Services

  • Comprehensive evaluation of systems/processes related to accounts receivable, practice management, revenue cycle management, efficiency, technology, staffing, and the insurance reimbursement process.
  • All data organized into reports detailing the true state of current A/R , practice manage-ment, and revenue cycle management. Review all info with PM and RCM experts with a focus on improvements to billing practic-es, software/hardware, staffing solutions, efficiency, cost reduction, and maximum insurance reimbursement.
  • Comprehensive recommendations for implementable strategies to improve reimbursement rates, reduce rejections, improve office efficiency, and eliminate waste-ful spending.
  • Complete evaluation on regulatory compliance.
  • 3 follow-up Q and A sessions to assist with implementation of recommendations.

 

  • Full Consulting Package: Evaluation, summary, detailed reporting, and recommendations.
  • Selection of best-fit systems and processes.
  • Implementation of detailed recommendations. Staff training and practice management software integration.
  • Appeals and collections of all past-due A/R
  • 3 Follow-up Q and A sessions

 

  • Evaluation, summary, detailed reporting and recommendations
  • Selection of best-fit systems and processes.
  • Full Revenue Cycle Management
  • Practice Management Software included
  • Scheduling, eligibility, claims processing, scrubbing, submission, denial defense
  • Relentless payer follow-up
  • Patient billing/soft collections
  • E-Prescribe and PQRI Reporting
  • Detailed A/R reporting and analysis

Advanced Scheduling— Timing is everything, and managing your office calendar with our efficient scheduling system allows your front office to quickly schedule, and verify appointments. The scheduling feature is integrated with our billing software, so once a patient is scheduled, we begin to create a bill. Our calendar appointment search feature will enable your staff to find the right day, time, and provider for those tough to schedule patients. Have a busy schedule or multiple locations? Our customized iPhone and Blackberry calendar views will ensure that your providers always know when they need to be at the office, and which patients they will be seeing. Scheduling your appointments will always be at your fingertips.

Real-time Electronic Eligibility Verification — Too much time on the phone with insurance companies? We all know that an insurance card is not proof of coverage, but why wait on hold for insurance representatives? With our real-time electronic eligibility verification, your staff will make 70% fewer phone calls. Insurance eligibility can be verified with detailed reports, available in seconds, at the click of a button. In fact, our system can automatically verify a patients eligibility prior to their appointment.

Claims Scrubbing / Processing / Denial Defense / Claim Follow-Up — The best type of claims processing is that which prevents denials by scrubbing and optimizing claims prior to submission. After your patient encounter is complete, each claim is scrubbed through a sophisticated database containing millions of edits designed to avoid payer rejections. Diagnosis and procedure codes are verified, placed in the appropriate order, and validated for medical necessity. With our help, your claims will be accepted for payment on the first pass. Any rejections and denials are dealt with immediately.

Patient Billing / Collections — Professionally manage all patient billing needs while maintaining the all important patient — provider relationship.

E-Prescribe— Beginning in 2009, Medicare offers physicians bonus incentives for use of a qualifying E-Prescribe (eRx) system. Our software allows providers to write and send prescriptions directly from patient charts. E-Prescribe incentives from CMS are calculated as 2% of the total estimated allowed charges for professional services covered by Medicare Part B and furnished by an eligible professional during the reporting period (one calendar year).

PQRI Reporting — The Physician Quality Reporting Initiative (PQRI) is a voluntary quality reporting program offering a 2% incentive of Medicare Part B FFS allowed charges each year. Our staff will assist you in meeting and reporting all required information for this valuable opportunity.

EHR (Electronic Health Records) — EHR simply put, is interoperable electronic medical records. Our high-end, touch based EHR system qualifies for current government initiatives, (physicians can earn $44,000 or $64,000 in cash Medicare or Medicaid bonuses through 2015 with EHR “meaningful use”).

Revenue Cycle Management — Through regular reporting and financial analysis, our staff will always have an eye on your bottom-line. With our help your practice will maximize revenue, improve efficiency, and eliminate areas of wasteful spending.

Contact us today to improve your bottom-line.  We look forward to exceeding your expectations!