Practice Management Services & Software
Medical Practice Management is About Getting You Paid for What You Do
Effective Medical Practice Management, means taking steps to assure that you get paid for what you do and that you get paid in a timely fashion. The cycle starts when the patient calls your office for an appointment and your staff captures the patient’s name, phone number, and the name of their insurance company. The cycle ends when the balance on their account is zero. Claim Resolutions is committed to furnishing you with world class revenue cycle and practice management solutions through the most innovative means possible.
Our Only Motivation is Saving You Time and Money
Saving you -time and money is our only motivation, and the primary way we get paid. With that in mind, Claim Resolutions has developed a host of unique processes as part of Practice Advantage™. These processes are focused on improving your revenue and efficiency, while eliminating areas of wasteful spending. We custom tailor our solutions for you, leaving nothing to chance.
Comprehensive Evaluation to Improve Efficiency and Reduce Loss
The best way for Claim Resolutions to benefit your practice, is to understand your practice. We conduct a comprehensive evaluation of your systems and processes related to accounts receivable, along with practice management, revenue cycle management, efficiency, technology, staffing, and your insurance reimbursement process. With this evaluation, we empower your staff with an efficient workflow for effective billing and practice management to improve efficiency and reduce loss.
We Keep On Top of Ever-changing Payer Requirements for You
Ever changing payer requirements have made claim submission a constantly evolving process. Having Claim Resolutions on your side can mean the difference between a healthy revenue cycle and declining profits. New Federal, State, and CMS regulations mandate steep fines for non-compliance. Failure to conform to recent changes in CMS Mandatory Reporting Requirements may result in fines of $1,000 per claim, per day.
Enhance your Practice Management with Automation
Practice revenue is enhanced with electronic claim submission and electronic remittance payment posting. The quickest way to a zero balance is to professionally administer those tasks that do not require your time.
Minimize Billing Errors and Inquiries
Claim Resolutions will minimize errors and greatly reduce the chances for claim rejections, resulting in better turnaround time and higher revenues for your practice. We can reduce your rejection rates to less than 1%, and can increase your practice revenue by as much as 492%.
We Stay on Top of the Coding for You
Medical coding is a constantly evolving process, and ICD-10 is only going to make that process even more complicated. Claim Resolutions stays on top of the constantly evolving insurance reimbursement process. Our daily coding analysis will ensure the use of the most up-to-date and valuable codes and modifiers
Let Us Deal with the Insurance Companies and Government Agencies
Claim Resolutions mediates all matters pertaining to insurance claims management and processing. We also interface with insurance companies and other government agencies on your behalf, including processing paperwork that will be submitted for processing.