Practice Management Software | PM | Medical Billing Solutions, Inc.

Increase Your Collections and Reduce Costs with Our Complimentary Medical Billing Software.
 

Managing the details of a busy medical practice leaves little time to keep up with rapidly changing healthcare regulations. In order to stay ahead in this fast-paced industry, you need a trustworthy and knowledgeable partner. That is where Medical Billing Solution Inc.’s comprehensive medical billing services and practice management software can help.

At Medical Billing Solutions, Inc., our primary goal is to make sure that your practice is paid the right amount as quickly as possible. That's why Medical Billing Solutions, Inc. utilizes Ingenix-CareTracker, a practice management software, to help practices improve their revenue cycle management activities.

Being a medical doctor no longer means simply being a curer of diseases. Running a practice requires you to go beyond your medical skills. You need to be a manager, accountant and coordinator at the same time. Similar to running a business, running a medical practice requires you to track medical insurance billing records, manage claims, generate patient statements, contact patients in regards to unpaid balances, resolve patient billing inquires and verify payments.

 Medical Billing Solutions, Inc. can handle all of these services through our practice management software. You can think of Medical Billing Solutions, Inc. as your partner as you go through the troublesome task of managing medical insurance billing records of all of your patients.


Leave the Claims Work flow to us
 

When you utilize Medical Billing Solution’s medical billing services, we will provide you with access to our ASP medical billing software that you can access from any location with an internet connection.  Your staff will handle scheduling, registration, and visit capture, and we take it from there. Your assigned account manager(s) will monitor all the work flow associated with charge verification and electronic claims submission, as well as post payments, manage denials, pursue unpaid claims, send patient statements, pursue unpaid patient balances, and take all patient balance related phone calls.

With Medical Billing Solutions, you are entitled to access the company’s state of the art medical insurance billing software. Your own staff will be given the role of managing the schedules and attendance of patients, while your medical billing company will handle everything else in regards to billing the medical insurance, posting insurance and patient payments, generating patient statements, taking patient billing phone calls, and following up on unpaid claims and patient balances.

 
  • Your staff completes scheduling, registration and visit capture.
  • We perform all the work flow associated with charge verification and electronic claims submission.
  • We post payments, manage denials and pursue unpaid claims.
  • We assign a specific account manager to each client. This manager will have daily communication with your office to ensure all tasks are being completed in a timely manner.
  • Our client partnership promotes open communication and improves the business challenges faced by today’s healthcare provider. This results in accountability and safety in event of key employee turnover.
  • You and your staff have access to an abundance of features included in our ASP software, but you also have the choice to limit the access of your staff on functions and location access.
  • All patient billing questions are handled by our efficient and courteous staff.
  • Payment to Medical Billing Solutions, Inc. is based on a percentage of monthly patient and insurance collections.

Here are some of the ways Medical Billing Solutions, Inc. can help get your revenue cycle management on track:


Real-time Eligibility

 

By utilizing our INCLUDED comprehensive scheduling system, you can automatically check patient eligibility and benefits before the patient visits your office.

Our enhanced eligibility verification features allow operators to check eligibility electronically for almost 300 payors. For payors that still are not providing electronic access – operators can even make notes manually that are then included in future electronic checks.

Electronic Claims Submission

 

Our state-of-the-art electronic data interchange (EDI) group has secure interfaces with more than 1,000 insurance companies, so your claims will reach payors quickly and securely. And, you will know your claim was received as we get immediate electronic acknowledgments from the payors.

  • No more cumbersome sending and receiving of files:  Medical Billing Solutions, Inc. will handle all of the steps involved in this process.

  • Rules-based protocols and follow-up: We are sensitive to the differences in payment schedules among payors. That’s why our sophisticated systems are equipped with rules tables that offer automatic prompts for follow-up. When a claim remains unpaid beyond the allotted time frame, it is managed immediately.

    Because our Senior A/R team is focused on maximizing client revenue, 80% of claims spend less than 30 days in A/R for the majority of our clients.

  • Fewer Denials: Procedures and diagnoses are scrubbed against the correct coding initiatives (CCI) and local medical review policy (LMRP) for a batch of visits or charges entered in Ingenix-CareTracker. We will work with your staff in correcting these issues so future claims do not get rejected or questioned, based on code selections.

  • Real-time visit capture: Ingenix-CareTracker makes it easy for you to track patient information at the point of care. With Ingenix-CareTracker, you can capture each patient visit with virtual encounter forms on any internet connected PC or wireless tablet, reducing errors and improving the quality of patient care.

Submitting the claim is only half the battle. You can count on our experienced staff to make sure you're paid right, every time, through the following services:

  • Denied claims resolution: Each denial is captured the moment it is received from the payor and coded so that the information becomes reportable. We then help reduce future denied claims through ongoing education of your office staff.

  • Payment verification: We confirm that each payor is paying you the right amount by verifying all payments against available contracts to ensure that revenue is not missed.

  • Analysis and trending: Our account managers analyze your practice data for trends that point to areas where improvement is needed. When an insurer pays something other than the standard amount, we find out why. And, if we see that claims are often denied by a payor for a specific reason, we create filters to catch and edit the claim before it goes out the door.

  • Exceptional Reporting: Real-time management and financial reports are available with the click of a button. You get the reports you need to manage and continually improve A/R. Denied claim analysis, reimbursement trends, coding usage and contract management reports are built with the flexibility to identify areas where your practice is doing well and where improvements are needed. Plus, all reports are available as PDF, Excel and Word documents and are easy to export to a spreadsheet. All report files can be published and archived for historical review.

Patient Billing

 

Medical bills can often confuse patients and questions are inevitable. From statement to collection, we take the billing burden off the practice. We provide clear and concise billing statements and are trained to understand the unique challenges of medical collections to help patients settle their financial obligation to your practice in a timely manner. All calls are logged into an electronic system and tracked to resolution to ensure that no patient concern is left unanswered.

Under this arrangement, you can check on patients’ eligibility statuses even before they enter your office. By using EDI or electronic data interchange, all transactions are also captured real time. The end result is fewer denials and faster claims payment resolution.

Much like a business, the more efficient your practice is, the easier it will be to realize profits. With our practice management software, you get less to no hassle and are able to deliver exceptional service.