Medical Billing Audit, Clean Claims Metrics, And the Payer-Provider Conflict
[Insurance:Medical-Billing] The percent of clean claims reflects the degree of billing process automation and it responds to (a) continuous payer initiatives to impede billing by rejecting, losing, delaying, and underpaying claims, (b) practice missing or incorrectly submitting demographics and coding information, or (c) billing service entering data erroneously and inconsistently. Large-scale medical billing networks create the needed volumes and resulting economies of scale to enable the payment audits to discover systemic claims processing problems.
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Chiropractic Billing Index Gains in February - Ninety Percent Same Membership
[Insurance:Health] In February, the Chiropractic Office Billing Precision Index (BPI) improved by 1.5 points above its January mark. Overall, February BPI reached 17.9, 0.2 below the national average of 17.7. The February index, while replacing GEICO with Medicaid Illinois, maintains its three lead positions: Blue Cross Blue Shield (BCBS) of Illinois and CIGNA, have retained their January positions.
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Medical Billing and the Discrepancy Paradox of the Rising Healthcare Costs
[Insurance:Medical-Billing] Three key factors, namely, aging population, expensive medical innovation, and defensive care, contribute substantially to the fastest rate of health care growth in our history, reaching $2 trillion in 2005. On one hand, the participants of every ancillary industry to health care have increased their profits in step with the rising costs. On the other hand, the medical and chiropractic office owners - the actual health care providers - have not only failed to keep up with raising costs but have lost a significant part of their income. How such a paradoxical situation is possible without a deliberate and systematic strategy against health care providers?
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Chiropractic Office Billing Index Lost 0.6 in January - The Blues of Illinois and CIGNA Leading
[Insurance:Health] The Chiropractic Office Billing Precision Index started the new year 0.6 below its December 2007 mark of 18.8. Overall, January 2008 BPI reached 19.4, 1.7 below the national average of 17.7. The Billing Precision index definition also changed in 2008 establishing more stringent participation selection rules by expanding the total pool of participating providers to one hundred and sixty (from one hundred in 2007), and by elevating the minimal processed volume benchmark to eight hundred (from six hundred in 2007) for all payers across all United States.
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Physical Therapy Billing - Shared Knowledge Base For Improved Control and Compliance
[Computers-and-Technology:Software] A new industry of high-technology rehab and physical therapy billing has mushroomed under the auspices of its promise to streamline the collections process and leave doctors with more time to care for their patients. Though many high-quality services and systems exist, an overwhelming variety of options and attractive (yet unsubstantiated) performance claims from some providers have charmed busy doctors into making poor strategic decisions for their practices.
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Chiropractic Billing Performance Index 2007 - Ten Best-Paying Insurance Companies
[Insurance:Health] The annual Billing Precision Index (BPI) reflects payer performance stability over time. BPI 2007 shows a different payer ranking from its 2006 prototype. The first place of BPI 2007 is now confidently held by Blue Cross Blue Shield Illinois (replacing United Healthcare) for its participation in every one of the monthly BPI indexes during 2007. Additionally, BPI 2007 has Medicare New Jersey and Cigna switching the second and the third places, while improving Aetna's position from fifth to fourth place.
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Chiropractic Office Billing Index Gains 0.8% in December - Medicare and Blues of Illinois Lead
[Insurance:Health] In December, the Chiropractic Office Billing Precision Index (BPI) improved improved 0.8% above its November mark. Overall, October BPI reached 18.8, 1.1 below the national average of 17.7. The December index, just like November and October indices, maintains both its membership and the two lead positions: Medicare and Blue Cross Blue Shield (BCBS), both Illinois, have retained their September positions.
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To Par or Not to Par - Medical Billing Dilemma in Anticipation of Proposed Medicare Cuts
[Insurance:Medical-Billing] As the year-end approaches, the providers again face the participation-non-participation dilemma because status change notifications are accepted until January 1 only. The doctor must choose between higher reimbursements and patient collections or lower reimbursement and direct deposit. The choice is complicated because the Congress has not yet completed the debates about an upcoming 10.1% Medicare cut to physicians. The Congress delay and the unprecedented cut size dramatize the possibility of being locked for another year under a newly reduced fee schedule and raise the urgency and importance of this decision.
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Email for Billing and Personal Health Communications Between Physicians and Patients
[Business:Accounting] Both patients and doctors demonstrate increased use of Internet and email communication. While physicians seem to adopt email communication in every aspect of clinic management, such as patient registration and insurance billing, several financial and legal issues impede the physicians from regularly using email to communicate with patients. Few physicians adhere to email communications guidelines.
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Chiropractic Office Billing Index Drops Again - Medicare and the Blues of Illinois Maintain Lead
[Insurance:Health] In November, the Chiropractic Office Billing Precision Index (BPI) has continued its slide by another 1.7 points, when compared to both October and September marks. Overall, the November BPI obtained a score of 19.6, a grade of 1.9 points below the national average of 17.7. Yet its structure, and most importantly, its two lead positions, remained unchanged since September, and even improved, where Medicare Illinois improved by 1.1 points, and Blue Cross Blue Shield Illinois - by 3.6 points.
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Chiropractic Office Billing Quality - Comparative Analysis Using Performance Index
[Business:Outsourcing] Chiropractic index quality is directly proportional to its scope and perspective: the wider the scope and the broader the perspective of the medical billing service associated with an index, the better the resulting data. A "partial" chiropractic or medical billing index is also a characteristic of the biller, instead of the payer, allowing the providers to select the best medical billing service available based on this data, and challenging billers across the nation to continuously improve their service quality.
