3. Key Differentiators
•
– Constant awareness of industry updates and procedures changes
– Management of internal and external problems
– Resolve issues across functional boundaries
•
– Constant meetings with insurance companies officials
– Visits from insurance companies officials to our offices
•
– Interactive cases exchanges
– Integrating Web-base Medical Record (EMR)
• @your practice, accessing it from any computer
• Transmitting secure data to our billing and collection center
5. Technology
•
– Practice daily operation management
• Patient registration
• Calendar
• Co-payment balances and management
• ICD and CPT customized by plan for an electronic super-bill
• Case transmission to JMDV
•
• Access to a customized, complete, approved and secure EMR for your
practice.
• All EMR functions via secure web
• Practice management tools
• Transmission of case billing information to JMDV to be process and
collected
• On-line practice status
6. Billing and Collections
•
– Enter and edit data @the Information system by practice personnel
(installed/web based)
– Preparation of the electronic superbill
– Customized practice codes, (ICD-CPT, charges update)
– Electronic transfer of complete case data
•
– Data Analysis
– Maximization of diagnostic and procedure codes by an specialist
– Place the correct procedures and modifiers
– Preparation of clean invoice and analysis
•
– Electronic transmission
– Verify receipts with insurance plans
7. Billing and Collections
•
– Analyze and resubmit non processable or electronic denied cases
•
– Identification and analysis of payment
– Verification of payment amounts
– Accounts management
•
– Correction of denials
– Meetings with insurance companies
– Re-submission of invoices
– Follow-ups to corrected denials
8. Case Follow-ups Strategies
•
–
• Direct contact with the billing and collections division
• Using the latest technology and strategies to acquire accounts status
• Direct contact with insurance companies
• Revise all pending accounts @30days-billed
• Prepare status and action reports
• Correct and collect accounts
9. Simplified Flow
Patient and Electronic
@Practice -New
Encounter Info Transfer of
Patient
Entered Encounter Data
Encounter @Practice to JMDV
System
Invoice
Diagnostics and
Prepared and
@JMDV-Data Procedures
electronically
Analysis Codes
transferred to
Optimized
insurance plans
Accounts
Collections and
Follow-ups and Audits and
Payment
Denial Reports
Analysis
Management
10. Specialized Accounts Audits
– Case and documentation analysis
– Correction of old accounts for recovery
– Modern collection strategies…
11. Staff Placement
•
– Medical practices Administrative Assistants
– Case management Analysts
– Medical services billing and audits officials
– Other specialized personnel for management positions
12. Case Management Applications
•
– Case management software to be access via web.
– Industry Standard and HIPAA security.
– Registration, management and coordination of cases.
– Documents upload and transmissions
– Secure sharing of information and documentation.
– Dashboard reports and statistics.
13. JMDV Key Personnel
•
– 14 years of experience on the billing and collections of medical services
and management technology integration for medical practices
•
– 18 years of experience in the management of information systems for
medical providers and its applications for the billing and collection process
•
– 20 years of experience in the billing and collections scenario and the
coding and procedures analysis for medical providers
•
– 18 years of experience in the billing and audits procedures for medical
services
