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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.
  • Are you aware of the fact that your practice could be spending 50% more on overhead than it needs to?
  • Are you aware that statistically, you could be losing 30% or more in profitable revenue through non-billed services or rejections?
  • 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?              
  • Did you know that rejections are overturned and paid out more quickly if your billing staff appealed the denial within 30 days or less?              
  • 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?              
  • 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?              
  • 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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