session Presenters: Jody Heard Industry Marketing

More information

FLEXIBLE SPENDING ACCOUNT FAQS

FLEXIBLE SPENDING ACCOUNT FAQS FLEXIBLE SPENDING ACCOUNT FAQS FSA Rules 1. If I don't use all of the money in my FSAs, can I get it back or roll it over for the next year? No. Any unused money in your FSA cannot be refunded to you or

More information

Choosing The Right Revenue Cycle Partner: 10 Questions to Ask

Choosing The Right Revenue Cycle Partner: 10 Questions to Ask WHITE PAPER: Choosing The Right Revenue Cycle Partner: 10 Questions to Ask 1 I Choosing The Right Revenue Cycle Partner: 10 Questions To Ask Did you know? The right revenue cycle partner can help your

More information

Revenue Cycle Management Services. QTAT Team: Integrity, Honesty, Efficiency and Communication Skills

Revenue Cycle Management Services. QTAT Team: Integrity, Honesty, Efficiency and Communication Skills Revenue Cycle Management Services QTAT Team: Integrity, Honesty, Efficiency and Communication Skills R C M S Medical Coding Medical Billing Account Receivables QTAT BPO Solutions Inc is a business process

More information

<Title>Increase revenue, remove headaches with our medical billing service Physician Revenue Services

<Title>Increase revenue, remove headaches with our medical billing service Physician Revenue Services Physician Revenue Services Website Copy Excerpt Prepared by Copperplate Communications 2.0 About Us - Physician Billing Service Increase revenue, remove headaches with our medical billing service

More information

Shellie Sulzberger, LPN, CPC, ICDCT-CM. Coding & Compliance Initiatives, Inc.

Shellie Sulzberger, LPN, CPC, ICDCT-CM. Coding & Compliance Initiatives, Inc. Shellie Sulzberger, LPN, CPC, ICDCT-CM Coding & Compliance Initiatives, Inc. My connection to coding and documentation My connection to clinical processes My connection to ICD-10 My connection to YOU Coding

More information

Need a healthcare package that fits in with your practice?

Need a healthcare package that fits in with your practice? Healthcare Solutions Need a healthcare package that fits in with your practice? Need a healthcare package that fits in with your practice? GBS delivers solutions that streamline your daily tasks, yet we

More information

introducing pathx. The Mouse Driven With Pathology Labs.

introducing pathx. The Mouse Driven With Pathology Labs. T h e n e w p at h f o r p at h l a b s introducing pathx. The Mouse Driven LIS That s Clicking With Pathology Labs. PathX is the most advanced laboratory information system for anatomic pathology. Our

More information

Physician s Practice Organization D/b/a Doctors Park Family Medicine Patient Information Brochure. To Our Patients

Physician s Practice Organization D/b/a Doctors Park Family Medicine Patient Information Brochure. To Our Patients Physician s Practice Organization D/b/a Doctors Park Family Medicine Patient Information Brochure To Our Patients Thank you for choosing Doctors Park Family Medicine as the healthcare provider for you

More information

Delta Dental of Nebraska. Electronic Claims Submission

Delta Dental of Nebraska. Electronic Claims Submission Delta Dental of Nebraska Electronic Claims Submission Revised 04082009 Table of Contents Introduction... 3 Why Submit Electronically?... 4 Getting Started... 4 Technical Requirements... 5 Submitting Electronic

More information

our group Mission Overview Offering

our group Mission Overview Offering ABOUT OUR COMPANY Mission Infrahealth is dedicated to offering cost-effective infrastructure solutions tailored to achieve maximum results for healthcare professionals. We are focused on delivering medical

More information

EDI Solutions Your guide to getting started -- and ensuring smooth transactions bcbsga.com/edi

EDI Solutions Your guide to getting started -- and ensuring smooth transactions bcbsga.com/edi EDI Solutions Your guide to getting started -- and ensuring smooth transactions 00175GAPENBGA Rev. 12/11 This brochure is a helpful EDI reference for both new and experienced electronic submitters. It

