Accountable Care Market

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The Accountable care market is now explored by many newbies from the healthcare market trying to be an ACO. Recently a survey was conducted to examine­ the motivators and challenges (including the tools required to meet goals) for those organizations that were interested in risk based or shared savings programs such as Accountable Care Organizations and Patient-Centered Medical Homes. It came to light that

  • 53% of the respondents participate in the referenced programs presently
  • 34% of those who do not participate anticipate being a part of these programs within the next three years.

Upshot of the survey:

The upshot of the above survey noticeably highlights that healthcare professionals and medical centres opt for becoming ACO and PCMH mostly to

  • Improve patient outcomes
  • Utilize resources of health care systems better
  • To maintain their share in the market

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Workflow BillingParadise

(3.99% of collections)

EMR/EHR Service
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
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Build ACO through BillingParadise and eClinicalWorks combo:

BillingParadise partnered with eClinicalWorks makes you ready for Medicare's big pay out of the season. The team has incredible experience in handling ACO's for the incentives of Medicare. According to the survey results, above 34% are missing out for some of the best laid plans by the government. Atrius health had saved $5million through collaborative care following ACO principle.

BillingParadise makes use of eClinicalWorks and improved patient outcomes up-to 66%. Joining the ACO or forming a group will always have its perks.

Negate the fear:

The willingness of the 34% to wait for another 3 years to join the Accountable care market is the fear for new regulations. Many hospitals were forced to withdraw from the ACO for their failure to append to Payer agenda. BillingParadise's ACO optimization and specialized billing services through eClinicalWorks helps you to reap benefits from

  1. Medicaid shared savings program: Providers part of Medicare fee for service can make use of this program to become an ACO.
  2. Advance Payment ACO model: Additional incentive programs for the players from the shared savings program team.
  3. Pioneer ACO model: The program for coordinated care adopters.

Right tools for the right people:

The government is willing to elevate healthcare and reduce their spending through collaborative use of resources. BillingParadise helps you achieve the requisites through the deployment of eClinicalWorks. The human intelligence and technology convergence will help you maintain standard reporting formats that are essential for submission by an ACO. Our team helps you to implement case management using eCW to keep track of coordinated healthcare services. This comes in handy when multiple entities are engaged in collaborative healthcare. We are capable of providing separate reports for different payers as the quality measures vary from payers to payers. The detailed analytics report on the cost and other utilization of resources can be provided through the eClinicalWorks EMR/EHR software.

For a group of your own Accountable care:

Group Physicians and big size hospitals willing to be a part of the ACO benefits can call us @ our toll free 1-888 571 – 9069. On queries about the implementation of EMR/EHR software eClinicalWorks call our technical support for free technical consultation @ 1-888 571 – 9069. We are available 24/7 to serve you. Do not forget to ask for the free eCW subscription.

Specialized Support

An answer for your every need

Billing & Collections

BillingParadise has helped several eClinicalWorks users brush aside their billing hurdles and run a more profitable practice, inline, with regulatory guidelines.

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Medical coding is becoming increasingly complex. An average coder, who assigns codes without in-depth analysis can do your practice more harm than good. eClinicalWorks users can now code right!

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EMR Support

We take care of your front end and back end revenue cycle processes. Right from appointment scheduling and eligibility verification to claim analysis and denial resolution, our eClinicalWorks revenue cycle management services, have you covered. We help you leverage and extract the most out of the staff, technology and workflow of your medical practice.

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Old AR

AR calling is more than just making calls to insurers and leaving home at six. You need AR callers who are persistent, informed and quick.We work with eClinicalWorks users every single day and offer flexible, practice specific support.

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RCM Services

Optimize the many moving parts of your revenue cycle with BillingParadise’s eClinicalWorks revenue cycle management services. Our certified revenue cycle specialists will improve the compliance and performance of your eClinicalWorks RCM processes.

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Specialty Focused RCM Services

We have specialized teams of medical billers and coders who hold speciality specific certifications to handle your billing and coding tasks

Service Suite Tailored To Your Needs

Skilled Personnel

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BillingParadise employs trained personnel to manage your claim denials. All claim reworks are done in the fastest way and are always inspected by our in house quality auditors before resubmission.

Foolproof System

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At BillingParadise we have designed our Denial Management Operation workflow to be streamlined and highly productive. We ensure that your denials are reworked correctly and on time.

State-of-the-art Tech

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BillingParadise provides you the most optimized and cost effective software.The DenialBridge is a turnkey software solution. Easily deployable, seamlessly scalable & can be maintained & updated.

Hire one/combination of services/all, we at BillingParadise will meet your needs 100%

Get paid Three times faster with our 24/7 medical billing services.

Work with medical billers who understand your EHR's billing process backwards and forwards

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