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Outsourced Medical Billing + Practice Management Software = CNS for the Chiropractic Office
[Insurance:Medical-Billing] The few insurance companies that control the healthcare market rarely pay the providers in full and on time. The lack of modern practice management processes exacerbates the already difficult position of the chiropractic office and guarantees anemic growth, low profitability, and heightened audit risk. Despite this fact, many chiropractors are reluctant to modernize their practice management processes because of the fear of billing complexity, lack of access to solid technology, and unfamiliar terminology.
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Electronic Medical Billing and Timely Payment - Fiction or Reality?
[Insurance:Medical-Billing] Oligopsony, a type of market monopoly, gives the insurance companies tremendous negotiating power and prevents physicians from addressing unfair payment practices. Legal accountability, comprehensive measurement, and routine performance comparison must become integral to the medical billing and payment process.
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Chiropractic Office Billing Benchmark Drops 3.6 Percent in October - Same Membership and Top Ranking
[Insurance:Health] The October Billing Precision index is unique in terms of both its membership and the two lead positions. Since its inception in June 2006, BPI has changed its membership between any two successive months. However the October index has maintained its September membership, while its two leaders, Medicare and Blue Cross Blue Shield (BCBS), both Illinois, even retained their September positions.
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Chiropractic Office Billing Performance - Rule-Based Indexing Approach
[Insurance:Medical-Billing] The most popular indexing technique on Wall Street is rule-based, where predefined rules select the instruments for inclusion in an index depending on specific parameter values of those instruments at the time of computation. A similar indexing approach promises to redefine the Payer-Provider perspective in healthcare.
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Electronic Medical Billing Software For Rehab Clinics and Chiropractic Offices - Naive Taxonomy
[Insurance:Medical-Billing] Gerber's E-Myth theory applies well to billing: most billing services fail because the founders are "technicians" who are inspired to start a business without knowledge of how successful businesses run. Rather than working "on" the business, they work "in" the business, merely owning a job instead of a business. In order to achieve a scalable service, a business requires disciplined performance measurement, process consistency, and industrial-grade technology.
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Chiropractic Office Billing Index Drops 5% in August-BCBS Illinois Leads BPI Instead of Michigan
[Insurance:Health] Blue Cross Blue Shield Illinois replaced BCBS Michigan on the Chiropractic Office Billing Software Precision Index (BPI). Overall, August 2007 BPI dropped 5% from its July mark, bringing the index down from 12.1 to 17.1, just 0.6% above the national average of 17.7%. BCBS MI left its lead position last month and dropped the index entirely. August BPI replaced two chiropractic billing index participants on the list of top ten performers. BPI guides chiropractic office managers and helps the development of both chiropractic office billing software and billing performance standards.
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Chiropractic Office Billing Performance Index - Context Driven Approach to Relative Benchmarking
[Insurance:Health] The first step in developing billing methodology is performance evaluation and standardization of performance benchmarking methods. The payment performance index is a benchmarking technique inspired by prominent Wall Street firms with little tolerance for walking away from money. Benchmarking allows identification of elite Payers for a given month as well as determination of their relative historical performance.
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BCBS MI Leads Chiropractic Office Billing Index 12.1 in July
[Computers-and-Technology:Software] Blue Cross Blue Shield Michigan replaced PHCS on the Chiropractic Office Billing Software Precision Index (BPI). Overall, July 2007 BPI climbed another 2.7%, bringing the index from 14.8 up to 12.1, 5.6% above the national average of 17.7%. PHCS left its lead position last month and dropped the index entirely. July BPI replaced seven chiropractic index participants on the list of top ten performers. BPI guides chiropractic office managers and helps the development of both chiropractic billing software and billing performance standards.
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Chiropractic Office Billing Software and Personal Injury Protection (PIP) in New Jersey (Interview) [Computers-and-Technology:Software] Personal Injury Protection Law in New Jersey requires that providers of medical benefits to those injured in automobile accidents are paid promptly and according to a fee schedule. The concept is excellent, however, insurance companies tend to delay and deny payments. To counter such tactics, medical providers need the assistance of counsel who understands insurance company procedures and can efficiently resolve medical provider's claims using modern computer technologies.
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Dr.Brian Capra, Chiropractor and Expert in Office Automation and Billing Software - Part II
[Business:Small-Business] Dr. Brian Capra, a graduate of Life University, has been a practicing chiropractor and office automation expert. He routinely visits chiropractic offices around the nation while receiving raving feedback from his clients. In his blog on Chiropractic Office Billing Software Profitability, Dr. Brian offers practical solutions for building a profitable and completely paperless office. In the second part of his interview, Dr. Brian gives advice to chiropractors who are at the start of their professional career.
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Dr. Brian Capra, a Chiropractor and Expert in Office Automation and Billing Software - Part I
[Business:Small-Business] Dr. Brian Capra, a graduate of Life University, has been a practicing chiropractor and office automation expert. He routinely visits chiropractic offices around the nation while receiving raving feedback from his clients. In his blog on Chiropractic Office Billing Software Profitability, Dr. Brian offers practical solutions for building a profitable and completely paperless office. The following two-part interview with Dr. Brian provides a behind-the-scenes look at his work.
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Chiropractic Office Billing Software Precision Index Improves 3.3% in June - PHCS Replaces BCBS MI
[Computers-and-Technology:Software] PHCS replaced Blue Cross Blue Shield Michigan on the Chiropractic Office Billing Software Precision Index (BPI). Overall, June 2007 BPI climbed 3.3%, bringing the index from 18.1 up to 14.8, almost 3% above the national average of 17.7%. Blue Cross Blue Shield Michigan dropped from its lead position down to the 8th place. June BPI replaced eight BPI participants on the list of top ten performers. BPI guides chiropractic office managers and helps the development of both chiropractic billing software and billing performance standards.
