Management Report Services. Staff Training and Education Services

Size: px
Start display at page:

Download "Management Report Services. Staff Training and Education Services"

Transcription

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

How To Use Therapysource

How To Use Therapysource TherapySource is a complete clinical and administrative physical therapy software solution. It is a comprehensive therapy practice management software with the most advanced clinical documentation knowledge

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

6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series

6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series 6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the

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

Revenue Cycle Objectives Challenges Management Goals and Expected Benefits Sample Metrics Opportunities Summary Solution Steps

Revenue Cycle Objectives Challenges Management Goals and Expected Benefits Sample Metrics Opportunities Summary Solution Steps Common Findings Revealed: Revenue Cycle Review John Bartell, RN, BSN, Partner Tina Nazier, MBA, Director Wipfli LLP Topics for Discussion Revenue Cycle Objectives Challenges Management Goals and Expected

More information

6 Critical Impact Factors of Health Reform on Revenue Cycle Management

6 Critical Impact Factors of Health Reform on Revenue Cycle Management 6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the

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

6 Critical Impact Factors of Health Reform on Revenue Cycle Management

6 Critical Impact Factors of Health Reform on Revenue Cycle Management 6 Critical Impact Factors of Health Reform on Revenue Cycle Management Pyramid Healthcare Solutions Thought Leadership Series The healthcare industry is undergoing significant change in the face of the

More information

Revenue Cycle Management Optimized

Revenue Cycle Management Optimized rreturnsttopbooth2014final.indd 1 6/13/2014 9:32:34 AM Revenue Cycle Management Optimized Powerful technology combined with expert knowledge and resources Innovative Revenue Cycle Management brought to

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

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

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

MAXIMIZING COLLECTIONS

MAXIMIZING COLLECTIONS MAXIMIZING COLLECTIONS Janice Rutter, Director, Support Services, Merge Healthcare Jon Neal, Ph.D., Vice President, InstaMed Mark Snow, Vice President, RevSpring (formerly PSC Info Group) Tracy Sanders,

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

Cli I l P ti Clinical Practice Management & You

Cli I l P ti Clinical Practice Management & You Cli i l P ti Clinical Practice Management & You Have You Been Asking Yourself Do I know my collection results month to month? Have we been reimbursed properly? Is our office current on coding changes,

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

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

BILLING HEADACHES? STAFF OVERLOAD! DENIALS LOST REVENUE

BILLING HEADACHES? STAFF OVERLOAD! DENIALS LOST REVENUE BILLING HEADACHES? STAFF OVERLOAD! DENIALS LOST REVENUE END BILLING HEADACHES! - NBI WILL INCREASE YOUR REVENUE. - NBI WILL DECREASE BILLING COSTS. - NBI WILL REDUCE DENIALS. - NBI WILL PROVIDE 100%OFFICE

More information

Revenue Cycle Management

Revenue Cycle Management Revenue Cycle Management Manage and Improve Your Results with Origin RCM Financial pressures are escalating for both healthcare providers and patients. In this challenging climate, a wellmanaged revenue

More information

Optimizing Business Office Operations. Presented By D. Paul Davis, CPA, CMA

Optimizing Business Office Operations. Presented By D. Paul Davis, CPA, CMA Optimizing Business Office Operations Presented By D. Paul Davis, CPA, CMA ASC Challenges Declining reimbursement Increasing costs Increased competition More government regulations Changing technology

More information

Making the right choice: Evaluating outsourced revenue cycle services vendors

Making the right choice: Evaluating outsourced revenue cycle services vendors Making the right choice: Evaluating outsourced revenue cycle services vendors Page 1 Managing resources at today s hospitals and health systems is an ongoing challenge, considering the numerous clinical

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

PREPARING FOR ICD-10 IDENTIFYING THE STEPS TO BE TAKEN AND THE TIMELINE MAY 2014

PREPARING FOR ICD-10 IDENTIFYING THE STEPS TO BE TAKEN AND THE TIMELINE MAY 2014 PREPARING FOR ICD-10 IDENTIFYING THE STEPS TO BE TAKEN AND THE TIMELINE MAY 2014 Diane Taylor, BSN, RN Selman-Holman & Associates LLC, Senior Associate Selman-Holman & Associates, LLC Diane Taylor, BSN,

More information

Provider Revenue Cycle Management (RCM) and Proposed Solutions

Provider Revenue Cycle Management (RCM) and Proposed Solutions Provider Revenue Cycle Management (RCM) and Proposed Solutions By: Ranjana Maitra General Manager, Manufacturing & Healthcare Vertical Executive Summary It takes more than world-class service to be competitive

