Month: September 2015

How Medical Billing Companies Help FQHCs Improve Revenue Cycle Management

Most of the FQHCs in the U.S. face serious challenges in maintaining their patient billing systems and also in managing their revenue cycles. As a result, many FQHCs seek the services of medical billing companies in order to address these challenges.FQHC billing team

Medical billing companies help FQHCs with their patient billing systems and overall revenue cycle management by taking the following measures:

1. Ensuring proper registration by using checklists – By so doing, the companies enable FQHCs to reduce the claims that are usually rejected because of ineligibility, non-authorization of services or missing patients’ information.

The officer who registers the patient usually obtains photocopies of the patients’ insurance cards and also verifies personal information, contact information and identities of the patients.

2. Practicing pre-admission contact – Most of the medical billing companies have embraced pre-service/pre-admission contact for scheduled/elective procedures. In such cases, the patient is contacted in advance and then requested to update any information that may be missing/ out-of-date. The two parties also make payment plans, whereby the prospective patient is asked to pay long before the procedure is carried out or on arrival at the FQHC.

3. Establishing a retail mindset – Typically, the contracted companies enhance FQHC billing systems by devising ways of effectively collecting payments without necessarily damaging existing relationships with their clients, and this is achieved by embracing what conventional retailers do.

This usually involves one or more of the following actions; providing prospective patients with detailed information concerning the upcoming procedures and the respective payment expectations, offering small gifts when asking for payment, informing them that they can pay using credit cards and establishing payment collection systems as routine parts of the registration work-flow.

4. Establishment of strict regulations to guide the claims submission process – By meeting proper regulations, medical billing companies enable FQHCs to avoid factors that usually result in denial of claims by the parties that are supposed to reimburse the FQHCs.

Some of the factors that are thus avoided (by establishing strict regulations to guide the claims submission process) include; patient eligibility, coding errors, incomplete patient information, claims presented to the wrong parties, missing supplemental attachments, submission of duplicate claims and incomplete service information.

5. Regular examination of contracts with main suppliers – By taking this measure, medical billing companies help FQHCs by ensuring that they get paid in time and according to the conditions stated in the contract, and that the FQHCs always bill the creditors correctly. They also ensure that creditors don’t intentionally or unintentionally make mistakes when making payments to the FQHCs, and that they always get value for their money.

6. Replacement of manual systems with electronic payment systems – Electronic systems are better than manual systems because they are more efficient, safer, more effective, cheaper, and more reliable. Electronic systems are also less susceptible to manipulation by dishonest employees, and can be simultaneously used by different parties even if they are in different physical/ geographical locations. This measure can significantly enhance FQHC billing systems.

7. Matching electronic remittances with actual payments received – most of the companies boost FQHC billing systems by ensuring that electronic remittances always match/correspond with actual payments received. They rarely post/submit the electronic remittances before receiving/confirming actual payments. This helps in avoiding unfortunate incidences whereby the A/R is updated and yet the money hasn’t actually reached the bank account.

By taking the measures explained above, medical billing companies effectively help FQHCs with patient billing systems and overall revenue cycle management.

The Prairie Technology Alliance: A Model of Local Business Collaboration

For companies located in the central Illinois and Peoria area, what better way to receive the digital and technology services a business needs than through a dedicated local alliance that offers a high level of specialization and collaboration? prairie tech alliance

The Prairie Technology Alliance provides businesses throughout central Illinois with a wide range of technology/IT services spanning from custom web development to business printers and phone systems. This is just the tip of the iceberg in terms of what the alliance has to offer. Below we go into greater detail about the Prairie Technology Alliance and what makes it a primary model of local business collaboration.

Services & Solutions

The Prairie Technology Alliance brings together some of the industry leaders of not only central Illinois, but reputable companies with national recognition. Some of the technology and IT based services which you can expect include:

If it relates to your company’s IT or technology needs, there is a professional that can help with services, parts, or assisting your company in making the necessary changes within the company’s infrastructure. Whether you have a dedicated IT team or need one to do the work for your company externally, the Prairie Technology Alliance is going to be able to assist your company with these areas, as well as on several other fronts.

Members of The Alliance

Collaboration in Business Peoria ILThere are several core members of the Prairie Association Technology Alliance which are going to provide these technology based services, as well as IT service assistance which your company needs. Who are some of the key, core members of the alliance? Some companies which are working closely with the organization include:

Whether you simply need replacement toner for printers, replacement ink cartridges, or need to have professional technology and IT support within your organizations, or require paper shredding services, these are a few of the members who are going to be able to assist your IL base business on these fronts.

Big Help for Small Businesses

Whether you operate a small technology based company, or run a multi-million dollar a year infrastructure, technology support, IT support, and basic technology function assistance is essential for your business success.

With Prairie Technology Alliance you are going to receive the assistance you need as a business owner, and you are fully supported by a large team of professionals which will be providing such services as needed by your organization. business strategy

Due to the fact that every business has different needs, hiring the right third party company to assist with technology and IT assistance services is one thing every business owner may want to consider doing at some point in time or another. With this said, no two businesses are alike; so, the type of assistance required for each company is going to differ.

With Prairie Technology Alliance not only do you receive professional support, it is offered for businesses throughout the state of IL, and depending on services offered, and amount of assistance needed, your fee to be a member of the organization will vary. You can also follow the Prairie Tech Alliance on Facebook to stay current on what’s happening.