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BCBS MI Heads Chiropractic Office Billing Software Precision Index For 2nd Month - BPI Drops 3.5%
[Insurance:Health] Blue Cross Blue Shield Michigan heads Chiropractic Office Billing Software Precision Index (BPI) for the second month straight. Overall, May 2007 BPI dropped 3.5%, bringing the index from 14.6 down to 18.1, below the national average of 17.7%. May BPI replaced three BPI participants on the list of top ten performers. BPI guides chiropractic office managers and helps the development of both chiropractic billing software and billing performance standards.
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Internet Software Strategy For Patient Relationship Management and Electronic Medical Billing
[Reference-and-Education:Online-Education] A practice benefits from technology in multiple ways, including improved electronic billing and efficient front office. But perhaps the greatest impact of technology is in the area of patient relationship management (PRM) and practice development. This article discusses Internet-based opportunities for PRM, presents a typical patient website content outline, and drafts an implementation approach. |
Blue Cross Blue Shield Michigan Heads April's Chiropractic Office Billing Software Precision Index
[Insurance:Health] Chiropractic Office Billing Software Performance Index (BPI) in April 2007 outperformed its March value by 4.3%, bringing the index from 18.9 up to 14.6, ahead of the national average of 17.7%, while replacing four of BPI participants in March on the list of top ten performers. BPI guides chiropractic office managers and helps the development of both chiropractic billing software and billing performance standards. This article describes a rule-based chiropractic billing index, including its coverage definition, update cycle, volume weighting, and provided information. |
Top 5 Strategies to Improve OTC Payment Performance With Electronic Medical Billing Software
[Insurance:Health] For many practices, the proportion of over-the-counter (OTC) payments has recently grown from an average of 15% to as high as 75% of total payments. Systematic OTC collections, including measurable process that emphasizes upfront collections, often yield double-digit billing performance improvement. Most importantly, a disciplined and transparent collections process improves provider-patient communications, while early payment collections are also quicker and easier. Better communications and happier patients mean better health and more profitable practice. |
Cigna Replaces Blue Cross Blue Shield At The Top Of Chiropractic Billing Precision Index In March
[Insurance:Health] Billing Performance Index (BPI) in March 2007 underperformed its February value by 1.3%, dropping the index from 17.6 down to 18.9, while replacing three payers on the list of top ten performers. Seven remaining payers lowered their index value in March. Chiropractic Billing Performance Index guides chiropractic office managers and helps the development of both chiropractic billing software and billing performance standards. |
Outsourcing Dilemma Of Electronic Medical Billing Software And Service
[Business:Outsourcing] Statistics show that both in-house and outsourced billing services vary in terms of billing performance. On one hand, the vast majority of "better-performing practices" achieve adequate billing performance in-house. On the other hand, the average medical practice delivers almost one fifth of its services for free because in-house billing fails to provide adequate payment performance. This article revisits key arguments for and against billing outsourcing in light of increasing complexity and regulatory scrutiny of billing processes. |
Chiropractic Billing Precision Index Drops in February But Keeps Top January Payers Office
[Insurance:Health] Billing Performance Index (BPI) in February 2007 underperformed its January value by another 2.2 percent, dropping the index from 15.4 down to 17.6, while retaining all of January participants on the list of top ten performers. Chiropractic Billing Performance Index guides chiropractic office managers and helps the development of both chiropractic billing software and billing performance standards. |
Appointment Reminders for Medical Billing Revenue Protection and Patient Relationship Management
[Business:Small-Business] When patients miss appointments, they interrupt the flow of patient care, impede clinic productivity, and signal an eroding patient loyalty. A missed appointment amounts to missed billing revenue, lost money, or a deserting patient. Reminder calls for upcoming appointments and follow up calls on recent no-shows are effective strategies for billing revenue protection because they reduce numbers of no-shows and help early identification of incipient patient attrition and other patient relationship problems. |
3 Best Strategies to Reduce Patient No-Shows and Improve Medical Practice Billing Revenues
[Business:Small-Business] When patients miss appointments, they interrupt the flow of patient care and impede clinic productivity. A missed appointment amounts to reduced billing and missed revenue. The rate of no-shows runs at thirty percent for the average Family Practice clinic. Worse, if the clinicians are part-time or full-time staff rather than contracted, they sit idle on the company clock. In this case, a missed appointment is not just a missed opportunity for revenue; it's lost money with each passing minute. |
4-Step Training Video for Chiropractic Office Billing Software and Compliant SOAP Notes
[Reference-and-Education:Online-Education] Insufficient SOAP notes are the most frequent reason for failing a post-payment insurance audit. Timely filing of compliant SOAP notes and submission of congruent insurance claims are the most mission critical parts of any chiropractic office automation solution. But SOAP notes and insurance billing software are also the most complex parts of such solutions, often confusing doctors and assisting personnel and degrading practice profitability. Component-driven Vericle SOAP notes are both audit-proof compliant and require minimal time spent for visit documentation. |
Chiropractic Office Management and Billing Education With Shared Software and Video Knowledge Base
[Reference-and-Education:Online-Education] The high level of computer skill required by the prohibitively complex chiropractic office management solutions often hinder the doctor's ability to use such solutions correctly in a chiropractic office environment. Instead of increasing office productivity and efficiency, chiropractic billing software becomes yet an additional obstacle and profitability impediment. Its high cost and user training problems add insult to injury and frustrate even seasoned and accomplished practice owners. Combining Wiki (shared knowledge repository on the Web) with video technology solve many of the difficult training problems of chiropractic clinic owners and office managers. |
Chiropractic Office Billing Service Precision Index-January
