Telehealth


Code & Cost Analysis

Let's face it! Timely reimbursements are impacted by two main components: proper coding and accurate claims processing. When incorrect codes are used, your claims are rejected which delays payment and ultimately impacts your bottom line - Cash Flow.

We can provide you with free analysis of your medical or dental procedure codes. Simply provide us with your listing of all of your medical or dental codes (CPT, HCPCS, or CDT). We will provide you with a professional code review report that details the status on each procedure code. This report also includes a vital financial summary showing any adverse effects on your cash flow, such as potential income loss, as a result of using incorrect codes.

There is more! We can also provide you with a free billing cost analysis report that compares the precise cost of your in-house billing operation to the national average. This can help you determine where in your practice you may cut expenses and if outsourcing your billing makes financial sense.

The concept of this service is based on the various direct and indirect costs incurred in processing medical claims in-house, such as:

  • Labor Costs including benefits
  • Postage, Claim Forms, and Envelope Costs
  • Error Processing
  • Administrative and Billing Costs
  • Rental Overhead
  • Time Value of Money
  • Systems Upgrades & Maintenance

Creative Collection Solutions

In most practices a small percentage of claims do not get resolved and can be difficult to conclude

You typically file tracers and make phone calls to the insurance companies but, unfortunately receive marginal response. This small percentage of claims may remain uncollected for months! Since you are not setup as a collection agency to deal with these unpaid accounts, you're often faced with two difficult choices. Write off the unpaid accounts or refer them to a hard-core collection agency. In which case your practice loses 35 to 50 percent of the value of the claim. Additionally, your practice will most likely lose the patient as a client. Harsh collection measures usually result in the loss of patient goodwill.

In summary, what we wish to provide you is an ability to close the book on every insurance claim by utilizing this service only on those specific claims requiring this type of additional effort. We will provide this at a fee which frankly is not possible for your practice or your staff to approach, not even considering the impact and effectiveness of our national collection program.

  • RECOVER MONEY FASTER:
    Unlike other collection agencies, past-due accounts are instructed to pay you directly. You collect from both patients and insurance companies.
  • SAVE ON INTERNAL & COLLECTION COSTS:
    Reduce internal costs by as much as 30% and your collection costs by as much as 50% by using our collection system.
  • RETAIN CONTROL, PATIENT LOYALTY & GOODWILL:
    You decide when to start collection activity, when to stop, and how you want each account handled; diplomatically or intensively.

Electronic Fund Transfer (EFT)

The waiting room is overflowing with patients, but so is your overdue receivables. More than 30 percent of Americans don't have health insurance. Those that do still often pay 20 percent. Many doctors don't collect 50 percent of the monies owed them. Indeed, one doctor said 69 percent of his receivables were more than 90 days past due. Many doctors often carry tens of thousands of dollars on their books, knowing there's a good chance they'll never see this money.

WE CAN HELP!

EFT allows for electronic transfer of funds from your patient's bank account directly into your account! This electronic transfer process is also known by the following names: Funds Sweep, Direct Debit, Direct Credit, and Direct Deposit, Automatic Checking, Automatic Payment, ACH Processing, etc.

  • EFT MEANS ON TIME PAYMENT
    No waiting for patients to write a check. The patient's account is debited on the due date. Funds are then deposited directly into the clinic's bank account. No more "check is in the mail" excuses.
  • EFT MEANS LESS PAPERWORK
    EFT reduces the need to stuff envelopes and mail invoices. EFT also means no opening of envelopes and running to the bank to make deposits.
  • EFT PROVIDES NSF CONTROL
    Returned items are immediately identified and resubmitted electronically.
  • EFT IS SAFE
    Payments can be made on specified dates and for specified amounts and are electronically tracked.
  • EFT IS AUTOMATIC & CONVENIENT
    Once information is setup in the software, collection of funds becomes automated. Our processing center does all the work and deposits the collected funds automatically into your bank account.