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 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

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

REIMBURSEMENT CODING SERIES

REIMBURSEMENT CODING SERIES REIMBURSEMENT CODING SERIES Occ. Work Prob. Effective Last Code No. Class Title Area Area Period Date Action 4839 Reimbursement Coder 02 445 6 mo. 00/00/00 Rev. 4840 Reimbursement Coding Specialist 02

More information

Key Findings: Timing, Readiness and Challenges

Key Findings: Timing, Readiness and Challenges Survey Background In August 2015, Navicure commissioned Porter Research to conduct a national survey of healthcare organizations to gauge their preparedness for the ICD-10 transition. This was a follow

More information

Revenue Cycle Management Best Practices. Presenter: Rich Flaherty, VP of Sales

Revenue Cycle Management Best Practices. Presenter: Rich Flaherty, VP of Sales Revenue Cycle Management Best Practices Presenter: Rich Flaherty, VP of Sales RCM Best Practices Overview Patient engagement Front office processing Managing your provider s credentialing and enrollment

More information

REVENUE CYCLE MANAGEMENT WHAT YOU MUST DO NOW TO SUCCEED!

REVENUE CYCLE MANAGEMENT WHAT YOU MUST DO NOW TO SUCCEED! REVENUE CYCLE MANAGEMENT WHAT YOU MUST DO NOW TO SUCCEED! AN eguide Overview The on-going financial success of home health agencies depends on their ability to effectively manage their revenue. While this

More information

December 2011 PRACTICE CHECK-UP. XYZ Anesthesia Group. AdvantEDGE Healthcare Solutions www.ahsrcm.com info@ahsrcm.

December 2011 PRACTICE CHECK-UP. XYZ Anesthesia Group. AdvantEDGE Healthcare Solutions www.ahsrcm.com info@ahsrcm. December 2011 PRACTICE CHECK-UP XYZ Anesthesia Group AdvantEDGE Healthcare Solutions www.ahsrcm.com info@ahsrcm.com (908)-279-8120 AdvantEdge Healthcare Solutions Anesthesia Practice Check-Up I. Introduction:

More information

5 KPIs That Require Revenue Cycle Managers' Attention. Devendra Saharia FEATURE STORY. healthcare financial management association www.hfma.

5 KPIs That Require Revenue Cycle Managers' Attention. Devendra Saharia FEATURE STORY. healthcare financial management association www.hfma. SEPTEMBER 2014 healthcare financial management association www.hfma.org FEATURE STORY 5 KPIs That Require Revenue Cycle Managers' Attention Devendra Saharia Devendra Saharia REPRINT September 2014 healthcare

More information

ActivHealthCare EDI User Guide

ActivHealthCare EDI User Guide ActivHealthCare EDI User Guide Table of Contents Page Enrollment 2 Preparing Your Management Software 3 Claims Submission for AHC Network Affiliates 4 Online Entry Tool 7 Claims Follow-Up 8 Frequently

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

Whitepaper. ICANotes Users: The Case for Fully Integrated, Outsourced Billing

Whitepaper. ICANotes Users: The Case for Fully Integrated, Outsourced Billing Whitepaper ICANotes Users: The Case for Fully Integrated, Outsourced Billing 1. Executive Summary It s no secret that mental health professionals are working harder than ever before, only to see a reduction

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

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

Understanding Revenue Cycle Strategy How to Optimize Process and Performance

Understanding Revenue Cycle Strategy How to Optimize Process and Performance Understanding Revenue Cycle Strategy How to Optimize Process and Performance White Paper 1.800.4BEACON BeaconPartners.com BOSTON CLEVELAND SAN FRANCISCO TORONTO The revenue cycle can no longer be seen

More information

Improved Revenue Cycle Management. Cathrina Caldwell, CPC, CPC-H Director, Sales Product Consulting

Improved Revenue Cycle Management. Cathrina Caldwell, CPC, CPC-H Director, Sales Product Consulting Improved Revenue Cycle Management Cathrina Caldwell, CPC, CPC-H Director, Sales Product Consulting Optum Businesses (Formerly Known as Ingenix) One of the largest health information, technology and consulting

More information

Electronic data interchange and proactive services for Centricity revenue cycle management customers

Electronic data interchange and proactive services for Centricity revenue cycle management customers GE Healthcare Electronic data interchange and proactive services for Centricity revenue cycle management customers Accelerate revenue perf Key features Tight alignment with payers ensures mandates, updates

