The biggest challenge we have had in the past is how to use today's
technology successfully. At MediClaim of Florida, Inc., we spend a lot of time
and effort to position our staff and company to take maximum advantage of the
technology available today and to improve our services. Such is the advantage of
using DSL technology, to access via the Internet, our clients' database and
integrate data transmission between your practice and our business. Part of our
future plans are already here, and these include using existing tools in
different ways, such as further automating the process of submitting electronic
data to the practice and vice versa. As data entry becomes a systematic approach
to the systems available today, we continue to train our staff to help them make
better decisions so they can provide better support. We are here to assist your
staff in the process!
When your practice chooses MediClaim of Florida, Inc. as your billing service
company, we suggest to first evaluate your practice current claim system. Your
Superbill, insurance and patient forms, dunning letters used, available software
system, computer hardware, peripherals (printers, etc.), and communications
system are all authenticated for harmony. Subsequently, we gather all the
necessary information to incorporate your practice under MCF's service umbrella.
We will eventually, take a look at your carriers to recognize your HMO and PPO
population, verify your bill above procedures, make suggestions, etc. Once we
process that data, we recommend specific services based on that assessment.
We highly recommend electronic claims submission it for fast cash flow
recovery. Did you know that MediSoft allows you to file claims directly to the
government carriers using Revenue Management? We submit Medicare, Medicaid,
directly to them using this module; no clearinghouse maybe involved. For other
carriers we still have the option to enroll you with a clearinghouse.
For a percentage fee umbrella, our full billing service comprise the
following services:
- Superbill design Assistance in redesign of current office forms
- Billing of all claims to include electronic format
- Administer payment agreements
- Daily to month-end reporting on all services
- MediSoft tech-support; no installation fees on upgrades
- Software update installations at no charge Internet and email
accounts setup Internet access
Under our billing service umbrella, we offer remote access over your DSL
connection. Appointment scheduling, printing of your Superbill, reports, patient
database, are just some of the features available with our service. Our data is
your data and access to it is available continuously.
Billing is not a matter of years of experience only. Precisely, it is a
matter of constant training and education of personnel to keep up with the
industry standards and new regulations. Since 1997 we do that; we keep the task.
Along with the best solutions in the market for billing purposes, we offer
accurate claim submission to lower claim rejection rate. This will help you
regain some of that lost cash flow floating around in your office in terms of
denied claims and pending follow ups.
How would you compare a reliable billing employee versus
a billing company?
| Skilled Billing Employee |
|
Billing Service |
| Hourly rate: |
$12.00 / hr. |
|
Based on 6% of collected amount |
| Yearly: |
$24,960.00 |
|
$100,000 billed, then $6,000.00 |
| Employment taxes: |
$1,960.00 |
|
$200,000 billed, then $12,000.00 |
| Unemployment: |
$500.00 |
|
$300,000 billed, then $18,000.00 |
| Year total: |
$27,360.00 |
|
$400,000 billed, then $24,000.00 |
| Comparison: |
$456,000.00 |
|
$500,000 billed, then $30,000.00 |
| This
figures are based on estimates only and not necessarily reflect your
particular situation. |
| The employee calculation does not
take into consideration year end bonus, sick days, vacation time,
other personal and extra sick days. It is important to consider
employee preparedness for the job to include, coding experience, job
expertise, certifications acquired for the job, rejection rate,
practice administration knowledge, billing software, support,
industry awareness, etc. Under a full practice management service,
we engage in setting your practice to actual industry standards to
include HIPAA compliance, MediSoft Tech Support, software
customization, etc. |
Superbill
Your Superbill should be designed to pick up the diagnosis and procedure
information necessary to assure payment from the carrier. We still recommend
using an Electronic Medical Records application such as
MediSoft Clinical. Patient Information forms
should be designed to capture all the necessary information from your patients
and responsible parties, to match your software use and other standards. Final
Draft, included in advanced versions of MediSoft, may play and important role in
printing information without the need of double entries into the system or any
other application such as a word processor. Is not only critical to know where
to send a claim, but to have the assurance that your service will be paid
accordingly. Having the accuracy of this information the first time, avoids
costly billing services and payment within the expected time-frame.
We use electronic submission of claims directly to Medicare and Medicaid. We
use a clearinghouse to submit other commercial and government claims. Paper
formats are used when carriers are not electronically linked to a clearing
house. [Even clearinghouses use paper claims].
Once payments are received in your office, you will forward the information to
us. We will in turn, post all carrier payments, copay, cash visits, settlements,
etc. Your reports will reflect all financial activity in any specified period of
time.
Under our billing umbrella, all other services fall-in to include, Phone Tech
Support and MediSoft updates. Upgrades are installed as they become available
with no installation charge. Data upgrade will be performed as well. Superbill
procedures and diagnoses codes updates are included and reviewed every year.
Redesign may be necessary; service is not included.
As services can mislead to a few pre-determined listed here, for a
complete list, please contact MediClaim of Florida, Inc.
Payment Plan for Patients
We leave it up to your practice to extend a patient's balance over a
period of time. On a payment plan, your practice can assess finance charges.
MediClaim will administer the finance process, calculate percentages, apply
those charges, and finally, collect them.
A source out of a collection agency reflects that the longer it takes for
an office to collect from a patient, the less probability exits to collect
from those patients. We do not offer payment plan to patients, it is up to
the practice to extend any amount due over an extension of time, to include
allowable service fees and other interest charges allow per law.
"The grace and power of your business are only as
good as the iron under them. Productivity and performance go hand in hand."