Remote Backup And Sign (RBS)

Our Remote Backup System works like regular data backup software, with one important difference: Instead of sending backups to a tape drive or other media attached to the computer, it sends the backup over the Internet, regular telephone lines, or other network connections to a secure backup server offsite. It does this at night while computers are not being used. Backups can also be done on-demand, any time.

Most businesses put their lives on the line every night and don't realize it. With businesses depending more and more on the data stored in their computers, proper backups are becoming much more critical.

Remote Backup

Our Backup System addresses three critical issues to successful offsite backup:

Time Our RBS system 'compresses' the data prior to transfer.
Expense Our system leverages your existing Internet connection. A small annual fee will secure your files and put your mind at ease.
Security Our system utilizes multiple layers of access encryption and validation triggers.

Document Management Services

Scanning and Storing Historical Records - Most doctors usually have a warehouse full of old medical records that are costing them money to keep stored. We scan these documents and store them on digital media for our clients to access and retrieve easily any time.


Here are a few benefits of this service:

  • The entire system of paper documents is old-fashioned
  • Avoids the expense of excessive storage space
  • Speed up the process of finding records
  • More efficient way of filing
  • We can scan and archive your medical records daily
  • We can teach you how to scan, archive and manage your own records in house.

MD Audit Shield - RAC

MD Audit Shield - RAC

The federal government has recently implemented the "Recovery Audit Contract (RAC)," a new control process intended to weed out the large volume of fraudulent medical claims. To accomplish this, the government hired private auditing companies to perform audits on medical records and claims billing in all 50 states. Audits may cover any provider who bills fee-for-service Medicare, Medicaid, or commercial insurance programs. The audits will check for evidence of fraud by examining three common indicators of fraud: 1) coding inconsistencies; 2) documentation to support the medical necessity of the services provided; and 3) overpayments or underpayments to providers.

This is a critical new procedure for all medical practices. If your practice's claims & records are audited and any of the three inconsistencies are found, you will be required to pay back not only the overpayment but also interest. In addition, appeals have not been successful. And the auditing companies will continue to audit your practice every 45 days until they find no further evidence of fraud.

Reports estimate that the RAC program has already identified more than $1 billion in overpayments in just a few of the 50 states.

Why take a risk in your practice? Begin using our MD Audit Shield services to eliminate the chances of an audit proving inconsistencies in your billing. While nothing will keep the government from auditing your practice, our MD Audit Shield service will at least protect your practice in several ways. MD Audit Shield takes the following steps to ensure your compliance:

  • It reviews 50 records at random from your billing to check if any improper coding and non-compliance issues with Medicare/Medicaid appear.
  • It specifies what corrective actions are needed to comply with codes.
  • It performs any necessary changes to put you in compliance.
  • It stands behind you with assistance in the event you are audited.

Please contact us today to prepare for RAC auditing. Our services are professional and affordable!

CodeMAXX Services

CODEMAXX SERVICES

In addition, medical offices need to consider CodeMAXX, a new service that manages your medical coding in accordance with the national standards (ICD-9CM, CPT, CMS and HCPCS). CodeMAXX offers you peace of mind. Although medical staff may be trained on coding standards, the fact is, the codes often changed or are modified, or the requirements for using a specific code can differ from year to year. This jeopardizes not only your compliance but also your revenues because if a diagnosis or procedure code has been incorrectly assigned, you might end up with a denied claim or a decreased payment.

CodeMAXX is a service that provides busy medical practices with access to certified professional coders who will code your encounter notes. CodeMAXX also provides you with the most up-to-date diagnosis code (ICD-9CM - and soon ICD-10), procedure code (CPTs & HCPCS) and modifiers to insert into your billing software. Only by having the correct codes can you be sure that the insurance companies will pay you in a timely manner.

Please contact us today to prepare for RAC auditing. Our services are professional and affordable!

Physician Credentialing

Physician Credentialing

Are you frustrated with credentialing or just too busy to do it yourself? Let us help you get this important process done right.

We are here to ensure that your office obtains its credentials accurately and on time. We have the experience and knowledge you need to get through the process with the least headache and amount of worry. Our costs are reasonable, too!

