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Problem Oriented Medical Billing..... (POMB)
The Problem with Medical Billing today centers around advanced technologies.
Technologies
that cost more and more each year.... Every year the price of
maintaining your
software systems increase, while the insurances require excessive compliances in
order to approve your transactions.
In order to continue to run your practice and make a reasonable profit, you will
need to hire someone with not only medical billing expertise but advanced
knowledge of computers, software, applications, operating systems, data sets, and
many other technical mumbo-jumbo idioms to get by day to day.
Ordinarily, a practice hires a solutions company for their technical support and
networking; but what do you do when your infrastructure goes hand in hand with your
claim transactions? Now you have to spend overhead fees on someone who knows
medical billing data sets, ANSII, ASCII standards, CPT coding, ICD-9 coding, has
collections experience, is familiar with electronic claim submissions or a couple
of staff members who has knowledge of each industry. This combination usually
do not go hand in hand; and so you get stuck in the middle trying to make a candidate
who is square shaped fit into a rectangular position.
Outsourcing really is the answer!!!
Outsourcing with 1 Claim Source is the ultimate solution!
Listed Below are some of the facts that statistics have
published nationally.
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Are you aware of the fact that your practice could be
spending 50% more on overhead than it needs to?
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Are you
aware that statistically, you could be losing 30% or more in profitable revenue
through non-billed services or rejections?
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Did you
know that if your practice treats twenty (20) or more patients a day then you would
need to hire at least three experienced Medical Billers (Bachelor’s Degree level)
to
handle that load?
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Did you know that rejections are overturned and paid
out more quickly if your billing
staff appealed the denial within 30 days or less?
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Are you aware that about 40% of your services may be omitted when your claims are
submitted to the insurance; through human error, inexperience, or insufficient quantity
billing?
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Did you know that at least 20% of your patient’s bills could possibly be turned
over to collections erroneously; due to lack of understanding of the insurance denial,
or remittance vouchers?
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Are you aware that approximately half of your electronic claims (when billed internally)
could fall through the cracks for being non-compliant to the current EDI format?
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