Installing a smart EHR like Epic is just half the battle won. The other half, the more challenging one lies in knowing how to effectively utilize its features to better the revenue cycle, extract data and streamline patient access. The good news is that you needn’t worry about the other half.
BillingParadise provides Epic users revenue cycle management services eliminate unending hours spent on the claims cycle. Leverage automation and get rid of a sub-optimal revenue cycle. Realize the full reimbursement value of every single patient encounter with our 24/7 Epic RCM services.
This is what sets us apart
(3.99% of collections)
|EMR/EHR's RCM 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
There is one common denominator that binds our people, processes and RCM technology together – it is centred on you. There is no one way to achieve a high performing, completely optimized and accelerated revenue cycle, so we offer you three.
Our certified resources can work on a single component of your revenue cycle and help you achieve positive outcomes. Our highly specialized RCM teams, flexible workflow and customizable automation tools will transform and strengthen the weak links in your revenue cycle chain.
Increase revenue without increasing headcount. Our Epic RCM team co-manage your revenue cycle and work hand in hand with your existing team. We implement best-practice revenue cycle solutions and practices to drive up revenue growth, mitigate compliance risks and maximize operational efficiency.
Reduce cost-to-collect, gain maximum improvement in revenue and operational efficiency by externalizing your revenue cycle operations to us. We ensure that all your revenue cycle and compliance requirements are taken care of so you drive back home a lot sooner!
Apart from working with AAPC/AHIMA certified coders, 7 specialized RCM teams and a revenue cycle partner who understands your EHR like no other, here is a list of services and solutions that’ll boost collections, reduce AR cycles, prevent denials, increase compliance and improve patient satisfaction.
Credentialing and contract management support:Our credentialing team is headed by Michelle Graham who has 50+ years of experience in provider credentialing and privileging. Resolve credentialing issues and maintain your CAQH profile with a team that understands the nitty-gritties of credentialing.
Be assured of strong contracts that improve yield with our contract management experts. Eliminate underpayments and payment variances with our proprietary contract management software.
AR management services: Reduce AR cycles and backlogs and improve AR relationship with payers. Our AR management software prioritizes and categorizes AR information. It instantly monitors and updates the results of receivables followed up on.
Our payer specific AR management team and follow-up callers increase debt collection and AR productivity.
Denial prevention solutions: Are denials a costly menace you cannot curb? Reduce denial rates and lost reimbursement opportunities with our highly experienced denial prevention team. Eradicate controllable write-offs, increase denial overturn rates and run on-demand denial reports through the DenialAnalyzer.
MIPS guidance: Extract the right information from your Epic EHR that supports your quality reporting goals, get ongoing MIPS support and successfully submit data to Medicare. Our MIPS guidance will ensure that the MACRA effect on your organization will be a positive one.
Client profile: An ob-gyn centre with 4 providers that performed 800-1000 procedures annually. The centre is based in California and has a steady patient flow. It sees 50-80 patients every day.
Problems faced: Underperforming contracts. The practice was planning add another centre and credentialing issues posed a major challenge. The ob-gyn centre was also battling with escalating operational costs and poor AR collections.
BillingParadise’s solutions: Our contract management team closely analyzed the payer contracts of the ob-gyn practice and identified that the practice regularly struggled with bundled payments. We developed a strong bundled payment strategy to stop revenue loss and compliance risks.
Our credentialing team helped the practice with licensure, provider enrolment and privileging issues. Our AR management system improved AR efficiency.
Call us @ 1-(888)-571-9069 or fill up our inquiry form here OR complete our inquiry form by clicking here.
An answer for your every need
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Hire one/combination of services/all, we at BillingParadise will meet your needs 100%