More information

Job Description Billing and Coding Associate

Job Description Billing and Coding Associate Practice Name Job Description Billing and Coding Associate Purpose: The job description of Billing and Coding Associate is a written statement that identifies a job title and its related principal duties

More information

Practice management system criteria checklist

Practice management system criteria checklist Practice management system criteria checklist The American Medical Association (AMA) and Medical Group Management Association (MGMA) have created the following checklist as a starting point for assessing

More information

EDI Solutions Your guide to getting started -- and ensuring smooth transactions empireblue.com/edi

EDI Solutions Your guide to getting started -- and ensuring smooth transactions empireblue.com/edi EDI Solutions Your guide to getting started -- and ensuring smooth transactions empireblue.com/edi 00175NYPEN Rev. 12/11 This brochure is a helpful EDI reference for both new and experienced electronic

More information

Get EnABELed with ABELMed

Get EnABELed with ABELMed Get EnABELed with ABELMed Electronic Health Record and Practice Management Solutions We focus on your Practice... So you can focus on your Patients Start reaping benefits of ABELMed EHR from day one: Eliminate

More information

Intelligent EDI Next-Generation Revenue-Cycle Management Capabilities All within the EDI Data Stream

Intelligent EDI Next-Generation Revenue-Cycle Management Capabilities All within the EDI Data Stream White Paper Intelligent EDI Next-Generation Revenue-Cycle Management Capabilities All within the EDI Data Stream Optum www.optum.com Page 1 White Paper The health care industry s transition to the 5010

More information

Revenue Cycle. Management. The AdvancedMD Training & Companion Guide

Revenue Cycle. Management. The AdvancedMD Training & Companion Guide Revenue Cycle Management The AdvancedMD Training & Companion Guide How to Use the Tools and Reports within AdvancedMD to Support Industry Standard Best Practices in Revenue Cycle Management Table of Contents

More information

10/14/2015. Common Issues in Practice Management. Industry Trends. Rebecca Lynn Hanif, CPC,CPCO,CCS, CMUA AHIMA Approved ICD-10-CM/PCS Trainer

10/14/2015. Common Issues in Practice Management. Industry Trends. Rebecca Lynn Hanif, CPC,CPCO,CCS, CMUA AHIMA Approved ICD-10-CM/PCS Trainer Common Issues in Practice Management Rebecca Lynn Hanif, CPC,CPCO,CCS, CMUA AHIMA Approved ICD-10-CM/PCS Trainer cpmresults.com Industry Trends cpmresults.com Patient Responsibility Patients are now responsible

More information

CONNECTIVITY. Connectivity. Solutions. Insight. Electronic Remittance Advice. Technology Eligibility Verification. Challenges Providers Face

CONNECTIVITY. Connectivity. Solutions. Insight. Electronic Remittance Advice. Technology Eligibility Verification. Challenges Providers Face CONNECTIVITY. Real-Time Electronic Remittance Advice Technology Eligibility Verification Challenges Providers Face As physician groups face declining reimbursement, escalating operating costs and rising

More information

Denial Management Process. Strategies to ensure that claims are received and PAID!!

Denial Management Process. Strategies to ensure that claims are received and PAID!! Denial Management Process Strategies to ensure that claims are received and PAID!! Why is Denial Management critical? The current medical practice s path to survival and success 2 . Climbing Cost of Denials

More information

Eligibility Patient s coverage verified prior to visit Coding Medical Records are reviewed and coded by Certified Coders Demographic & Charge Entry

Eligibility Patient s coverage verified prior to visit Coding Medical Records are reviewed and coded by Certified Coders Demographic & Charge Entry Eligibility Patient s coverage is verified prior to visit Coding Medical Records are reviewed and coded by Certified Coders Clearing Clearing Houses Houses For For Electronic Electronic Clearance Clearance

More information

CLAIMS Section 5. Overview. Clean Claim. Prompt Payment. Timely Claims Submission. Claim Submission Format

CLAIMS Section 5. Overview. Clean Claim. Prompt Payment. Timely Claims Submission. Claim Submission Format Overview The Claims department partners with the Provider Relations, Health Services and Customer Service departments to assist providers with any claims-related questions. The focus of the Claims department

