3. Good Billing Is Just Process
Great Book is Check List Manifesto by Atul Gawande, MD.
Good Billing is Like Good Surgery or Any Activity in Life that
Life and Billing is Complicated but Steps in an Organized Manner
Make it Easy.
Visit the Billing Office and take a look around or at the least
4. Denial Management!!!
Did billing have inaccurate coding?
Was claim complete?
Was there lack of supporting documentation?
Was there an eligibility problem?
One day turn around time for denials to be resubmitted.
Denials logged and reviewed?
Cure verifies payments for correctness using a product called
“right remit” does your billing company have something similar?
5. The Cure Billing Process
Charge Entry Process
Payment verification, is your payment correct?
Appeal and Collection Process.
Reading and understanding reports.
6. The Simple Facts
A billing company is just that and you are a medical practice.
Reputable firms use professional management to collect all
of your revenue.
They hire professionally trained folks who concentrate on
billing and collection (denial management).
They have the latest reimbursement information from CMS
and Commercial Insurance Companies.
7. More Simple Facts
Operations are not interrupted by a staff person leaving as
they have plenty of backup.
Have the resources to hire quickly and get the right people
including a CPC or two.
Develop contacts at the various insurance companies.
Get better priority on computer issues.
Have effective relationships with EDI Carriers for data
transmission and eligibility.
8. The Dilemma
Patient Scheduling Claims Scrubbing
Paper & Electronic
Patient Demo Entry &
Distributed environment lead towards inefficient, complex system results in
increased operating cost and important of all LOST REVENUE
9. The Revenue Cycle: Critical Billing Tasks
Pre-visit Front desk
Post the Visit
& Charge Entry
Patient Service and Satisfaction
Copy Insurance Card
Cash Analysis &
11. What makes us stand apart in billing?
One system that ensures integrated clinical and improved
communication for the complete revenue cycle management.
All in one solution that works with your existing billing and
financial system ensuring:
Ensuring clean claims for denials prevention
State of the art rejection and denial management
Reports that make sense and Monitor activity
12. More income is lost in poor Revenue Cycle Management
than you can achieve in rate increases
13. CureMD - Integrated All-in-One Solution
Straight 60 % reductions in operational and administrative cost in
comparison to in-house billing
Staying up to date with financial health of your practice by having
access to multiple financial reports (24/7) in comparison to manual
Losing 2% of total Medicare revenue on e-prescribing and PQRS
Losing 17% of all claims denied for timely filing, caused by delays in
the billing (Source AMA)
Efficient Denial Management enables you to track denied claims and
what is being or can be done to get them paid. (MGMA reports that
7%-14% of all claims are denied because of easily correctable in–office
14. It is More Than Just Time
You still need to document the visit!
Does you System Check Codes or Prompt Needed Items.
Codes 99201-99215 should be used depending on the complexity
of the visit
For level 5 make sure the history meets the definition of comprehensive.
A new patient is a patient who has not received any professional
services (face to face) in the last three years.
This time includes those you see for a different Dx.