MedSolve’s Comprehensive Revenue Cycle Management service will give your practice a higher degree of success in overall reimbursement and practice profitability.
PRACTICE MANAGEMENT SOFTWARE
MedSolve includes the HealthMatics
Ntierprise Practice Management system from A4 Health Systems for every RCM
client, which is linked via a secure internet connection to our operations
center. Ntierprise is one of the leading
systems in the marketplace and provides a complete set of practice management
capabilities including patient registration, scheduling, charge entry, payment
posting and advanced reporting.
IN-DEPTH CLAIMS EDITING & PROCESSING
MedSolve goes well beyond providing practice management software – we offer execution expertise to make sure you get the highest levels of reimbursement possible. Once your practice inputs charge entry information, either manually or via an automated interface from the EMR, our software performs multiple edits on the claim to check for correct coding combinations, general compliance and over 650 payer-specific requirements.
ONLINE TRACKING & CALL CENTER COLLECTIONS
Once the claim is edited, scrubbed and sent electronically, we maintain on-line tracking that is updated by participating payers daily with up-to-the-minute status reports on claims. Our collection specialists then begin the process of persistent follow-up with the payers on delayed claims to insure prompt and complete payment.
AUTOMATED PROCESS, INCLUDING ELECTRONIC REMITS
Our electronic Medicare module allows for the submission of claims as well as electronic adjudication, e-transfer of funds, EOB posting, and secondary billing in a completely automated transaction. We are expanding this successful program to include most of the payers in our territory, including the BCBS programs.
DIGITAL DASHBOARD
Knowledge is power, and MedSolve is able to put your fingertips on the pulse of your practice at
any time, any place. A key benefit of
working with us is that we have developed a customizable digital dashboard that
allows your practice to see what’s going on at any point in time—clinical and
business— so you can make decisions when they need to be made.
REVENUE CYCLE MANAGEMENT PROCESS
We have designed a billing and collections methodology to transform the overall revenue cycle process, streamline the workflow, and ensure that claims are paid quickly and accurately from the beginning. There are multiple levels of scrubbing within our revenue cycle management process resulting in 95% clean claims going through in the first pass.
- Daily claims submissions to all payers, unlike traditional billing companies who do this on a weekly basis.
- Real-time processing of your claims.
- Claims are scrubbed twice for missing or improperly completed fields before they are submitted to the payers, thereby reducing the number of rejected claims. Traditional billing and collection companies typically act as mail delivery services, sending the claim as it was received from the practice.
- Reduction of most expenses currently associated with the Accounts Receivables function (i.e. staffing, HFCA forms, stationery, postage and telephone).
- Persistent follow-up with payers for collection. Since our fees are tied directly to how much is collected, we go after every dollar owed.
- Leverages our relationships with all payers to collect more for you.
- Significantly reduces the overall number of days in Accounts Receivable.
- Increases overall levels of reimbursement and practice profitability.
For more information, contact us at sales@medsolve.com or call 800.639.7699