Leading Companies in the U.S. for Pediatric Billing Services

Looking for leading companies in provision of pediatric billing services? Here is a list of such companies whose performance and quality of pediatric billing service will definitely satisfy your needs for these vital services.pediatric billing consultation

1. 5 Star Billing Services, Inc.

5 Star Billing Services provides professional medical billing, collection and administrative services for practitioners in the medical field. It offers comprehensive solution to healthcare management and related services. Billing management includes coding, patient input, payment posting, claim submission, collections and many more services.

Pediatric billing services offered by 5 Star includes collections, reimbursements and other related services. Aggressive collections, efficient exchange of information and excellent service to you as a customer, are some of the benefits you are sure to enjoy from this billing company once you register for their services.

2. Practice Management

For years, this medical billing company has served professionally and evolved to be one of the best billing companies specializing in pediatric billing services. Guided by its mission to provide clients with best billing services, Practice Management conforms to all applicable and published local laws, federal, states, statutes and stipulated regulations. It offers billing consulting, nationwide billing services and credentialing. All records are kept electronically.

This company has expertise in pediatric billing services and has extensively trained coders well versed and continually educated to assure clients of maximum accuracy and adherence to all laid down rules & regulations governing pediatric billing services. There is no doubt that allowing this company to handle your needs regarding pediatric billing services translates to high quality, unfailing medical billing services and guaranteed satisfaction on your part as the client.

3. Billing Paradise

pediatric billing

Many of these pediatric billing companies offer consultation programs that are tailored per client.

Guided by its popular saying that pediatric billing services are “no child’s play” Billing Paradise understands that at times, this vital services can be very challenging even more than handling of a hyperactive toddler. As a result, this great billing company has resolved to help clients in handling of these services professionally and at competitive rates. However, it is important to note that as is usually the case, there can be no guarantee for quicker reimbursement for insurance.

This company provides pediatric immunization free from any error. Moreover, the cpt codes assigned by this great company are accurate and ensures that it uses modifier 25 especially if the pediatrician carries out two identifiable and separate management and evaluation services during one or single visit so as to maximize the reimbursement. Try Billing Paradise for free and see its greatness yourself.

4. Physician Group Management

Physician Group Management is another billing company worth not leaving out in this list of best billing companies. Since it started its operations, this dynamic company has diversified its services to cut across all the needs of medical practitioners while at the same time ensuring customer satisfaction. Physician Group Management offers integrated billing services and electronic health records.

Physician Group Management’s innovative solutions for pediatric billing services are exceptional and worth reckoning. Entrusting them to handle these billing services gives you peace of mind and assurance for high quality.

These are just a few billing companies. Many others are out there ready to serve you. These are however the best known in medical field and have a proven record of outstanding performance.

Starting a Business in 2016: Tips on How to Begin

A lot of people would like to start their own business but are not quite sure where you start. There are so many different things that goes into building a successful business plan that many individuals are daunted and intimidated by the process of just beginning. starting a business plan

Starting a business involves a lot of planning and decision making. But the process can be taken in stride. Below we share some key elements for individuals looking to start a business in 2016.

Starting a Business

Whether you’re starting a business as a triathlon coach or starting a web marketing consulting business, all of these insights can  apply Here are some tips that people can follow in order to start a business appropriately in a structured and more strategic manner.

Draft A Business Plan

There is a need for a business plan to be made first before doing any action. Through the business plan, the whole plan of action will be written down. The business plan may also involve some of the costs that are needed to sustain the business and keep it afloat for a certain time being. It is important that the business plan will be written or actually recorded because this will help people keep track if they are following their plans well.

Be Open to Ideastechnology

People who are opening a business with others should be open to all types of ideas because the right idea may click and will make the business very successful. Aside from being open to certain ideas, brainstorming is also a key to offer something new to people that they have never seen before.

Embracing new technology is big element that should not go overlooked. For instance, if you’re business is going to based in Illinois, you should perhaps find IT consulting solutions in Illinois for a consultation or support to help you make these decisions.

Know the Mission of the Business

What is the actual mission of the business? A business without a mission will surely fail because there is no goal to reach. Goals may change from time to time but the mission should be something that will stay constant despite the possible trends that may occur in the future. The main objectives of the business should always be highlighted to help remind the people who are working on the business to know the right things to do.

Incorporate New Elements to the Business

Unlike in the past wherein businesses that were available had to rely on different means in order to advertise and market their items, a lot of businesses now can rely on the Internet in order to become well known. Here are some new elements that can help a business:

  • Website – Businesses right now are required to make their very own website to allow people to view the items that they can offer as well as the services that they may give. Without websites, businesses will find it hard to become well known in the world of the Internet. starting a business social media plan
  • Social Media – Creating business pages on social media is considered to be common as of late with more and more businesses creating their own pages and accounts in order to reach out to more people. This is vital to web presence marketing and optimization which can directly influence the success of your business.
  • Blogs – There are also some businesses that have created a blog alongside their website so that they can discuss the various things that they offer further. They can also help create web content that will entice people to realize why the things that they are offering and selling are needed.

The mixture of the old methods of starting a business infused with the new is always highly effective in improving the success rate of a business. Starting a business will need careful planning and proper knowledge of old and new ways of promoting.