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Simple Concrete Measurable |
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Ultimate Healthcare Billing Services |
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Ultimate Healthcare Billing Services
Knowledge, Information and Data Management
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Enhanced Revenue is our Primary Deliverable MORE: Give yourself a raise in two ways by using our premium billing services. Not only will you save money using our very reasonably priced services (we are a very knowledgable and efficient group and we pass that savings on to you...) but we will also spot opportunities to generate more revenue for you. We start with a careful and ongoing analysis of where you might be leaving money on the table for services you already provide. Then, if you are interested we look out beyond your current practice to determine ways to increase your revenue through pursuit of opportunities in your community and beyond. FASTER: We are FAST. We leverage technology in ways that most billing services simply do not have the knowledge, skills and resources to put in place. We are also constantly analyzing and looking for ways to increase the speed and efficiency in which information gets from your practice to our billing service and from us to the third party payers and patients and back again. There is no one right answer for this and we analyze each practice individually for opportunities to increase the speed in which you receive your money in the bank for the services you provide. SAFER: Our knowledge is not limited to some outdated way of thinking about billing and how it relates to third party payer and government audits, regulations, refund requirements and all the rest of the load that comes with healthcare third party revenue payments. We keep up on the regulations and political/audit environment to keep you on the right side of the legal line while minimizing how much you leave on the table due to lack of knowledge of how to properly and legally pursue various sources of revenue. We even have a great deal of grant knowledge and the ability to pursue those if your practice is interested in seeing what is out there in that potential revenue stream. All of these areas are covered in our analysis of both our own performance and in the information flow and opportunity pursuit of your practice. If you are tired of hearing your billing service or billing staff tell you, "That is not our responsibility." or anything like that then we are the service for you. If it falls into the realm of enhancing the revenue of your practice then we consider it to be in the scope of what we are doing for you. If you or your staff need to change anything to take advantage of an opportunity we will write up a full step by step action plan and potential revenue enhancement value and then you can decide whether or not to allocate the resources to pursue the opportunity. If you do decide to pursue it, we will manage the project to get everything in place and moving forward, including the baseline and ongoing information you need to assess whether or not your expectations were met. Times are hard and you need to make sure you are getting every dollar that costs less than a dollar between the cost of the service you initially provided and the costs of getting that dollar into your bank account. We are very good at analyzing whether or not an opportunity is worth the pursuit. If you are willing to provide the information, we analyze how much it costs you to provide services, how much you are charging, how much you are actually receiving from various payment sources and other factors. This analysis helps us recommend and implement (if you choose) modifications to various parts of your practice, our processes and even to work with your professional organizations and the regulatory bodies of your state and the federal government to help change reimbursement rules and regulations where they are not making any sense according to the stated goals of those bodies...and we provide the ammunition for those efforts from real data from the services and costs you have in providing your services. You may also, knowlingly or not, be losing a lot of money to "discounts" applied to your charges by various layers of adjusters between you and your payer (mostly hidden in PPO and HMO language). These contracts can usually be renegotiated to provide you with a better reimbursement rate. We handle the research and renegotiation of these contracts as part of our service to you and we guide that process (which is ongoing) by which payers and plans are resulting in the largest discounts from what should be getting paid to you. We are always analyzing to place the energy of both ourselves and your staff where it will provide the best enhancements to your revenue. We challenge you to find another billing service that goes to this extent to enhance your revenue, at least without charging you a huge additional hourly rate to do this work. Again, our level of knowledge, efficiency, experience and leveraging of technology is far beyond what you are used to in a billing service and we pass the savings and higher level of service available because of our methods and processes on to you. |
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What Do You Receive - Specifically? 1) Charge Entry from your Superbills or Data Extraction from your Electronic Health Record if you have one to accomodate billing. 2) Electronically sending claims to third party payers. Payers that require paper or fax claims, payers that require paper or fax follow up information to third party payers and patient statements carry a $0.50 charge per page. 3) Payment and Adjustment entry from third party payers, payments at your front desk and payments from patient statements. 4) Sending bad debt information to collection agencies, if you use them. We do follow up in normal ways with your patients to attempt to obtain payment but do not take it to the level of aggressive collections and impacting patient credit bureau reports. You need to use a properly certified and reputable collection agency that is fully aware of what they can and cannot do to take collections to that level if you want to go there with your bad accounts. 5) Any report, data extraction or analysis you want, whenever you want it, that can be generated from your billing data (and your general ledger data if you are willing to share that information with us for cost related analysis). We also have a great deal of national and regional information available to us if you want us to do any comparative analytical work for you. 6) Random medical record audits to help you remain in compliance with the requirements of your third party payers and state and federal regulations. 7) Work with you and the auditors during audits to relieve you of the time and supply the auditors with what they want to look at in an organized, complete and accurate manner. Also, help you respond to the audit letter that comes after the process to develop plans of correction, appeal refunds and other audit related tasks to bring you into alignment with their requirements or appeal the requirements where they are not rational. 8) Identification of both internal and external revenue enhancement opportunities, creation of step by step implementation plans and analysis of potential revenue enhancement value. 9) Project management of revenue enhancement opportunities that are identified, analyzed and for which you have made the implementation decision based on good, accurate and complete information. 10) Negotiation and renegotiation of the various discount contracts (PPOs, HMOs, etc.) you have in place, or want to put in place. 11) Grant identification, writing and reporting if you want to see what is available to you in the public and private grant funding sectors. 12) We are also open to helping with pretty much any revenue enhancing initiative you want to pursue if it is within what we are qualified to do (we certainly cannot help you pioneer a new medical technique...though we are qualified to help you get it considered for payment by third party payers). Are there other services you are interested in that we have not listed here? We are open to discussing anything that would deliver real value to your practice or your patients and we have expertise in many areas that are not directly linked to billing. Our goal, if we decide to deliver something, is to come up with a way to make the cost fixed and predictable and to make its value to YOU far beyond the cost. |
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What is the cost? Third party expenses are paid directly by you if they are needed to execute any of the services we offer and are in addition to the fees listed below. The most common of these are travel and housing expenses if you are more than a couple of hours drive from us and want us to come on site to do work. Usually this occurs if you want us to conduct an extensive 100% audit of your records or want us to be on site with you for some form of third party official audit. Other potential third party expense situations exist but are rare. We will always inform you if something you want would incur external expenses in order to be successful. We never mark up these other expenses, not even one penny. We are not in the habit of charging you extra for work that we did not even perform or own the rights to.
Paper Claims, Faxed or Mailed Medical Documents to Payers and Patient Statements
Questions? Want to get started now? Call: Phoenix, AZ: 1-602-774-1558
Anchorage, AK: 1-907-952-7529 |
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Entire Site Copyright 2009: Healthcare Revenue Enhancement (dba Endure International) - DavidHerman@HealthcareRevenueEnhancement.com |
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Healthcare Revenue Enhancement |
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