Less than 36 hours TAT upon receiving super bills
Save about 20-30% of your existing cost or owning billing staff
Ensure Clean claim submission claims within 30 days from the date of services
Weekly production report.
This package is designed to help customers who are keen to outsource Account Receivables processing involved in the Medical Billing
Per call- inclusive Pt calling --- $ 0.75 per resolutions
300 Resolutions per week. Inclusive Pt calling - Guaranteed
Or Calling @ $7.00 /hr. What You Get?
$7 an hour
5% collected aging A/R 61 to 90 days
7% collected aging A/R 91 to 120 days
Experienced and certified professionals
Let your in-house team work alongside our accounts receivable experts or select the gaps in which you lack the staff / expertise
and implement a co-managed workflow system
Hire temporary Accounts Receivable resources for short periods until your staffing gaps are fulfilled.
BillingParadise not only has the best resources it also has the best AR management software that can keep your practice AR under check and prevents AR buckets exceeding 30-60 days.
|Medical groups and individual practices||Days in AR||90+ days|
|Top 25% Best Performing Practices||38||12.92%|
|National Average Primary Care||36||12.50%|
|Surgeon National Average||51||13%|
|ASCs||Days in AR||90+ days|
|National Average Multispecialty||26.3||11.60%|
|National Average for ASC's||36.8||17.80%|
|National Average for Multi/Ortho||42||18%|
|National Average for GI||30||13%|
|National Average for Eye||27||12%|
The question from all medical groups and hospitals is how can one know and measure the rate of success resolving and getting reimbursed for pending accounts receivable. Well, the answer is simple: BillingParadise follows MGMA and HFMA benchmarks and also helps your hospital and medical groups to achieve the HFMA MAP award.
50 or more A/R days = Below Average or Poor PerformanceIn healthcare RCM, billing, and collections, BillingParadise uses more than 7 KPIs, and our 15 KPI model keeps track of almost every corner of RCM processes, especially Accounts Receivables.
One of our mental health clients had a problem sending claims to the right payer and more than $100K was in pending AR.
BillingParadise analyzed their AR and found that a particular group of patients had an insurance carrier that had separate mental health coverage that the front office staff failed to notice.
One of our orthopedic and spine surgery clients was not receiving payment and no denial information for a particular payer.
Our AR experts identified that the doctor has updated the service location address but the payer end did not update it successfully. Our AR team then expedited by calling the respective payer and asking them to take $150K worth of claims to reprocess and issue payment ASAP.
Our OBGYN client stated that their in-house AR staff does follow-ups and does not get the claims paid.
When we investigated we found that their AR staff only refiled the claims that received payment and did not fix the underlying problems resulting in them eventually writing off $50K worth claims every quarter. We then identified it to be a pending documentation claim where insurance has sent multiple correspondences to submit. Our AR team quickly coordinated with their records department, recovered the correspondence and had those claims submitted with proper documentation, and got them paid.
know more about the billing claims fill up the inquiry form here.