More information

EMR Technology Checklist

EMR Technology Checklist Patient Accessibility/Scheduling/Account Maintenance: Able to interact with schedule through an online portal pre register VIP status to move patient to the front of the line Access and pre registration

More information

INSURANCE BILLING & COLLECTIONS PROCEDURES

INSURANCE BILLING & COLLECTIONS PROCEDURES INSURANCE BILLING & COLLECTIONS PROCEDURES I. PURPOSE: To establish logical, consistent methods of billing and collections follow-up for Insurance balances to ensure that all staff members possess a good

More information

We offer powerful choices for your Medical Practice. Practice Management with intelli-bill Billing Service. Practice Management and Billing System

We offer powerful choices for your Medical Practice. Practice Management with intelli-bill Billing Service. Practice Management and Billing System 7400 Baymeadows Way Suite 300, Jacksonville, FL 32256 Local: (904) 737-5554 ~ Toll Free: (800) 769-5554 ~ Fax: (904) 737-9123 We offer powerful choices for your Medical Practice Practice Management with

More information

CCUMED Complete Behavioral Health EHR and Practice Management Solutions

CCUMED Complete Behavioral Health EHR and Practice Management Solutions CCUMED Complete Behavioral Health EHR and Practice Management Solutions intelligent solutions in practice imagine a system that into an easy to manage AccuMed EHR is the complete solution that seamlessly

More information

MEDICAL BILLING AND PRE-FUNDING. Is Now The Time to Outsource Your Medical Billing? (877) 386-9728 NobilityRCM.com

MEDICAL BILLING AND PRE-FUNDING. Is Now The Time to Outsource Your Medical Billing? (877) 386-9728 NobilityRCM.com Is Now The Time to Outsource Your Medical Billing? Is Now the Time to Outsource Your Medical Billing? Outsourced medical billing has come into favor as medical practices face newer problems thanks to changing

More information

How Outsourcing Significantly Reduces Accounts Receivables, Improves Collections and Decreases Denied Claims...All Within 30 Days

How Outsourcing Significantly Reduces Accounts Receivables, Improves Collections and Decreases Denied Claims...All Within 30 Days How Outsourcing Significantly Reduces Accounts Receivables, Improves Collections and Decreases Denied Claims...All Within 30 Days Page 1 The fast-paced healthcare industry is becoming competitive and organizations

More information

Klamath Tribal Health & Family Services 3949 South 6 th Street Klamath Falls, OR 97603

Klamath Tribal Health & Family Services 3949 South 6 th Street Klamath Falls, OR 97603 Klamath Tribal Health & Family Services 3949 South 6 th Street Klamath Falls, OR 97603 Phone: (541) 882-1487 or 1-800-552-6290 H.R. Fax: (541) 273-4564 OPEN: 05/08/2013 CLOSED: 05/24/2013 POSITION: RESPONSIBLE

More information

ELECTRONIC MEDICAL RECORDS. Selecting and Utilizing an Electronic Medical Records Solution. A WHITE PAPER by CureMD.

ELECTRONIC MEDICAL RECORDS. Selecting and Utilizing an Electronic Medical Records Solution. A WHITE PAPER by CureMD. ELECTRONIC MEDICAL RECORDS Selecting and Utilizing an Electronic Medical Records Solution A WHITE PAPER by CureMD CureMD Healthcare 55 Broad Street New York, NY 10004 Overview United States of America

More information

Personalized Specialized Right Sized

Personalized Specialized Right Sized T h e C O R E P r o d u c t o f M e d i c a l B i l l i n g i s K n o w l e d g e Personalized Specialized Right Sized CORE Medical Billing is a privately held company located in High Point, North Carolina

More information

Practice Name. Job Description Billing, Insurance and Coding Specialist

Practice Name. Job Description Billing, Insurance and Coding Specialist Practice Name Job Description Billing, Insurance and Coding Specialist Purpose: The job description of Billing, Insurance and Coding Associate is a written statement that identifies a job title and its

