Billing Service

MediClaim of Florida Billing Service!

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EMR MediSoft Clinical

 
 

Update on Meaningful Use!

 

On July 28, the Department of Health and Human Services (HHS) published in the Federal Register the final rules for meaningful use and certification standards of electronic health record (EHR) systems under the
HITECH provisions of the American Recovery and Reinvestment Act (ARRA). The rules establish the requirements for eligible hospitals and providers to qualify for Medicare and Medicaid incentives for meaningful use of certified EHRs. For a summary of the regulations, you may want to read The New England Journal of Medicine article by David Blumenthal, M.D., M.P.P., and Marilyn Tavenner, R.N., M.H.A.

   

 

 

 

Professional Medical Billing Service

 
 

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, 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.

There are diverse applications to upload and transfer information between Practice Management systems and clearinghouses. No billing service has them all. it would be impossible. The evaluation of your practice reveals the best action pack to follow. 

Under our billing service umbrella, we offer remote access over your DSL connection. Appointment scheduling, printing reports, access to your 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. We follow with all

How would you compare a reliable billing employee versus a billing company?

Skilled Billing Employee Billing Service Collects
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
 
To break even, your practice needs to make close to $500,000.00 n collected claims yearly. By then, you may need to add another employee.
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 for that software, industry awareness, etc. Under a full practice management service, we engage in setting your practice to actual industry standards to include HIPAA 5010 compliance, MediSoft Tech Support, software customization, etc.

Superbill [non electronic medical records]

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.

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.

Electronic Health Records

As a MediSoft ISA Dealer, MediClaim of Florida operate MediSoft Clinical, McKesson's owned EHR. MediSoft Clinical combines the practice management features of MediSoft V17 with a fully functional electronic health record at a price point geared to smaller physician practices like yours. With MediSoft Clinical, you get the latest in practice automation without a lot of hassle and at a price you can afford.

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, engage in collection efforts.

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."
   
 

 

 

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