Management Report Services. Staff Training and Education Services
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- Roy Carr
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1 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 is useful in the day to day decision making required to run a successful practice. We will produce only the reports required to make business decisions on a day to day, month to month, and year to year basis. We provide your employees with the training in the proper use of the information to make changes in your practice that positively affect the clinics bottom line. Your monthly management reports will include: Insurance Aging Reports Insurance Reimbursement Analysis Insurance Payor Mix Patient Aging Reports Income Reports Productivity Reports Utilization and Operational Reports Other Reports Based Upon Your Specific Request Staff Training and Education Services SourceTherapy Billing is the only service that allows you to bring your back office back in-house and walk away at any time with no disruption or loss of continuity of operations. The majority of our clients choose to use our services indefinitely rather than re-address the challenges of staffing and managing their own back office. However, many of our clients come to us to simply handle their billing while we properly train their staff and teach clinics to maximize reimbursements with inhouse billing. If you choose to bring your billing in-house, your current practice management system remains the same. Our team of experts will train your staff in the most efficient use of the software to maximize their legal and legitimate profits. Too often we hear of practices who invest a considerable sum of capital in a system that they only end up using a small percentage of because they don t fully understand the capabilities at hand. To the extent that your staff needs to be trained we will train them. To the extent that your staff needs to be educated we will educate them. Our program includes: Clinical Education Let s face it, therapist are not experts in CPT codes. We will focus on Correct Coding Initiatives. Our clinical consultants spend time with your staff in the education of proper coding, the proper application of the 8 minute rule, the proper use of 1 on 1 codes vs. Group codes, and other clinician-specific actions that have a material impact on reimbursement. Administrative Education Depending on the level of service being provided, our team of Administrative experts will train your administrative staff on the proper use of the scheduling program, patient intake procedure, proper charge review, and charge amendment. Front Office Staff We will train your front office staff on proper techniques for gathering patient information, insurance verification and patient financial consults. We will then help your staff implement these practices into your daily routine.
2 SourceMedical Hosting Services SourceMedical hosting service allows rehab clinics to enjoy the same benefits of large IT infrastructure, without having to make investments in the IT personnel and equipment necessary to support TherapySource applications. Acquiring and maintaining a secure, reliable IT environment requires valuable time and financial commitments that can drain a therapy clinic s resources. With changing technology, regulatory requirements, and today s economic and reimbursement challenges, keeping pace can be overwhelming. Outsourcing your information technology with our hosting services will remove these IT related concerns and allow staff to focus on their core competency patient care. Our hosted clients enjoy secure, affordable and reliable service at a fraction of the cost. Benefits include... Fixed monthly cost With our hosting service, you will avoid large initial cash outlays. Hosting provides consistent monthly fixed costs for expenses associated with server acquisition, installation, maintenance, and support. A Scalable Hosting Plan Room for growth and expansion without expensive upgrading or replacement of your in-house server Easy implementation and upgrades - Application updates automatically installed at a time that won t hinder your operations. You will remain ahead of changing requirements and technology upgrades while reducing server-related expenses. Reliability and greater peace of mind Continual server management and automated back-up and storage procedures protect patient data and ensure business continuity in the event of an unforeseen event such as a damaged hard drive Greater operational efficiencies Housed in a state-of-the-art facility with optimal configuration for best performance and access to industry best practices reduces downtime and productivity disruption
3 SourceTherapy Billing is a remote back office service that uses the software already installed in your clinic. Unlike other billing services, we specialize in therapy billing and, as super users of your software, we understand the back office operations required to maximize your profits. SourceTherapy Billing allows any size therapy clinic to take advantage of our industry-leading software combined with expert outsourced billing services, for one low price that you would expect to pay for billing services alone. You can easily migrate from inhouse billing to ours, or back if you want to, without the need to transfer financial or clinical information between systems. This gives your clinic immediate continuity of back office operations, and no disruptive changes to clinician workflow. SourceTherapy Billing allows you to maintain profitability and control when it comes to patient and practice management services. There is no other service available in the therapy industry that offers this much control over a therapy billing service. 95% rate of collections Patient Friendly Billing US Based excellent customer service for you, and patients Industry leading practice management software