[Insurance:Health] January 2007 Billing Performance Index (BPI) underperformed December 2006 value by 2.3%, replacing four participants in the list of top ten performers and dropping the index from 13.1 down to 15.4. This article describes an 8-th iteration of a rule-based chiropractic billing index, including its coverage definition, update cycle, volume weighting, and provided information. |
Intelligent Electronic Medical Billing and SOAP Notes Software Requirements
[Business:Accounting] Doctors and therapists must produce clinical documentation in ever increasing volumes and detail to ensure best healthcare, get medical claims paid in full and on time, and protect the practice from post-payment audits and unfair litigation. SOAP notes must not merely emulate the paper folder that every doctor has for every patient. They must use computer technology to help automate routine tasks and create a faster, easier, and error free process to increase practice profitability and reduce its audit risks. |
Improve Patient Loyalty With Integrated Electronic Medical Billing, Notes, And Scheduling Software
[Business:Accounting] Patient loyalty is key to continued practice success in terms of both recurring and new revenue. Frequent patient communication is the only effective way to increase the likelihood of timely loyalty problem identification and resolution. Such patient communications can be driven by a any of the practice management components, starting with patient scheduling, to SOAP notes, to special health care literature, to medical billing, insurance payments, copays, and deductibles. |
Chiropractic Office Workflow In 2025 - Scheduling, Clinical Service, Notes, And Billing Software
[Business:Small-Business] Pattie Stechschulte's vision of a chiropractic office in 2025 includes simplified check-in, complete patient checkup using non-invasive techniques, self-configurating adjustment table that sets itself up for next patient, a touch-screen computer system in each room loaded with intelligent software for SOAP notes, consultation modules to tap into more experienced doctor's knowledge, and a patient-friendly portal for online patient education and appointment scheduling. While non-invasive checkups and self-configurating adjustment tables still belong to the future, the information technology aspects of Pattie's vision has already become a reality for chiropractors using advanced Vericle-like solutions. |
Chiropractic Office Billing Audit Motivation and Methodology
[Legal:Regulatory-Compliance] In its January 2007 issue, Today's Chiropractic examines an unprecedented growth of post-payment audits by insurance companies. It appears that for payers the motive is money, the means is a gargantuan statistical database, and every provider is an opportunity. To manage audit risk, providers need a system, modeled on the insurers' own, which stores claims data and generates reports for the benefit of participating providers. |
Grow Revenues in Chiropractic Clinic With Point of Service Sales of Retail Products [Business:Accounting] In 2006, two out of three chiropractors increased billings (67%), while almost ninety percent (88.3%) of chiropractors sold retail products to patients. At an average $28.5 collections per patient visit (PVA), retail product sales to patients remains a major revenue source. But for junior practitioners with a humble patient growth record, point of service sales is the fastest way to increase practice revenue. |
NPI For Compliant Electronic Medical Billing - A Payer's Opportunity To Streamline Operations
[Legal:Regulatory-Compliance] Poor health care providers' data quality affects virtually every aspect of health care payers' enterprise, diluting profits and member goodwill. Successful transition to NPI impacts eligibility and authorization processing, provider enrollment, contracts and directories, claims adjudication and payment, referrals, and reporting and presents a unique opportunity for added automation, improved data accuracy, lower fraud and abuse, and streamlined operations. |
5 Facts About NPI For HIPAA Compliant Electronic Medical Billing Software And Service
[Legal:Regulatory-Compliance] The 1996 Health Insurance Portability and Accountability Act (HIPAA) established national privacy and security standards for electronic health care transactions, including a national identifier for providers, health plans and employers. Accordingly, by May 23, 2007, healthcare providers and all health plans and clearinghouses must change both their processes and information systems to implement HIPAA's National Provider Identifier (NPI) regulations. |
Outsourced Chiropractic Office Billing Service Performance Benchmark - December 2006
[Business:Outsourcing] December Billing Performance Index (BPI) outperformed November value by 4%, replacing two participants in the list of top ten performers and raising the index from 13.7 up to 13.1. This article describes a 7-th iteration of a prototype for a rule-based chiropractic billing index, including its coverage definition, update cycle, volume weighting, and provided information. |
Outsourced Chiropractic Office Billing Service Performance Benchmark - November 2006 [Business:Outsourcing] November Billing Performance Index (BPI) outperformed October value by 30%, replacing one participant in the list of top ten performers and raising the index from 17.8 up to 13.7. This article describes a sixth iteration of a prototype for a rule-based chiropractic billing index, including its coverage definition, update cycle, volume weighting, and provided information. |
Outsourced Debt Collections for Medical Practice - Top 5 Criteria to Better Billing Performance
[Business:Outsourcing] Debt collection from patients is a conflict doctors often prefer avoiding for fear of potential implications to practice reputation and increased exposure to malpractice lawsuits. Healthcare debt collections require unique combination of sensitivity, skill, and discipline. Understanding of debt collections process and outsourcing opportunities help the practice owner improve revenue cycle while minimizing practice risks. |
Chiropractic Office Billing Service Performance Benchmark - October 2006
[Business:Outsourcing] October Billing Performance Index (BPI) outperformed September value by 23%, replacing one participant in the list of top ten performers and raising the index from 21.9 up to 17.8. This article describes a fifth iteration of a prototype for a rule-based chiropractic billing index, including its coverage definition, update cycle, volume weighting, and provided information. |
Outsourced Chiropractic Billing Service Performance Benchmark - September 2006
[Business:Outsourcing] September Billing Performance Index (BPI) underperformed August value by 5.6%, replacing five participants in the list of top ten performers and dropping the index from 16.3 down to 21.9. This article describes a fourth iteration of a prototype for a rule-based chiropractic billing index, including its coverage definition, update cycle, volume weighting, and provided information. |
Top 3 Electronic Medical Billing Software Methods For No-Show And Missed Appointment Risk Reduction
[Business:Outsourcing] Most clinics lose an average of 20% of their revenue due to missed appointments. Besides lost revenue, no-show risks span health damage, patient liability, reduced accessibility, and impeded resident education. Rigorous no-show management methods, based on integrated scheduling and billing data and outsourced reminder programs, reduce no-show rates and improve associated revenues by more than 50%. |