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

REIMBURSEMENT CODING SERIES

REIMBURSEMENT CODING SERIES REIMBURSEMENT CODING SERIES Occ. Work Prob. Effective Last Code No. Class Title Area Area Period Date Action 4839 Reimbursement Coding Representative 02 445 6 mo. 11/15/15 Rev. 4840 Reimbursement Coding

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

Avoiding the Claims Denial Black Hole: Strategies to Accelerate and Maximize Claims Payments

Avoiding the Claims Denial Black Hole: Strategies to Accelerate and Maximize Claims Payments Avoiding the Claims Denial Black Hole: Strategies to Accelerate and Maximize Claims Payments January 30, 2013 Carmen Elliott, MS American Physical Therapy Association Senior Director, Payment & Practice

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

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

AR MANAGEMENT FOR THE LTC PROFESSIONAL

AR MANAGEMENT FOR THE LTC PROFESSIONAL 1 AR MANAGEMENT FOR THE LTC PROFESSIONAL LEADINGAGE MICHIGAN 2015 LEADERSHIP INSTITUTE Carolyn Lookabill Notice of Disclosure 2 Richter Healthcare Consultants has produced this material as an informational

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

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

Elements for Successful Immunization Billing Practice

Elements for Successful Immunization Billing Practice Elements for Successful Immunization Billing Practice at New York State s Local Health Departments June 2012 New York State Department of Health Bureau of Immunization and Office of Public Health Practice

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

Top 5 Things You Must Know

Top 5 Things You Must Know THE Top 5 Things You Must Know ABOUT Increasing Your Medical Practice Revenue Presented by Introduction In terms of complexity, NASA S space program might be able to compete with medical practice revenue

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

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

Electronic data interchange and proactive services for customers using revenue cycle management solutions from the Centricity portfolio

Electronic data interchange and proactive services for customers using revenue cycle management solutions from the Centricity portfolio GE Healthcare Electronic data interchange and proactive services for customers using revenue cycle management solutions from the Centricity portfolio imagination at work Accelerate revenue cycle performance

More information

POST ACA REVENUE CYCLE TRANSFORMATION

POST ACA REVENUE CYCLE TRANSFORMATION POST ACA REVENUE CYCLE TRANSFORMATION Agenda Intro Revenue cycle features ACA impact areas What did we expect? UDS and PMG data analytics Top to-do items Summary WWW.GOPMG.COM ICD 10 Update* Encounters

More information

By Tina Eller, vice President of Revenue Cycle Management, sutherland healthcare solutions. The Challenges for Providers Today

By Tina Eller, vice President of Revenue Cycle Management, sutherland healthcare solutions. The Challenges for Providers Today Point of View Point Of View: The Relationship Between Automation and Bottom Line Results Applying Lessons Learned in Other Industries to Healthcare Providers Bottom Line By Tina Eller, vice President of

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

Exhausting Other Health Insurance Sources Before Submitting Nursing Home Claims to ForwardHealth

Exhausting Other Health Insurance Sources Before Submitting Nursing Home Claims to ForwardHealth Exhausting Other Health Insurance Sources Before Submitting Nursing Home Claims to ForwardHealth Rose Klaben Third Party Liability Information Systems Business Automation Specialist August 24, 2015 DHS

More information

Days in Accounts Receivable Days in Accounts Receivable Greater Than 120 Days Adjusted Collection Rate Denial Rate Average Reimbursement Rate

Days in Accounts Receivable Days in Accounts Receivable Greater Than 120 Days Adjusted Collection Rate Denial Rate Average Reimbursement Rate 1 Many providers are under the impression they can assess the financial health of their practice by evaluating cash flow only. However, cash flow is just one factor. You don't have to be a finance expert

More information

HFMA MAP Keys Patient Access Measure:

HFMA MAP Keys Patient Access Measure: HFMA MAP Keys Patient Access Pre-Registration Rate Trending indicator that patient access processes are timely, accurate, and efficient Indicates revenue cycle efficiency and effectiveness N: number of

More information

Solicitation Information November 7, 2012 ADDENDUM # 1 RFP#7458185. Bid Opening Date & Time: 11/15/2012 @ 10:00 AM (Eastern Time)

Solicitation Information November 7, 2012 ADDENDUM # 1 RFP#7458185. Bid Opening Date & Time: 11/15/2012 @ 10:00 AM (Eastern Time) State of Rhode Island Department of Administration / Division of Purchases One Capitol Hill, Providence, Rhode Island 02908-5855 Tel: (401) 574-8100 Fax: (401) 574-8387 Solicitation Information November