4 With SourceTherapy Billing, you get services that include: Benefits Verification / Insurance Authorization Services Third Party and Patient Billing Services Electronic Claims Submission Services Electronic Funds Transfer Services Compliance & Quality Assurance (Clean Claim) Services Receivables Management (Account Follow up) Services Information Services (Managing Data Bases and Software Updates) Management Report Services Staff Training and Education Clinical Administrative US Based Support Center Our support center is based right here in the US and is integrated with the same professionals that perform your billing services. We have a caring staff that will provide you, and your patients, with excellent customer service. Need a short-term billing service? We ll do it! With SourceTherapy Billing, you can easily migrate from in-house billing, and back when you want to, without the need to transfer financial or clinical information between systems. We provide ala carte services and let you add or take away services when circumstances dictate. We ll even train your in-house staff in advance of each service change! Patient Billing We insist on patient friendly billing. By adopting the standards developed by HFMA (Healthcare Financial Management Association), we provide patients with statements that are clear, concise and correct. Past due patient balances are routed to our Extended Business Office where patients receive a series of past due or pre collection letters. In addition, telephone calls may be made in an effort to resolve the account balance. If all efforts fail, we may recommend some accounts be placed for Bad Debt Collection. You decide if and when to start this activity. If you choose to turn the account over, we handle the details. Through our partnership with Hollis Cobb and Associates in Atlanta, GA, or an agency of your choosing, accounts can be automatically forwarded to collections after regular billing and pre-collection efforts have failed.
5 Our Full-Service Therapy Insurance Billing Service Includes: Primary Claims Daily electronic and hard copy claims submission to Medicare, Medicaid, Workers Compensation and all commercial carriers. Immediately notify your facility if claims are unable to be submitted due to missing or inaccurate information. Follow up with clearing house to insure all claims have been accepted. Secondary & Tertiary Claims These are submitted the same day payment or denial is received from the Primary payor. Respond to request for additional information such as request for scripts, progress notes or letters of medical necessity. Therapy Electronic Medical Billing Many carriers including Medicare require electronic claims submission. Through a strategic partnership with ZirMed (our preferred clearing house), electronic claims can be accomplished at a much lower rate than what you alone would pay a clearing house or electronic vendor. In addition to the standard medical CCI Edits and Medicare LCD edits, we have exclusive customized edit routines that are specific to the therapy discipline. With your enrollment, we have the capabilities to download ERA s and post payments in a more time efficient manner than standard paper remittances. Electronic remittance files from hundreds of payers nationwide are available to us. We can electronically apply payments through mapping with Rehab ToolKit billing module and eliminate manual payment posting. Therapy Billing and Coding Compliance (Clean Claim) Services We have highly qualified Certified Coders and Systems Administrators who maintain current and accurate procedures ensuring compliance to all applicable laws, rules, and regulations governing Healthcare, Coding, and Third Party Billing. We follow AMA guidelines and use only approved manuals such as ICD9, CPT, and HCPCS manuals and stay up-to-date with regulations. We are committed to HIPAA and Red Flag compliant confidentiality and handling of Protected Health Information. Our procedures are secure against reasonably anticipated threats or hazards, and against uses or disclosures that are not permitted.
6 Receivables Management Insurance Follow Up Follow up on outstanding insurance claims based on payor specific collection philosophies. First, follow up with the carrier is done occurs within 21 days of original claim submission. All claim follow up is done by telephone contact and our account Follow-Up Specialists keep track of carrier specific requirements to reduce claims rejections. We carefully track and document the status all of unpaid claims so you can maintain accurate status at all times. Patient Billing Statements are sent to self-pay patients and to all patients with outstanding account balances greater than $3.99. We bill and track arrangements accounts on a monthly basis. You decide if, and when to start Bad Debt Collection activity and we will handle the rest. Payment Posting We encourage our clients to utilize Electronic Funds transfer when available and we take care of downloading electronic remittances from the clearinghouse or obtaining EOBs directly from your financial institution. We perform line item posting of insurance payments to claims and patient payments are posted directly to accounts receivable. Uncontrollable due to pre-established reimbursement rate Payor specific coding [limits, combinations, modifiers] Missing information on claim Charge entry error Placement of data on claim Attachments required No authorization Untimely filing Actual Net Revenue Without SourceTherapy Billing Gross Revenue Controllable are the majority of defect drivers - Leverage SourceTherapy Billing to realize additional revenues Expected Net Revenue You can realize 95% of your expected net revenue with SourceTherapy Billing Services
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