Top 4 Reports For Patient Relationship Management And Outsourced Chiropractic Office Billing Service
[Business:Outsourcing] Patient Relationship Management is a catalyst for building successful and competitive chiropractic clinics. Integrated systems, available under an outsourced software-as-a-service (SaaS) model, combining data about patient's health, care plans, and billing, are cornerstone for Patient Relationship Management. A disciplined practice manager reviews End-Of-Day and Financial Care Tracking reports daily to monitor and reconcile average patient visits, missed appointments, recalls, new patients, charges, and collections. |
8-Step Plan for Software and Practice Integration of Electronic Medical Billing Service + SaaS EMR
[Business:Outsourcing] The increasing reliability of the Internet technology and standardization of systems interfaces have recently enabled comprehensive "best-of-breed" configurations of modern EMR software and billing service, made available to physicians under the "pay-as-you-go" business model. Software-as-a-Service (SaaS) model allows physicians to confirm the benefits of technology solutions first and pay later. While such solutions deliver multiple risk management and operations control benefits, they also require disciplined implementation processes. |
Best-Of-Breed Medical Billing Service + SaaS EMR - 8 Software and Practice Transition Challenges
[Business:Outsourcing] The limited choice between mediocre full-scope products and excellent single-function systems has been expanding in step with increasing reliability of the Internet technology and standardization of systems interfaces. Comprehensive integrated best-of-breed solutions combining modern EMR software and billing service can be utilized under the "pay-as-you-go" business model. Software-as-a-Service (SaaS) model allows physicians to confirm the benefits of technology solutions first and pay later. While such solutions deliver multiple risk management and operations control benefits, they also pose significant transition challenges. |
7 Key Features Of Integrated Pathology Lab Workflow And Electronic Medical Billing Software
[Business:Outsourcing] Pathologist must track the workflow of the entire laboratory from receiving a sample and requisition form, to accessioning, to patient demographics, to history, to gross, dictation, proof, distribution, and billing. Pathology billing is especially complicated because it requires data flowing between multiple systems and because it requires sophisticated measures to prevent case loss and ensure full and timely payment. Software-as-a-Service (SaaS) solutions provide integrated workflow tracking and billing and represent the new generation of information technology for pathology labs, driven exclusively by performance and profitability. |
Chiropractic Office Billing Software And Patient Relationship Management - 9 Criteria For Best SaaS
[Computers-and-Technology:Software] Software-as-a-Service (SaaS) pushes the limits of outsourcing and reduces the exorbitant costs of specialized practice management software. SaaS model is available for all aspects of chiropractic clinic management, including scheduling, billing, and SOAP note documentation, which are mission-critical for high quality health care, practice building, and regulatory compliance. |
Top 5 Metrics For Chiropractic Office Billing Software and Service Performance
[Computers-and-Technology:Software] Effective practice management depends on solid billing performance. Its measurement is an integral part of practice management process and its importance grows in step with growth of patient volume. Traditional billing metrics are limited in scope and focus on claim submission process, ignoring process imperfections on the insurance (payer) side. Modern computer technologies allow both measurement and action to improve revenue cycle efficacy and efficiency. |
Practice Criteria For Best Chiropractic Billing Software And Office Management Solution
[Business:Outsourcing] Increasing regulatory scrutiny, poor in-house billing performance, and rapid technology progress are key growth drivers in chiropractic information technology. On one hand, thousands of outsourced billing solutions and software vendors ensure continued competitiveness in terms of both service quality and pricing. On the other hand, the lack of standards and uniform metrics among the vendors, combined with their large numbers, frustrates the selection process. Ten effective guidelines streamline outsourced solution selection process and reduce vendor switching costs. |
Electronic Medical Billing Dashboard Software - 9 Performance Indicators For Service Outsourcing
[Business:Outsourcing] Arcane terminology and complex rules for payer- and time-dependent claim validity and pricing interpretation plague medical billing industry, resulting in massive payments of invalid or ineligible claims and denials of error-free claims. Billing service transparency allows participants of the billing process to expedite error identification and resolution, resulting in reduced over- and under-payments and improved regulatory compliance. |
Outsourced Chiropractic Billing Service Performance Index - August 2006
[Business:Outsourcing] August Billing Performance Index (BPI) underperformed July value by 8.7%, replacing six participants in the list of top ten performers and dropping the index from 15 down to 16.3. This article reports a third iteration of a prototype for a rule-based chiropractic billing index, including its coverage definition, update cycle, volume weighting, and provided information. |
5-Step Lockbox Selection for Outsourced Electronic Medical Billing Software and Service
[Business:Outsourcing] Lockbox services add revenue, lower administrative costs, and expedite revenue cycles. A wide range of issues complicate lockbox implementation including HIPAA compliance, quality assurance, user and system interfaces, and carefull planning. Disciplined lockbox outsourcing to a qualified billing service or a specialized financial institution lightens implementation complexities and expedites deployment |
Top 5 Keys To Physician Interface Dilemma In Electronic Medical Billing And EMR Software Systems
[Business:Outsourcing] Integrated billing and EMR systems consolidate patient's personal, administrative, and health care information. An immediate data aggregation at the point of care elevates its benefit from plain recording of patient encounter to useful decision support system, but it is only possible with timely input of compliant medical notes. Powerful Vericle-like technologies facilitate combined transcription with rapidly customizable point-and-click templates, optimizing physician's interface to EMR, providing added degree of regulatory compliance, and reducing post-payment audit risk. |
Chiropractic Office Billing and Patient Relationship Management Software