More information

HealthCare KPO Contents

HealthCare KPO Contents HealthCare KPO Contents About us... 2 Healthcare SBU... 2 Patient Management Support:... 3 Medical Records:... 4 Medical Transcription... 4 Medical Coding... 5 Revenue Cycle Management:... 5 Data Management

More information

Billing Dashboard Review

Billing Dashboard Review Billing Dashboard Review 70 Royal Little Drive Providence, RI 02904 Copyright 2002-2013 Optum. All rights reserved. Updated: 3/13/13 Table of Contents 1 Open Batches...1 1.1 Posting a Batch...1 2 Unbilled

More information

You help your patients. We help you» DocComply streamlines your office so you can focus your energy on the what matters most your patients.

You help your patients. We help you» DocComply streamlines your office so you can focus your energy on the what matters most your patients. WHAT IS DOCCOMPLY? We are the all in one solution for Practice Management, Electronic Medical Records & Billing. DocComply simplifies and streamlines the clerical end of your practice as well as the clinical

More information

Presented by: Yvonne Dailey, CPC, CPC-I ALL RIGHTS REVERED

Presented by: Yvonne Dailey, CPC, CPC-I ALL RIGHTS REVERED Presented by: Yvonne Dailey, CPC, CPC-I ALL RIGHTS REVERED 1 Disclaimer The material are offered as tools to assist the participants in understanding their revenue cycle. No part of the presentation may

More information

Invoice Cloud Frequently Asked Questions

Invoice Cloud Frequently Asked Questions Invoice Cloud Frequently Asked Questions The Town of Salem works with a third party vendor, Invoice Cloud, to provide online bill pay services for property tax and utility bills. General What are the benefits

More information

CLINICAL INFO SOLUTIONS IMPROVING THE BUSINESS AND DELIVERY OF HEALTHCARE

CLINICAL INFO SOLUTIONS IMPROVING THE BUSINESS AND DELIVERY OF HEALTHCARE CLINICAL INFO SOLUTIONS IMPROVING THE BUSINESS AND DELIVERY OF HEALTHCARE The highest level of service and commitment Extremely well trained and knowledgeable staff Personal account representatives for

More information

Coding and billing applications cut down on staffing, expenses

Coding and billing applications cut down on staffing, expenses Coding and billing applications cut down on staffing, expenses July 01, 2009 Practice Management [1] By Rebekah Moan [2] Before she began using coding and billing computer applications developed specifically

More information

Preparing Your Revenue Cycle for ICD-10. Carrie Aiken, CHC Compliance and Consulting Manager

Preparing Your Revenue Cycle for ICD-10. Carrie Aiken, CHC Compliance and Consulting Manager Preparing Your Revenue Cycle for ICD-10 Carrie Aiken, CHC Compliance and Consulting Manager Today s Presenter Carrie Aiken SVA Healthcare Services, LLC 608.826.2451 aikenc@sva.com 1 Objectives Seeing Revenue

More information

Billing Guidelines Manual for Contracted Professional HMO Claims Submission

Billing Guidelines Manual for Contracted Professional HMO Claims Submission Billing Guidelines Manual for Contracted Professional HMO Claims Submission The Centers for Medicare and Medicaid Services (CMS) 1500 claim form is the acceptable standard for paper billing of professional

More information

OFFICE. Clearinghouses: Fact and Fiction. Is Your Ready for October 16? www.infinedi.net. Electronic Claims Submission. Version 2.