More information

Top Ten Questions. Time and Energy. Robin Bradbury 800-355-0410 robin@ereso.com

Top Ten Questions. Time and Energy. Robin Bradbury 800-355-0410 robin@ereso.com Robin Bradbury 800-355-0410 robin@ereso.com Top Ten Questions 1. What are the key measures for the Revenue Cycle? 2. How do you document and share this information with the Revenue Cycle staff? 3. What

More information

The Economics of Outsourcing Billing, Collections, and Contracting. Tom Chirillo President & CEO HealthCare Business Solutions

The Economics of Outsourcing Billing, Collections, and Contracting. Tom Chirillo President & CEO HealthCare Business Solutions The Economics of Outsourcing Billing, Collections, and Contracting Tom Chirillo President & CEO HealthCare Business Solutions Goals of Today s Presentation Establish how important Billing, Collections,

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

AHIN. ahinservices.com WEB. info@ahinservices.com E-MAIL

AHIN. ahinservices.com WEB. info@ahinservices.com E-MAIL AHIN Advanced Health Information Network (AHIN) offers real-time functionality for health care professionals, delivering current patient information while helping providers improve business function efficiency.

More information

ENJOYS INTEGRATED EMR AND BILLING SERVICES WITH DOCUTAP RCS

ENJOYS INTEGRATED EMR AND BILLING SERVICES WITH DOCUTAP RCS Home A DocuTAP Case Study GetMed Urgent Care ENJOYS INTEGRATED EMR AND BILLING SERVICES WITH DOCUTAP RCS Urgent Care CASE Clinic STUDY: Profile GetMed Urgent Care Clinic Profile CLINIC: GetMed Urgent Care

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

Medical Billing Business Frequently Asked Questions

Medical Billing Business Frequently Asked Questions Medical Billing Business Frequently Asked Questions As many of you know, I have been in the Medical Billing Industry for 23 years. I have assisted many people in beginning their Medical Billing Businesses.

More information

Connections Therapy Management

Connections Therapy Management Connections Therapy Management AccuMed s Connections Therapy Management software seamlessly integrates clinical, financial and administrative data through a web-based solution that delivers the information

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

Our Journey to the MAP Award. Thursday, March 19, 2015

Our Journey to the MAP Award. Thursday, March 19, 2015 Our Journey to the MAP Award Thursday, March 19, 2015 Mission As a Catholic Healthcare Ministry, we provide comprehensive and compassionate care that improves the health of the people we serve. Snapshot

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

Winning the EHR Replacement Game: Success Strategies for Better Satisfaction

Winning the EHR Replacement Game: Success Strategies for Better Satisfaction Winning the EHR Replacement Game: Success Strategies for Better Satisfaction mdsuite.com 1 Contents 03 Introduction 04 Do I really need to replace my current EHR? 06 How do I start the search for a replacement?

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

Revenue Cycle Management Rod Garrison

Revenue Cycle Management Rod Garrison Revenue Cycle Management Rod Garrison MGMA Certified Representative Agenda Challenges medical practices are facing How to communicate with your patients Effectively collecting patient payments Eliminating

More information

Investing in an EMR for Your Clinic. Selecting the right system starts with asking the right questions. By MIKE CICERO, PT and DAVID MCMULLAN, PT

Investing in an EMR for Your Clinic. Selecting the right system starts with asking the right questions. By MIKE CICERO, PT and DAVID MCMULLAN, PT Investing in an EMR Selecting the right system starts with asking the right questions By MIKE CICERO, PT and DAVID MCMULLAN, PT INTRODUCTION Running a physical therapy center is not getting any easier,

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

GE Healthcare. Electronic data interchange and proactive services for Centricity revenue cycle management customers

GE Healthcare. Electronic data interchange and proactive services for Centricity revenue cycle management customers GE Healthcare Electronic data interchange and proactive services for Centricity revenue cycle management customers Accelerate revenue perf Key features updates and other payer-specific adjustments are

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

Revenue Cycle Manager/Billing (RCM) Location: Escondido, Ca

Revenue Cycle Manager/Billing (RCM) Location: Escondido, Ca Are you ready to grow along with CHMB? Revenue Cycle Manager/Billing (RCM) Location: Escondido, Ca We have an exciting and immediate opening for an experienced Revenue Cycle Manager/Billing (RCM) in our

More information

InSync: Integrated EMR and Practice Management System

InSync: Integrated EMR and Practice Management System InSync: Integrated EMR and Practice Management System From MD On-Line InSync Version 5.4 End-to-End Medical Office Software Suite It took me a long time to feel comfortable with purchasing an EMR system.

