Billing and Collection: Complete Billing Record Monitoring In Hospitals

Hiring One of the Best Medical Claims Billing Managers Is Necessary for the Success of any Medical Firm

Unpaid claims and rejected claims are always quite an awkward situation for any medical practitioner. There is a solution for these problems and situations; hiring an experienced medical claims billing manager for your firm. These managers are quite different from an ordinary office manager. Their functions and responsibilities in their medical fields are quite different from most other officers.

They must have solid experience in the field of billing and collection, as well as the knowledge to back up their experience, and show that they are the right candidate. The candidate should also have a vast amount of knowledge in following fields-

Insurance & Payers Policies and Guidelines that include knowledge about what is deductible, out of pocket, coinsurance, as well as knowing the difference between out of network and in network benefits, all medical necessity, and rehabilitation services etc.

      ·         Medicare and Medicaid policies, guidelines and being able to determine coverage

      ·         Knowledge about Medical Terminology

      ·         Medical Coding (CPT, ICD-9, HCPCS and use of CCI Edits)

      ·         Fee schedule analysis, rates of contracting and credentialing process

      ·         Computer systems, billing and information of patient security

      ·         Accurate and quality data as well as patient demographic information

      ·         Vast knowledge  regarding various insurance plans like PPO, Open Access, Managed Care, HMOs, Medicaid, Medicare, Capitated, Out of State Plans, Federal Employees Program, National etc.

      ·         Using Proper Medical Modifiers

      ·         HIPAA Compliancy, Guidelines and Policies

      ·         OIG’s Recommendations for Compliancy

      ·         Description of a Medical Claims Billing Manager

The best Medical Claims Billing Managers will have the following job responsibilities in their practice-

They are responsible for leading and directing the company’s billing and collection efforts.

They should be analytical, educated and knowledgeable, as necessary.

·         He/she should direct all the functions of Medical Billing Department

·         He/she should assure all signed forms are on file.

·         He/she should submit daily electronic claims.

·         He/she should check the patient’s benefits and eligibility verification.

·         He/or she should maintain accurate patient’s demographic information and data on file.

·         He/she should settle charges and/or meeting forms with appointments.

·         He/she should perform internal audits.

·         He/she should maintain and update the Internal Medical Billing as necessary.

·         He/she should review and analyse fee schedules, contracting rates and the EOBs.

·         He/she should review and analyse any new patient’s registration, billing and collection productivity reports that includes detail of accounts by type, coverage and reasons for unbilled and aged reports.

·         He/she is primarily responsible for reviewing monthly reports, quarterly and yearly reports.

Medsecretary.co.uk is a company that offers its quality billing and collection services in various medical fields. They offer their dedicated services to serve different medical practitioners.

How Do Telephone Answering Experts Avoid Losing Their Patients In Hospitals?

Reducing an organization’s work pressure with the use of Telephone Answering Services

A call centre is a centralised office which is commonly used for answering large volumes of telephone calls. It is an open workplace for all of the agents at the call centre, complete with workstations for every agent, a telephone set to telecom switch and one or more supervisor stations.

This workstation can be independently operated or networked with additional centres which are most often linked with a corporate computer network containing mainframes, microcomputers and LANs. This contact centre is one of the central points from which all customers contacts are managed and handled.

Via contact centres, precious information regarding the client’s company is routed to the appropriate people, contacts are tracked and data is gathered. It is usually a process of customer relationship management for the company.

The majority of large companies use these telephone answering services as means of managing their customer interactions. These centres can either be run by an in-house department or they may outsource their customer interaction to a third party.

Inbound telephone answering services are run by companies to handle incoming information enquiries from consumers. While outbound centres are operated for the purposes of telemarketing, debt collection, market research etc.

Some of the most common reasons why a lot of new businesses fail are down to a poor planning process, poor customer service and a lack of capital. Most start-ups are often unable to employ full time receptionists for their new business venture and as a result, the owners of the business will often answer any incoming calls themselves.

As a solution to this problem, some businesses hire virtual receptionists for their telephone answering service. In fact, most people feel there is a huge benefit to using live answering services, with respect to its cost. Some of the main reasons for companies using telephone answering services for reducing their work pressure are-

·         It is considered quite an affordable service, especially when compared to alternatives such as hiring a part time receptionist. Hiring an employee will cost more due the costs of their salary, health benefits, paid holidays and sickness cover etc. Telephone answering services are cheaper than hiring a new staff member in most scenarios. In addition, some of these services are ready to take calls seven days a week, twenty-four hours a day, during nights, weekends and even on holidays.

·         Another reason for enlisting telephone answering services is to help protect the company’s image. Having well trained secretaries and virtual receptionists put across a great image for your company that reflect professionalism and success in your organization.

·         A good telephone answering service will help prevent the loss of any new customers. When new clients are in need of services in competitive industries such as attorneys and medical fields, the customer will require immediate attention. Who responds first will have a far higher chance of getting the customer’s business.

Medsecretary.co.uk is a company that offers honest, dedicated telephone answering services in the medical fields. Their telephone answering staff satisfies each customer’s queries and provides accurate information regarding either the client’s company. It reduces a lot of the company’s work pressure and also helps to provide new customers with a good first impression.

Debt Chasing – Recover All Your Payments

Every person, at one point or the other in his/her life, faces a situation when they worry about chasing their old debts.  Debt collection has always been a cause of a headache for many people, and the problem goes one step ahead when it is in hospitals. In hospitals,the problem arises when a patient is unable to pay the bills, and this delay then paves the way for long-term debt.

Some crucial things to remember

If you are unaware of how to chase a debt and that too if it is an old one, then you must hire a company to do the same for you.  But before hiring any agent or company make sure of taking care of certain key things:

·         The company should provide you with a personal private assistant whose work will be to work in close coordination with you to make sure that you get back your outstanding debt.

·         The company or the agent should ensure that any debt is it short term or long term could be chased.

·         They must have one payment policy, that is, you pay them after retrieving your debt.

·         Whatever communication or exchange of data takes place between you and the company that you have hired should be confidential and secured through e-mails.

·         Progress should be continuously observed by giving you online access.

·         Try to avoid long-term debt because short-term debt means lesser pay on collections.

Some companies even provide you with the option that if they fail to recover your debt, then they will not ask for their payment.

As soon as possible

Dragging your debt only leads to added problems. The sooner you chase it, the less will be your problems and headache of paying it.

The problem grows when there is a hospital involved as then they have to oscillate between providing proper care and treatment to the patients while at the same time make enough to keep their hospital running.

Leave all the problems

So, if you are in such situation, and are looking forward to hiring a company that will make debt chasing easy for you then, https://www.medsecretary.co.uk is here to rescue you. Their debt chasing policy includes all the features mentioned above, and so once you tie hands with them, you can leave all your debt chasing worries behind.