We take care of everything for you. Your office simply needs to fill out one application - and then leave the work to us!

  • Our staff of professionals handles every detail for you.
  • We contact you weekly to update you on progress until the process is over.
  • We provide you with written reports with our updates.
  • We track all applications submitted and maintain accurate records.
  • We guarantee complete security, confidentiality and accuracy.

We know how important credentialing is to your practice. Don't waste your valuable time trying to find a better credentialing service. We have the experience and knowledge you need to have confidence that your credentialing is being done right. We care about each of our clients - and we would be happy to help you.

We are able to perform credentialing for all medical plans, Medicare, hospitals and other facility privileges, as well as other applications that need credentialing data.

Please contact us today to prepare for RAC auditing. Our services are professional and affordable!

Well Care Service

As a well-care service provider, we manage your outreach program to help maintain communication with your patients. We provide great public relations service designed to increase patient loyalty and promote referrals. Our service consists of letters, postcards, and emails to remind patients of their need for various services, such as check-ups, testing, immunizations, etc. We can also send greeting and birthday cards. We maintain a positive relationship with your clients that goes beyond treatment in your office.

The program provides the following benefits:

  • Promotes and Maintains Patient Relationships
  • Keeps Office Staff Focused on Helping Care For Patients
  • Builds the Medical Practice and Increases Profits
  • Complements Any Existing Customer Care Programs
  • Pays For Itself As Patients Respond To The Program
  • Gives The Doctor More Time To Be A Doctor

Some Samples of Well-Care Cards:

Transcription Services

We provides medical transcription & data entry services to diverse healthcare providers - individual physicians, nursing homes, small and large hospitals. Our transcription process is secure and provides a quick & high-quality service while minimizing costs. We are committed to providing value and building a relationship of mutual benefit with our clients.


Transcription Services Provided:

  • Emergency room transcription
  • Acute care transcription
  • Admission note transcription
  • Surgical report transcription
  • Discharge summary transcription
Transcription Services

Our Transcriptionists Handle Diverse Reports:

  • Progress reports
  • Physical examination reports
  • Pathology reports
  • Radiology reports
  • Autopsy reports
  • Labor and delivery reports

Benefits of Outsourcing Transcription:

  • Increased Focus on Core Health Care Areas
  • Secure Service
  • Lower Personnel Costs
  • More Business Focus on Higher Priority Issues
  • Increased Productivity and Efficiency
  • Free Up Management Time
  • Quality Assurance
  • HIPAA-Compliant and Provide 24/ 7 Customer Service
  • State-of-the-Art Technology Where Files Are Delivered in a Variety of Formats - DOC, RTF, HTML, XML and PDF
  • Highly Trained personnel

HIPAA

How Does HIPAA Affect Your Practice? How to Become Compliant?

To address these security concerns in the healthcare and electronic field, the United States Congress passed HIPAA "The Health Insurance Portability and Accountability Act", a set of standards that simplify electronic transactions and define minimum requirements for network security. As healthcare organizations strive to leverage the Internet, they need to deploy a security architecture to meet government regulations and ensure the trust of patients.

he Administrative Simplification section of HIPAA is designed to improve the efficiency and effectiveness of the healthcare system by standardizing the electronic data for specified administrative and financial transactions while protecting the security and confidentiality of that information.

As a health care provider it is important to implement HIPAA and keep it's policies current as well as provide annual training to employees. It is advisable that you create forms informing your patients about office policies in regards to their medical information. Such forms should include:

  • Place where their files are stored
  • Who has access to their files
  • Name, address, and contact information of your billing service
  • Name of the healthcare clearinghouse claims are processed through
  • Method of transmission of claims

Our company can help you establish HIPAA Compliance:

  • Create Employee and Patient Forms
  • Establish Employee Computer Policy
  • Disaster Recovery Plan
  • Off Site Data Backup
  • Contingency Operations Plan
  • Annual HIPAA Training
  • Employee Computer Monitoring Software

Please contact our office for information on HIPAA compliance.