[Business:Accounting] Return patients generate approximately 80 percent of clinic's revenue. Patient Relationship Management (PRM, also known as CRM, for Customer Relationship Management outside of healthcare) can enhance financial performance of the clinic by helping retain current and attract new patients. Effective PRM uses integrated data using patient travel card (SOAP notes), frequency recommendations (care plan), and billing (charges, payments, and balance). |
7-StepChiropractic Office Billing Precision Software For Result-Driven Patient Care Plan
[Business:Outsourcing] Financial care plan is an important component of practice building strategy as it helps the patient to afford the care while establishing a guaranteed cash flow to the provider. But tracking multiple patient care plans becomes difficult upon reaching large numbers of patient visits, impeding continued development of the clinic. Outsourced billing services leveraging integrated technology helps chiropractic clinic overcome care plan management complexity and building successful large-volume practice. |
17 Electronic Medical Billing Software Red Flags for Chiropractic Office Audit
[Business:Accounting] Dr. Ben Lerner, founder of Teach The World About Chiropractic and author of "One Minute Wellness," discovered a convenient way to educate thousands of chiropractors about coding compliance and audit risk reduction. "Compliance maintenance requires special skills and military discipline," says Dr. Lerner. "Webinars are ideal for audit risk management instruction because they deliver urgently needed education but require minimal investment in terms of time and cost." |
Top 5 Tips For Online Education About Chiropractor Audit Risk And Coding Compliance
[Reference-and-Education:Online-Education] Increasing frequency of post-payment insurance audits and mounting severity of penalties, ranging from license suspension to heavy monetary fines, emphasize the need for effective and affordable education about compliant office management and audit risks. Doctors and practice managers are looking for cost-effective and productive ways to learn better ways to manage their practice and revenue cycle. The key benefit of the webinar is its convenience - there is no travel required and important information is delivered in ninety-minute sessions that make it easy for even the busiest doctors to quickly gain important information on topics ranging from successfully implementing EMR systems, to understanding the real benefits and challenges of outsourced billing services, risk management of post-payment audits, and much more. Historically, live webinars attract 10 to 300 participants and dozens more access the archives. |
Outsourced Chiropractic Billing Service Performance Index - July 2006
[Business:Outsourcing] July Billing Precision Index outperformed June value by 20%, replacing five participants in the list of top ten performers and bringing the index from 18 down to 15. This article reports a second iteration of a prototype for a rule-based chiropractic index, including its coverage definition, update cycle, volume weighting, and provided information. |
Electronic Medical Billing Software Products in Press (June - July 2006)
[Business:Outsourcing] Medical Billing technology has witnessed continued expansion during the first two months of this summer, as evidenced by press releases about some ninety products accumulated in BillingWiki. A practice manager may find it difficult to select the best product from such a large product variety. This article roughly tabulates some eighty-five press releases about medical billing technology products and/or vendors across two-dozen service categories. |
Electronic Medical Billing Software, HIPAA Compliance, and Role Based Access Control
[Legal:Regulatory-Compliance] HIPAA compliance requires special focus. A practice with multiple separate systems for patient scheduling, electronic medical records, and billing, requires multiple separate HIPAA management efforts. This article presents an integrated approach to HIPAA compliance and outlines HIPAA terminology, principles, and requirements to help the practice owner to ensure HIPAA compliance by medical billing service and software vendors. |
Electronic Medical Billing Knowledge Base With Communal Document Control + Adaptive Search Software
[Business:Outsourcing] Google became a standard reference tool for almost every group of age and interest. But Google frustrates doctors looking for better understanding of medical billing complexities and modern straight through billing technologies. This article briefly explores the contradictory forces of the most popular search algorithm on the planet and outlines specialized, collaborative, and self-learning technologies to solve its limitations in the context of medical billing and compliance. |
Electronic Medical Billing OLAP Software for Lost Revenue Discovery
[Business:Outsourcing] Average medical practice may lose as much as 11% of its revenue due to underpayments. But underpayment recovery potential averages only 5% of revenue and involves costly appeal process. To avoid unrecoverable losses, some providers discontinue servicing patients insured by the worst performing payers. Unfortunately, such a drastic loss reduction measure may boomerang and increase losses depending on complexity of referral relationships. This article outlines limitations of traditional database queries used to identify payer candidates for contract termination and demonstrates alternative decision choices with superior performance in terms of revenue and risk management, facilitated with On Line Analytical Processing (OLAP) technology. |
Problem Tracking For Outsourced Electronic Medical Billing Software And Service
[Business:Outsourcing] Processes involving large volumes of complex billing transactions require effective mechanisms for problem assignment and tracking. Without such mechanisms, billing personnel cannot be held accountable for problem resolution, resulting in loss of revenue and increased compliance risk. While medical billing industry has developed specialized systems and processes for resolution of content problems, little attention has been paid to billing process problem resolution methodology. This article outlines a process and a technology for integrated billing process problem resolution methodology. |
Electronic Straight Through Billing Service and Software Methodology for Medical Practice
[Business:Outsourcing] Medical billing complexity and massive volumes of daily claims submitted to payers render manual claims processes incapable of protecting both the provider and the payer from underpayments, overpayments, and billing compliance violations. Straight Through Billing addresses complexity and volume processing problems by automating the majority of the claim flow and focusing the billing follow-up specialists to exceptions only. Straight Through Billing methodology implements billing service transparency and focuses management on strategic process improvement opportunities. |
Top 4 Transparency and Accountability Attributes for Electronic Medical Billing Software and Service
[Business:Accounting] Medical billing industry has volumes of arcane terminology and payer- and time-dependent claim validity and pricing interpretation rules, facilitating massive payments of invalid or ineligible claims and denials of error-free claims. Billing service transparency allows participants of the billing process to expedite error identification and resolution, resulting in reduced over-and under-payments and improved regulatory compliance. |