OFFICE. Clearinghouses: Fact and Fiction. Is Your Ready for October 16? www.infinedi.net. Electronic Claims Submission. Version 2. Volume 1 September 5, 2003 PrivaPlan Version 2.0 Due Out Soon Is Your Ready for October 16? OFFICE Clearinghouses: Fact and Fiction A letter from our PRESIDENT: Real Time is On-line uick QService Tools

More information

FAMILY PRACTICE MANAGEMENT

FAMILY PRACTICE MANAGEMENT A simple review may save your practice loads of money. Chart Audit: Is Your Practice Billing What It Should? Betsy Nicoletti Could any of the following mistakes occur in your practice on a given day? You

More information

Instructions for submitting Claim Reconsideration Requests

Instructions for submitting Claim Reconsideration Requests Instructions for submitting Claim Reconsideration Requests A Claim Reconsideration Request is typically the quickest way to address any concern you have with how we processed your claim. With a Claim Reconsideration

More information

Intelligent Medical Software (IMS) Solution Overview. Beyond just an EMR, Meditab gives you an Electronic Medical Office

Intelligent Medical Software (IMS) Solution Overview. Beyond just an EMR, Meditab gives you an Electronic Medical Office Intelligent Medical Software (IMS) Solution Overview IMS v12 is 2008 CCHIT Certified for Ambulatory EHR Beyond just an EMR, Meditab gives you an Electronic Medical Office Intelligent medical software from

More information

Anthem Blue Cross: I have not seen 1 alpha prefix and request that you send an email to network.education@anthem.com with an example of this.

Anthem Blue Cross: I have not seen 1 alpha prefix and request that you send an email to network.education@anthem.com with an example of this. QUESTION ANSWER 1 Caller: Will precert authorization be required for emergency ambulance or just hospital admissions? 2 Caller: Can we go over who will be considered the HOST Plan and who would be the

More information

In-House vs. Outsourced?

In-House vs. Outsourced? WHITE PAPER In-House vs. Outsourced? Best Practices in Injury Claims Revenue Cycle Management 2 In-House vs. Outsourced? Table of Contents Executive Summary 3 What an Injury Claims Specialist Provides

More information

Seven revenue-driving best practices

Seven revenue-driving best practices NextGen Revenue Cycle Management Seven revenue-driving best practices 1 2 3 4 5 6 7 Self-pay Collections Measuring Performance Claims Scrubbing Track and Prevent Denials Create and Enforce Write-off Policy

More information

Outsourcing Revenue Management Can Pay Big Dividends for Clinical Labs

Outsourcing Revenue Management Can Pay Big Dividends for Clinical Labs Outsourcing Revenue Management Can Pay Big Dividends for Clinical Labs A report by Donna Beasley, DLM (ASCP) McKesson Revenue Management Solutions, Laboratory Effective management of a clinical laboratory

More information

HOW TO PREVENT AND MANAGE MEDICAL CLAIM DENIALS TO INCREASE REVENUE

HOW TO PREVENT AND MANAGE MEDICAL CLAIM DENIALS TO INCREASE REVENUE Billing & Reimbursement Revenue Cycle Management HOW TO PREVENT AND MANAGE MEDICAL CLAIM DENIALS TO INCREASE REVENUE Billing and Reimbursement for Physician Offices, Ambulatory Surgery Centers and Hospitals

More information

Pain-Free Managed Medical Billing

Pain-Free Managed Medical Billing Pain-Free Managed Medical Billing Focus on Patients, Not Billing www.drchrono.com Pain-Free Billing Medical Billing is a major component of every medical practice; in this age of reduced reimbursements,

More information

Patient Account Services. Patient Reference & Frequently Asked Questions. Admissions

Patient Account Services. Patient Reference & Frequently Asked Questions. Admissions Patient Account Services Patient Reference & Frequently Asked Questions Admissions Each time you present for a new medical service, a new account number will be assigned. You will be asked to pay any patient

More information

Gregory F. Cutrona, C.P.A. President

Gregory F. Cutrona, C.P.A. President Confidence Restored Our core purpose is to positively impact the quality of healthcare by delivering professional services to help physicians optimize their practices and to better serve their patients.

More information

City of Austell. Online Presentment and Payment Frequently Asked Questions

City of Austell. Online Presentment and Payment Frequently Asked Questions General What are some of the benefits of receiving my bill electronically? It is convenient, saves time, reduces errors, allows you to receive bills anywhere at any time and helps the environment by saving

More information

EDI Solutions Your guide to getting started -- and ensuring smooth transactions anthem.com/edi

EDI Solutions Your guide to getting started -- and ensuring smooth transactions anthem.com/edi EDI Solutions Your guide to getting started -- and ensuring smooth transactions anthem.com/edi 00175CEPEN (04/12) This brochure is a helpful EDI reference for both new and experienced electronic submitters.