More information

Inseparable: Strategies for Integrating EHR & Revenue Cycle for Financial Success Carmen Sessoms, FHFMA

Inseparable: Strategies for Integrating EHR & Revenue Cycle for Financial Success Carmen Sessoms, FHFMA Inseparable: Strategies for Integrating EHR & Revenue Cycle for Financial Success Carmen Sessoms, FHFMA AVP of Product Management EHR + RCM = Inseparable For patients, the clinical and financial experiences

More information

Moving Network Management from OnSite to SaaS. Key Challenges and How NMSaaS Helps Solve Them

Moving Network Management from OnSite to SaaS. Key Challenges and How NMSaaS Helps Solve Them Moving Network Management from OnSite to SaaS Key Challenges and How NMSaaS Helps Solve Them Executive Summary In areas such as sales force automation and customer relationship management, cloud-based

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

Transformational Data-Driven Solutions for Healthcare

Transformational Data-Driven Solutions for Healthcare Transformational Data-Driven Solutions for Healthcare Transformational Data-Driven Solutions for Healthcare Today s healthcare providers face increasing pressure to improve operational performance while

More information

The Financial Case for EHR/RCM Integration. White Paper. The Power of Clinically Driven Revenue Cycle Management. Presented by

The Financial Case for EHR/RCM Integration. White Paper. The Power of Clinically Driven Revenue Cycle Management. Presented by The Financial Case for EHR/RCM Integration The Power of Clinically Driven Revenue Cycle Management White Paper Presented by The Financial Case for EHR/RCM Integration The Power of Clinically Driven Revenue

More information

Profit Plus Infotech Solutions FZC Synergy Through Partnerships

Profit Plus Infotech Solutions FZC Synergy Through Partnerships Profit Plus Infotech Solutions FZC Synergy Through Partnerships Let us optimize your profit.. while you focus on your practice Medical Billing & E-Claim Processing Medical Coding Electronic Health Records

More information

How to select a practice management system

How to select a practice management system How to select a practice management system New challenges and opportunities are impacting your practice today The physician practice environment is changing dramatically. The transition to ICD-10-CM and

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

How To Improve Your Revenue From A Medical Billing Service

How To Improve Your Revenue From A Medical Billing Service WHY OUTSOURCE YOUR MEDICAL BILLING? What Are There Real & Tangible Benefits? Why outsourcing your medical billing can bring you peace of mind and increased prosperity? A sk any healthcare provider practicing

More information

Medical Reimbursements of America. Get Paid MORE for Accident Claims.

Medical Reimbursements of America. Get Paid MORE for Accident Claims. Medical Reimbursements of America Get Paid MORE for Accident Claims. 1 Now, there s a better way to manage Accident Claims. Accident Claims Management 2 3 Reimbursement Pressure is Accelerating. The Pain

More information

Molina Healthcare Post ICD 10 FAQ

Molina Healthcare Post ICD 10 FAQ Molina Healthcare Post ICD 10 FAQ On March 31, 2014, the Senate voted to approve a bill to delay the implementation of ICD-10-CM/ PCS by at least one year. President Obama signed the bill into law on April

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

Information Technology Services

Information Technology Services Information Technology Services 2011 Services Guide 77 Accord Park Drive, Suite A10 Norwell, MA 02061 (781) 871-3662 A proactive, preventative approach to IT management. System downtime, viruses, spyware,

More information

NDoc Software Solutions Overview

NDoc Software Solutions Overview NDoc Software Solutions Overview Today, home healthcare and hospice agencies are encountering increasingly more complex business challenges. To meet these challenges, you need to automate your business

More information

Compensation and Claims Processing

Compensation and Claims Processing Compensation and Claims Processing Compensation The network rate for eligible outpatient visits is reimbursed to you at the lesser of (1) your customary charge, less any applicable co-payments, coinsurance

More information

Insurance Authorization Process Inefficiencies & Opportunities

Insurance Authorization Process Inefficiencies & Opportunities Insurance Authorization Process Inefficiencies & Opportunities INTRODUCTION Medical practices, hospitals, and health systems are losing substantial money and business to inefficient and costly insurance

More information

practice management advisor

practice management advisor practice management advisor Spring 2014 Use templates to monitor financial performance 8 steps to implementing ICD-10 in your practice Group medical visits... still a viable option Placing a value on your

More information