Best Care – Medical Billing Services: EMR Billing

emr

We work with most EMR and Practice Management providers at the local and national level, and if we don’t currently work with yours now, we’ll make arrangements to integrate it into our billing program. If you don’t have an EMR, we’ll analyze your practice and let you know which EMR we think would be most fitting to meet your unique needs.

Ask us today about how we can help you with all your EMR and Practice Management Software needs. We want to be your EMR billing provider!

A well designed medical billing company does not allow errors to propagate. This strategy results in less effort to collect payments and naturally payments flow much faster. One of the most important manifestations of this concept is insuring that billing claims are accurate before they are submitted to payers. Implementing a process that submits accurate and scrubbed claims that leads to less than 21 days in AR.

With the new regulations of Health Care Reform where most insurance companies are IPA’s, 50% of the practice billing relies on “follow up claims”, this is an area that Best Care Medical Billing Service is extremely vigorous. We make sure that all claims are fully paid and collected from insurance carriers. By eliminating avoidable errors, collections accelerate and increase. A major technique in realizing these improvements is a claim scrubber. At Best Care Services billing company we take pride of full scrubbing file claims based on guidelines utilized by payers to decide if a claim will be paid.

These scrubbers include:

A Basic Demographic scrubber. Such a scrubber insures that the basic demographics of the claims are accurate, such as correct date of birth, address, social security number, etc.
Coding and Diagnosis Scrubber. This scrubber looks for ICD-9/CPT mismatches based upon Medicare, Medical and private insurance companies rules. The rules not only identify sources of denials, but also identify overlooked CPT’s.

These scrubbers will lead to a marked improvement versus a billing company without any scrubbing; they are, however, not a complete scrubbing solution. A full solution requires a scrubber that can have a customized rule set that takes the knowledge of the billing company or medical practices and codifies it so that it can reflect to every claim before submission. This scrubber is:

Knowledge Management Scrubbers that allow the medical billing operation to continually reevaluate the adjudication rules of each payer and update the rules accordingly. The proper implementation of the scrubber requires a clear feedback loop from the follow-up department to the scrubber so that the lessons learned from denied claims can be quickly incorporated in to the scrubber. Any top notch medical billing service should utilize a scrubber like this.

Medical Practices will see a significant improvement in both the speed and the magnitude of collections if they begin using scrubbing methodology .This is an area that Best Care Billing Services performs masterfully.

With all of the technology that insurance companies employ to minimize the amount they pay to providers, it is extremely difficult to survive without utilizing these scrubbers.