Outsourced
Billing
Billing
Operations
Any
practice can understand that the Accounts Receivables function and its efficient
management is critical. We provide custom billing solutions, tailored
specifically to the needs of our clients. A unique combination of technology,
experience and focused approach of our company allows us to produce maximum
results for our clients. Our automated billing processes include filing
electronic claims, secondary claims, appeals for insurance, denials, patient statements
etc.
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Collections
At MedSphere we truly believe that the first step
to any collections process is the accumulation of correct data. Our proactive
approach and our unique processes include multiple but not redundant checkpoints
to streamline the procedures to maximize collections by reducing insurance
carrier payment cycles and patient dues. Our
system tracks both guarantor accounts receivable and outstanding insurance
claims in order to maximize payment. MedSphere’s collection team tracks
contracted fees, authorizations, expected payments and fee changes.
MedSphere’s experienced staff identifies payer specific edit requirements for
submission of all third party and government mandated “clean claims”. Only
claims meeting the payers “clean claims” definition are submitted
electronically. This feature significantly reduces the claims rejection rate and
improves collections.
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Quality
Assurance
At MedSphere, our forte is State of the Art systems and the savvy to utilize
these systems to their potential. Changes in health care, billing methods,
managed care and government regulations require the adaptability , power, and
organizational skills skills of MedSphere to enable physicians the freedom to
practice medicine. Our experienced and trained staff makes sure we beat the
expectations of our clients thus enhancing their ability to take care of their
patients instead of following up on their dues.
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Forms
Design
Every physician
needs several different types of forms, including encounter forms, chart labels,
charge slips, etc. We at MedSphere can expertly handle this in a multiple
physician, multi specialty and/or multi location scenario.
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Electronic Filing
In this era of
Electronic Data Interchange the transfer of data to insurance companies that
accept electronic filing reduces the turn around time on all the claims. This of
course is a huge benefit considering how substantially it impacts the accounts
receivables of any practice. Communicating electronically as opposed to paper
claims reduces the time and cost it takes for a claim to travel from a practice
to a clearing house to the payor and back. Thus submitting claims electronically
improves cash flow and reduces claims rejection.
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Revenue Cycle Management
Our revenue cycle management uses innovative techniques to reduce accounts
receivable days outstanding and increases revenues per patient visit through our
established processes, experienced staff and technology. We help identify and
improvise on every opportunity to maximize reimbursement and lower expenses.
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Analyze Data
At MedSphere we believe that with our custom reports and advanced management
tools, we can uncover the root causes of operational and cash flow issues. These
reports are analyzed and we then define and micromanage the processes to
streamline the business of a practice.
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Meaningful Reports
The needs and wants of every practice are different. We at MedSphere understand
this and thus maintain a very flexible approach in providing meaningful, easy to
read, timely reports.
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