Outsourced Chiropractic Billing Service Performance Index - June 2006
[Business:Outsourcing] Benchmark-driven performance management helps establish objective industry standards. Medical service providers can use benchmarking to compare performance of their billing service and measure their improvement over time. This article presents a prototype for a rule-based chiropractic index, including its coverage definition, update cycle, volume weighting, and provided information. |
Top 10 Selection Criteria for Outsourced Electronic Medical Billing Software as a Service (SaaS)
[Business:Outsourcing] Software as a Service (SaaS) is the new generation of ASP model designed to reduce the exorbitant costs of specialized medical practice management software. SaaS model is available for all aspects of medical practice management, including scheduling, billing, and electronic medical records (EMR), which are mission-critical for high quality clinical service, business operations, and regulatory compliance. SaaS model extends the advantages of Application Service Provider (ASP) model, which in turn evolves from the traditional Client-Server model. This article briefly defines key concepts and outlines a set of guidelines for SaaS vendor selection. |
Outsourced Medical Billing Software and Service Selection in 14 Steps
[Business:Outsourcing] Over four thousand vendors of medical billing services offer solutions to medical practices nationwide in response to poor in-house billing performance and increasing regulatory scrutiny of billing processes. On one hand, such a large number of outsourced billing solutions ensure continued competitiveness in terms of both service quality and pricing. On the other hand, the lack of uniform service standards and metrics among the vendors, combined with their large numbers, makes the process of vendor selection difficult and error-prone. While the availability of a large vendor selection allows finding an alternative to unsatisfactory service, billing vendor-switching costs remain high, motivating extra effort and focus during the stage of vendor selection. This article outlines basic fourteen-step guidelines for an effective and efficient medical billing vendor selection process. |
Electronic Medical Billing Control with Computer Aided Coding Software
[Business:Accounting] The average practice submits half of its codes wrong, while some practices rarely exceed more than one code right out of every five codes. Inexact and inconsistent coding increases the risks of undercharging, overcharging, and post-payment audit. Computer aided coding with integrated superbill completes the transformation of coding from individualistic art towards disciplined and systematic process. |
Underpayment Risk Management for Outsourced Electronic Medical Billing Service
[Business:Outsourcing] Average medical practice may lose as much as 11% of its revenue due to underpayments. Underpayment identification is difficult because an underpaid claim falls outside the domain of clearly identifiable claims that are fully paid or denied. The degree of underpayment adds further complexity to and exacerbates the difficulty of underpayment identification. Upon defining claim underpayment concept in more precise terms, this article roughly estimates recovery potential at 5% of monthly claims volume. Quantification of recovery potential drives the design of a disciplined three-stage underpayment avoidance and recovery process. |
Computer Aided Patient Scheduling for Improved Medical Billing Service Performance
[Business:Outsourcing] Without a computerized scheduler, a practice has less than 2% chance to earn the title of a "better performing practice," according to Medical Group Management Association. Convenience and front office efficiencies are two obvious benefits of a computerized scheduling system, since without it, the only manual way to find out if a specific patient has a scheduled appointment is to flip through the appointment book page by page. But the benefits of integrated computerized scheduling stretch far beyond convenience, front office efficiencies, and better charge followup of a stand-alone, albeit computerized, scheduling. A well-designed and integrated scheduler allows preferential patient scheduling, which, along with improved controls, helps revenue optimization and practice compliance. |
Medical Billing Software and Service Compliance With Pre-Payment And Post-Payment Audits
[Legal:Regulatory-Compliance] Mistaken payments add up to an estimated $200 billion, exceeding 10% of national healthcare costs. A payment scrutiny program to avoid mistaken payments can be as successful a profit-building strategy for insurance companies as raising premiums or adding members. However, avoiding mistaken payments is hard because of the volume of claims, the disparate and disconnected sources of relevant information, the resource-intensive manual processes needed to identify and investigate recovery opportunities, and regulatory requirements for timely payments. A full-scale implementation of payment scrutiny strategy requires sophisticated processes to handle prepayment claim review and post-payment audits and uses advanced fraud detection technology similar to those used in credit card fraud detection. |
Electronic Medical Billing Software and Service Performance Metrics
[Business:Outsourcing] Billing performance measurement is an integral part of medical practice billing process and a prerequisite to effective practice management. Systematic measurement becomes mission-critical with growth of billing complexity or outsourcing of the billing function. Traditional billing metrics are limited in scope and focus on claim submission process, ignoring process imperfections on the insurance (payer) side. Modern computer technologies allow both productive measurement and effective action by the disciplined billing office to improve claim submission and payment processes. |
Centralized Workflow Management for Outsourced Electronic Medical Billing Service and Software
[Business:Outsourcing] The reduction of accounts receivable is key responsibility of billing function in a medical practice. This article compares traditional (distributed) billing function with centralized workflow management. It shows that centralized workflow management yields significant advantages over the distributed approach in terms of the ability to manage accounts receivable. However, it also requires significant investment in process, technology, and personnel training. |
Electronic Medical Billing Software and Service Compliance in Chiropractic Office
[Business:Outsourcing] According to BillingWiki, thirteen articles and news items were published on the topic of medical billing fraud, during May of 2006. An environment of high volume of patient encounters creates thousands of possibilities to deviate from normal distribution of services and trigger an audit. Real time analysis requires powerful technology infrastructure and competent legal coverage. Such infrastructure must handle all compliance aspects together, which necessitates modern Vericle-type integrative approach, combining billing, monitoring, and medical record management components in a single and comprehensive system. |
