Denial Management Reduces Unpaid Claims and Increases Cash Collections
Our leading national revenue cycle management software and solutions provider has announced the immediate availability of its new Denial Management and Decision Support (DMDS) solution. It is an advanced analytic engine that helps healthcare providers of all sizes better understand, correct, and receive payments and better organize the business to deal with payer- and [...]
ICD-10 Fact Sheet on CMS Website
The compliance date for implementation of the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS) is October 1, 2013 for all covered entities.
This new classification system is intended to provide significant improvements through greater detailed information and the ability to capture additional advancements in clinical medicine. The current system, ICD-9-CM, is 30 years old [...]
Revenue Cycle Management Webinar on 09/22
Join us tomorrow at 11am EST for a revenue cycle management webinar. At the event, we will provide an overview of how our services cure administrative costs by applying innovative, creative and flexible technology solutions. Here are some of the areas that will be covered:
Eligibility Verification. Whether you’re performing verification individually or by batch, we can help reduce [...]
Rising uninsured stats mean more “patient pays” at check-out
Researchers Todd Gilmer and Richard Kronick from the University of California, San Diego (UCSD) released a new study indicating that the number of uninsured Americans could rise to 52 million by 2010. That’s up from 45.7 million uninsured Americans in 2007 as reported by an HFMA educational report.
What does this mean for your practice? When [...]
Verifying Eligibility Before the Patient Arrives
What medical practice wouldn’t want to reduce preventable claim errors like “Subscriber Not Found?” Verifying a patient’s eligibility and coverage is the first step towards achieving cleaner claims and faster reimbursements. Automating that verification process can offer up to a 75% cost savings over manually verifying coverage.
How does an automated eligibility verification solution [...]
Dealing with the Growing Shift to Patient Payments
Higher Unemployment and Greater Numbers of Uninsured Mean Healthcare Providers Must Find Better Ways to Avoid Bad Debt and Ensure Adequate Cash Flow
The sudden increase in numbers of uninsured patients means that those who walk through a healthcare provider’s front door must assume greater financial responsibility for their treatment. It’s essential that providers help their [...]
ICD-10 Implementation Deadline
As reported in the Health IT Strategist, HHS announced yesterday that it will go ahead with the Bush administration’s plan to push back compliance with a rule calling for updating Health Insurance Portability and Accountability Act standards governing electronic transactions to Jan. 1, 2012, and for the replacement of ICD-9 codes with the ICD-10 codes to [...]
ZirMed for EDI with The Medical Manager(r) software
Frustrated with the clearinghouse managing your claims submitted through The Medical Manager(r) software? There is an alternative. Many of the medical practices that we support using Medical Manager have switched over to ZirMed for claims submission, eligibility, electronic remittance advice, and more.
Here’s what one of our supported Medical Manager user sites, an orthopedic [...]
Legacy Identifiers No Longer Accepted by Anthem BCBS
According to the Anthem Blue Cross Blue Shield Network Rapid Update dated 02-13-09, if claims are submitted electronically with legacy identification numbers — even if they also include the National Provider Identifier (NPI) — they will be rejected and will need to be sent back with only the correct NPI. Legacy identification numbers include but [...]
Electronic Remittance Advice Eliminates Manual Claims Posting
The days of manually posting payments and adjustments to the patient accounts in your practice management system CAN be over. By receiving electronic remittance advice (ERA) from payers, your medical practice can streamline its daily posting routine and even print patient EOBs on-demand from the web.
An ERA is an electronic explanation of payment from [...]
Obama puts ICD-10 regulation on hold for review
As reported in Modern Healthcare by HITS Staff Writer Jennifer Lubell:
HHS’ implementation of ICD-10 and several other rules issued last week could potentially be delayed, as the White House proceeds with a review of any new or pending regulations issued under the Bush administration.
A memorandum released by White House Chief of Staff Rahm [...]
Eliminate Payer Denials and Underpayments
If payers seem to be getting the best of your bottom line, it’s time to get the best of them!
We are now offering a web-based service that provides reports and tools to help billing managers better control and simplify the reimbursement process. This tool helps your practice to
identify, work and virtually eliminate denials
submit secondary billing
easily [...]