More information

Overview. So, what criteria can you employ to narrow the field to those products that have the potential to make a positive impact on your practice?

Overview. So, what criteria can you employ to narrow the field to those products that have the potential to make a positive impact on your practice? Overview Selecting an EMR System Once a decision has been made to move to a modern EMR system, you are immediately faced with choosing from a multitude of vendors and products. Making a right choice will

More information

Provider Solutions. Sutherland Healthcare Solutions

Provider Solutions. Sutherland Healthcare Solutions Provider Solutions Sutherland Healthcare Solutions What is your TRUE RETURN? 2 The financial strength you need to offer great patient experience today and tomorrow. Our healthcare experts are ready to

More information

7 Ways to Enhance Your Radiology Group's Revenue Cycle

7 Ways to Enhance Your Radiology Group's Revenue Cycle 7 Ways to Enhance Your Radiology Group's Revenue Cycle Introduction Every radiologist would prefer to be reading charts than spend time thinking about their practice s revenue cycle management processes.

More information

Nortec. ACT Now! Nortec EHR. Qualify & Receive $44,000. An Integrated Electronic Health Record Software. www.nortecehr.com

Nortec. ACT Now! Nortec EHR. Qualify & Receive $44,000. An Integrated Electronic Health Record Software. www.nortecehr.com ACT Now! Qualify & Receive $44,000 Nortec Version 7.0 EHR Visit and Register to learn how to meet Meaningful Use requirements An Integrated Electronic Health Record Software Electronic Medical Records

More information

Provider Solutions. Sutherland Healthcare Solutions

Provider Solutions. Sutherland Healthcare Solutions Provider Solutions Sutherland Healthcare Solutions What is your TRUE RETURN? The financial strength you need to offer great patient experience today and tomorrow. Our healthcare experts are ready to partner

More information

FOR YOUR BENEFIT. Flu Shot Is Free With Rx ID Card At Any Shoppers Or Kroger Pharmacy

FOR YOUR BENEFIT. Flu Shot Is Free With Rx ID Card At Any Shoppers Or Kroger Pharmacy 1099Rs for Retirees Will be Mailed in Late January. Look for Yours! FOR YOUR BENEFIT UFCW Unions & Participating Employers Health & Welfare Fund December 2012 Vol. 28, No. 4 Material Modification www.associated-admin.com

More information

Disclosure. VeinExperts.org Principal

Disclosure. VeinExperts.org Principal Disclosure VeinExperts.org Principal Documentation and EMR Usage Peggy Bush, APN, CNS, MSN Palm City, Florida Business of Medicine is Changing Government influences to improve public health Insurance Companies

More information

REVENUE CYCLE CLARITY. Streamlined Solutions for Hospitals and Physicians

REVENUE CYCLE CLARITY. Streamlined Solutions for Hospitals and Physicians REVENUE CYCLE CLARITY Streamlined Solutions for Hospitals and Physicians SOLUTIONS for Hospitals and Large Physician Groups ClaimLogic offers a full suite of advanced claims and payment processing systems

More information

Medi-Pak Advantage: Frequently Asked Questions

Medi-Pak Advantage: Frequently Asked Questions Medi-Pak Advantage: Frequently Asked Questions General Information: What Medicare Advantage product is Arkansas Blue Cross Blue Shield offering? Arkansas Blue Cross and Blue Shield has been approved by

More information

Frequently Asked Questions about Retiree Reimbursement Accounts (RRAs)

Frequently Asked Questions about Retiree Reimbursement Accounts (RRAs) Frequently Asked Questions about Retiree Reimbursement Accounts (RRAs) 1. Do I need to do anything to sign up for an RRA? No. You re automatically enrolled in the RRA. If you want to use the online tools,

