What do you see in your Billing Company?

A Certified Coder

Is there a regular training of employees in the billing company?

Do you have specific coding needs? How will your biller gain the knowledge when required?

Is it necessary to have a certified coder working on your claims?Are they a part of a professional community?

Are you able to get bang for the buck?

Are you able to get bang for the buck?

I. It is sad to say but yes, most billing services are focused on tasks that are easily achievable.

II. Make sure your biller knows all the tricks of the trade. If not make him crack the whip for your money.

III. Did your billing company tell you about your collection responsibilities?

IV. Are you aware of a collection agency if required?

V. Dealing with common challenges like high pending ARs, denied claims, down coding and bundled services?

ICD-10 ,Bundled payments & Coordinated Care

Dealing with the major payment changes

I. How do you know the right billing services to outsource?

II. What are the metrics to prove their efficiency?

III. Do you know how they deal with the major payment changes?

IV. Did you check if they provide regular staff training to their employees?

V. Did you check with your consultant to find out what they do to stay on top of the changes?

Dedicated Manager

I. A person particularly assigned for your practice to take care of your claims and ARs,

II. And who will be there to answer your queries.

The Contact PersonI. Did you check the capacity of the billing company?

II. How many medical billers working currently? Is it a single contractor?

III. Large Billing companies do provide a dedicated manger.

IV. Do they provide a dedicated 24/7 experts team to work on your claims.

V. Ex: 7 experts billing team to work on your claims round the clock.

A biller’s benchmarks I.Did you check if he has any benchmarks to keep a track of his own performance?

II.How does he decide a god or bad performance?

III.Benchmarks could help you understand what are the chances of improvement

IV.The Medical Group Management Association (MGMA) puts out a yearly report benchmarking the 120-day aging bucket based on the type of medical specialty.

Account Receivables KPI Table

Percentage of total A/R 120+ days

Months Gross FFS charges in A/R

Better Performers

All Respondents

Better Performers

All

Primary care 10.34% 19.17% 0.93 1.34

Medicine specialities

9.52% 16.12% 0.86 1.24

Surgical specialities

9.02% 16.55% 0.97 1.39

Multi-speciality practices

10.23% 17.76% 1.00 1.28

Biller’s workload ranges

• Medical practice experts Deborah Walker Keegan, PhD, FACMPE, Elizabeth W. Woodcock, MBA, FACMPE, CPC, and Sara M. Larch, MSHA, FACMPE, provide the following figures for billing office staff workload ranges.

• They recommend that you review and emphasize the quality of the work, not just the quantity. The ranges are based on seven hours per day, assuming one hour for breaks and interruptions

Biller’s workload rangesStaff activity Per day Per hour

Charge entry encounters (without registration)

375-525 55-75

Charge entry encounters (with registration)

280-395 40-55

Transactions posted manually 525-875 75-125

Account follow-up:research correspondence and resolve by telephonecheck status of claim & rebill

n/a

n/a

6-12

12-60

Self-pay-follow-up 70-90 10-13

Patient billing enquiries 56-84 8-12

What reports do you expect?I. The question to look for is, what reports will be available for me

to access when required?

II. Do you depend on your billing service to send reports on their own, to view billing and collections?

III. If you do then what information do you expect in the reports?

IV. Ex: how did your business perform his month compared to the last

V. You always wanted to know what revenue signals you can track

VI. Ex Top ICD-10 codes, Top payer, last month collection vs current month and many more.

Healthcare Revenue Analytics App!

Healthcare revenue Analytics App!I. BillingParadise recently launched theBillingBridge a new

healthcare revenue Analytics App.

II. This iOS App helps physicians to track and optimise their revenue signals.

III. Not only physicians, but billing companies can send reports to their clients.

IV. More about this App @ http://apple.co/1KVOsUp

The Cost of new EHR/Upgrading!I. For a new EHR, Practice management and/or a billing system,

II. A potential billing company should be able to link you to the best and certified EHR as per your speciality

III. If you get it at no monthly subscription cost then it would be the best offer you have cracked.

IV. If you have the technology with you then it is an opportunity to upgrade your billing software & PMS.

V. Check the cost and process of converting to their software,

VI. And the type of training and how their software will integrate with EHR.

How safe is my data?I. Since data breach is on the rise, the bottom line now is

protection of medical data.

II. Check what kind of protection the billing company offers it’s clients from data breach by their employees.

III. Check if the billing company assures it’s clients against fraud and theft by their employees.

Ask For A Reference

I. Insist to provide a contact info of any of their clients in your Area and your speciality.

II. This will help you get answer to almost all your questions

III. It would best help you when your practice goes through a software platform conversion, to help you know how it was.