Electronic Medical Billing Software - Client-Server Versus Application Service Provider (ASP)
[Business:Outsourcing] Electronic Medical Record (EMR) and digital billing systems offer substantial clinical care, financial, practice workflow, and compliance benefits to doctors, insurance companies, and patients. But half of medical practices that purchase EMR software fail to successfully implement it. Upon briefly reviewing key factors defining each technology, we compare them along two criteria, namely implementation success likelihood and costs. |
Relative Value Price-Performance Calculation for Outsourced Electronic Medical Billing Service
[Business:Outsourcing] Excess focus on reducing costs of individual billing process components while ignoring total billing quality exposes medical practice to significant financial downside. Quantification of billing quality and its inclusion into price-performance equation of billing service yields more comprehensive financial picture and better decisions about billing service selection and its management. Such computation of relative value of billing quality also results in substantially higher remittance and better regulatory compliance. Its efficacy depends on billing performance guarantees and transparency. |
Shared Electronic Medical Billing Knowledge Base For Improved Control, Compliance, And Performance
[Business:Accounting] A new industry of high-technology medical billing has mushroomed under the auspices of its promise to streamline the collections process and leave doctors with more time to care for their patients. Though many high-quality services and systems exist, an overwhelming variety of options and attractive (yet unsubstantiated) performance claims from some providers have charmed busy doctors into making poor strategic decisions for their practices. Collaborative billing knowledge base improves medical practice profitability and compliance. |
Medical Billing - Choosing A Billing Method
If you're a medical billing company, choosing a billing method is not so cut and dry. Many factors, including cost effectiveness, must be considered. In this installment we give a basic idea of what to consider when choosing a medical billing method. |
Medical Billing - Dealing With Support
If you're involved in medical billing, one of the things you're going to have to deal with is support issues. In this review, we'll give you a good idea of what to expect when putting in a support call for your medical billing software. |
Medical Billing - Hidden Costs
If you're thinking of starting a medical billing business, you better be prepared for the hidden costs. This installment goes over the most common of these hidden costs. |
Medical Billing - Patient Complaints
If you're dealing with medical billing, you're going to get patient complaints. In this installment, we go over the most common ones and how to deal with them. |
Medical Billing - Troubleshooting Installation
If you're installing a medical billing software program and it won't run, or worse, won't even install, here are some common things to look at in troubleshooting your system installation. |
Medical Billing - Network Issues
One of the worst things that can happen if you're doing medical billing is for your network to go out on you. In this installment, we discuss some common network problems very briefly. |
Medical Billing - User Licenses
Medical billing companies have to decide how many users they want to pay license fees for. In this installment, we cover the basics of user licenses. |
Medical Billing - Data Problems
Most of the work that is done in a medical billing program is data entry. As a result, the first area where you will have problems is with your database. We discuss some of the more common problems in this review. |
Medical Billing - Distributing Duties
If you're going to setup and run a medical billing company, the main thing you need to do is distribute the duties. This review will cover the basics of what should be done when dividing up the various tasks. |
Medical Billing - Multiple Batches
One of the most confusing things about medical billing for billers is the concept of multiple batches for electronic billing. In this installment, we'll explain when and why multiple batches are needed. |
Medical Billing - Trailer Records
If you're involved in medical billing and sending claims electronically, just making sure each claim is okay is not enough. There are trailer records, which have to add up to the penny. We discuss these trailer records in this installment. |
Medical Billing - Records Hierarchy
With medical billing and the electronic submission of claims, just sending the claims isn't enough. They have to be sent in just the right order. In this installment, we discuss the complex topic of records hierarchy. |
Medical Billing - YA0 Record
In our previous installment of medical billing we briefly covered multiple batches. In this installment we will be reviewing the batch trailer record in detail for electronic billing. |
Medical Billing - ZA0 Record
In this final installment of medical billing and the electronic transmission of claims, we will be covering the last record in a claim file, the ZA0 claim trailer record. |
Medical Billing - XA0 Record Fields 9 Through 17
Insurance carriers are very picky when it comes to medical billing. Even the trailer records have to be exact. In this installment, we continue with our review of the XA0 claim trailer record, covering fields 9 through 17. |
Medical Billing - GX0 Record Fields 28 Through 37
This is the final installment in our medical billing series on the GX0 record and oxygen billing. This installment covers fields 28 through 37. There is a special note tied into GX1, which will be covered in our next installment. |
Medical Billing - GX1 Record
If you thought you were done with the oxygen billing part of medical billing, you'll need to take a second look. After the GX0 record, comes its little brother and royal pain in the neck, the GX1 record. More claims get denied because of this seven field record than any other record its size. Keep reading to find out why and other important details. |
Medical Billing - GX2 Record
We have finally reached the end of our installments on medical billing of oxygen claims and the CMNs that go with this billing. In this review we cover the GX2 record, which is facility information. |
Medical Billing - HA0 Record
In this installment of medical billing, we will be covering the HA0 record, which is extra narrative information. We will explain what it is for and why it is so important. |
Medical Billing - GU0 Record Field 62
In this installment of medical billing and the electronic transmission of claims, we hit one of the most complex fields of the GU0 record. We pick up our review with field number 62. |
Medical Billing - GU0 Record Fields 63 Through 65
In our last installment of medical billing, we covered one of the most complex fields of the GU0 record. In this installment things get a little easier and we actually cover three fields, 63 through 65. |
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