More information

Organizational Basics

Organizational Basics Leading the Way Part I Organizational Basics Executive Summary Medical Coding and Billing services currently exist to manage medical practices. These services relieve medical professionals of tedious detail

More information

Revenue Cycle Management

Revenue Cycle Management ELIGIBILITY AND VERIFICATION Revenue Cycle Management Are you or your staff tired of waiting on the phone or jumping from website to website to verify patients insurance eligibility? Being able to verify

More information

Online Payment FAQ s

Online Payment FAQ s General Online Payment FAQ s What are the benefits of paying a bill online? Paying online with a credit card or electronic check saves time, gives you the flexibility to pay how and when desired, and saves

More information

Proven Practice Management and EHR Solutions

Proven Practice Management and EHR Solutions Proven Practice Management and EHR Solutions The Smart Choice to Enhance Office Productivity, Profitability and Care Quality Your small practice faces big challenges. Finding time and resources to prepare

More information

Electronic Health Records (EHR) An Educational Session

Electronic Health Records (EHR) An Educational Session Electronic Health Records (EHR) An Educational Session Prepared For Presented By JP Killeen & Associates, Inc. 1707 Osage Street, Suite 405 Alexandria, Virginia 22302 703.575.8562 John P.

More information

Medical Assisting Review

Medical Assisting Review Fifth Edition Medical Assisting Review Passing the CMA, RMA, and CCMA Exams Chapter 14 Medical Insurance 14-2 Learning Outcomes 14.1 Define terminology used in association with medical insurance. 14.2

More information

EMDEON REVENUE CYCLE MANAGEMENT SOLUTIONS

EMDEON REVENUE CYCLE MANAGEMENT SOLUTIONS EMDEON REVENUE CYCLE MANAGEMENT SOLUTIONS Simplifying the Business of Healthcare Simplifying the Business of Healthcare One partner for integrated, end-to-end Revenue Cycle Solutions Managing the revenue

More information

The ROI of IT: Best Billing Practices

The ROI of IT: Best Billing Practices The ROI of IT: Best Billing Practices 1 R O S E M A R I E N E L S O N M G M A H E A L T H C A R E C O N S U L T I N G G R O U P The information and materials provided and referred to herein are not intended

More information

Trusted Partners for. Revenue Cycle Solutions

Trusted Partners for. Revenue Cycle Solutions Trusted Partners for Revenue Cycle Solutions for over 25 years! 44 Stelton Road Suite 315 Piscataway, NJ 08854 1.800.682.5749 732.752.7052 Fax: 732.424.0084 Revenue Cycle Management Outsourcing Ensuring

More information

REVENUE CYCLE MANAGEMENT : A DEEPER DIVE

REVENUE CYCLE MANAGEMENT : A DEEPER DIVE REVENUE CYCLE MANAGEMENT : A DEEPER DIVE 2016 TABLE OF CONTENTS Introduction The Participants Revenue Cycle Steering Committee Personnel Accounting Platform Service Outsourcing Performance Metrics Accounts

More information

Patient Resource Guide for Billing and Insurance Information

Patient Resource Guide for Billing and Insurance Information Patient Resource Guide for Billing and Insurance Information 17 Patient Account Payment Policies July 2012 Update Lexington Clinic Central Business Office Payment Policies Customer service...2 Check-in...2

More information

CHAPTER 6 REVENUE CYCLE MANAGEMENT

CHAPTER 6 REVENUE CYCLE MANAGEMENT LEARNING OBJECTIVES In this PowerPoint presentation, we will learn about: Revenue Cycle Management in Healthcare Stages in Revenue Cycle Management Healthcare Revenue Cycle Process Revenue Cycle Management

More information

NetPractice Practice Management System. Increase Profitability Improve Patient Care Improve Patient Satisfaction Easy to Use

NetPractice Practice Management System. Increase Profitability Improve Patient Care Improve Patient Satisfaction Easy to Use NetPractice Practice Management System Increase Profitability Improve Patient Care Improve Patient Satisfaction Easy to Use The Ultimate Practice Management Tool Tailored for Orthopaedics Stryker NetPractice

More information