You may often think that clinical documentation is an insignificant component of your hospital's workflow. On the contrary, you will be pleasantly surprised to know that documentation forms the basis for preparation of clean claims. BillingParadise has helped many users of e-MDs' integrated EHR/EMR and Practice Management systems in ensuring that documentation is accurate and in-depth.
The team at BillingParadise verifies the web portal on e-MD EHR/EMR during pre-visits. At this crucial juncture of appointment scheduling - we step-in to capture mandatory information on patients. This stage sets the ball rolling for ascertaining patient's demographics, validation of existing insurance reimbursement coverage, and insurance pre-authorization of medical diagnostics, treatment and post-treatment.
This is what sets us apart
(3.99% of collections)
|Getting you a daily report on Patients’ Insurance Eligibility info, Procedure Eligibility info, Co-pay, Deductible, Insurance Pre-authorization info and Patients’ Pre-existing Condition info before 8:00 am local time.||Only Insurance Eligiblity Info is avaialble.|
|Medical Coding and Coding Analysis by dedicated specialty specific Certified Medical Coders (CPC) for maximum reimbursement and to zero down denials.|
|Creating clean claims.||7 expert podiatry billing teams who offer specialized services across the breadth of your entire billing cycle|
|Claim Scrubbing to zero down denials.|
|Transmitting claims to the insurance companies within 12 hours from the time of visit.|
|Acting on clearing house report instantly|
|Following-up with the insurance companies over the phone from the seventh day of claim transmission.|
|Posting the EOBs and ERAs.|
|Following-up with denied claims (Denial Management) and resubmitting claims on the same day||
but not on the same day
|Patient AR Management-Mailing-out patient statements-placing follow-up phone calls to get patients’ responsibilities collected.|
|Answering the patients’ questions on their responsibilities by having them call us on our dedicated toll-free number.|
|Access to summary/progress/analysis reports through iPhone/iPad/Blackberry.||
but access only to a few reports
Once you ensure that patients' demographics and health information are available, you can start off clinical documentation process in tune with diagnostics and treatment workflows. The document includes symptoms of the patient during admission, lab tests and results, and subsequent treatment processes. Correct documentation eliminates hassles related to claims processing and serves as a legal document that verifies provision of care. Using e-MDs EHR/EMR software tool, BillingParadise cross–checks whether clinical workflow documentation has been correctly performed.
Some of the important points incorporated by a legible and complete clinical document are the following:
Having successfully completed the document, BillingParadise now ensures that you are now well-armed for the all-important stage of comprehensively reviewing the patient invoice against related clinical notes. This process will empower you to:
1. Detect whether any clinical procedures have not been recorded, which could fetch you additional revenue.
2. Check whether the correct medical codes and associated modifiers have been captured.
3. Ensure that these codes are correctly billed for.
Now you are all set to prepare your insurance claims and send to concerned insurance payers, so that they are passed in at the earliest. You now need to diligently follow progress of claims till they are paid.
For further queries on this issue or related to free EHR/EMR subscription services, please call us any time convenient to you.
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Hire one/combination of services/all, we at BillingParadise will meet your needs 100%