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Virtual Scribe MDofficeManager

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MDofficeManager is a leading provider of Revenue Cycle Management, Medical Coding, Credentialing, A/R Management, Ambulatory care Electronic Health Record (EHR) and Practice Management Software, Medical, Business and Legal Transcription Services, to Acute, Non-acute facilities, Outpatient Surgery Centers, Ambulatory Care Practices, LTC facilities including SNF, NF, & ALF of all sizes across the US.

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Medical Insurance Billing

A billing service that does not bill the sessions accurately, misses timelines, or does not do enough follow-up can have a disastrous effect on your business; however, a well-run billing service can ease your life and greatly improve both your cash inflow and total income.

A competent billing service drives positivity in your practice and in your life. This positivity enhances your patient seeing hours or some better creativity hours that are lost behind submitting bills and waiting for refunds. A billing company doesn’t leave a single penny uncollected to provide unprecedented boost and control in your cash flow.

MDofficeManager provides the best combination of services to make physician work flawless. Our highly experienced and professional staff handles end-to-end billing needs. For billing to be handled professionally, accurately, and thoroughly, MDofficeManager will be your right choice.

A physician providing care for the patient and managing revenue simultaneously is not an easy proposition. Certain aspects become hard to manage like scheduling appointments, following unpaid claims, etc.  At MDofficeManager, we also vacate you from keeping up with all the regulations and procedures in ever-changing industry standards.

How can one find the difference between a fly-by-night medical billing company and a billing company to which they can hand over their patient’s medical information with confidence?  If they know the criteria by which to judge a medical billing service, they’ll be able to select a company that will significantly decrease their time spent on billing issues and increase their time spent on patient care.

To correctly choose a billing company, a provider will need to evaluate these criteria:

 Criteria: 1 : Level of Service

§  Pursuing denied claims.

§  Billing follow-up.

§  Complying with regulations.

§  Reporting and analysis.  What reports would be provided?  Frequency of reports?  Reports on demand?

 Criteria: 2 : Industry Experience

§  ICD-9, CPT-4 & HCPCS Coding.

§  Medical Terminology.

§  HIPAA and Office of Inspector General (OIG) Compliance.

§  Insurance claims and billing, appeals and denials, fraud and abuse.

§  Information and web technology.

§  Reimbursement.

 Criteria 3 : Use of Technology

Here are some potential technological issues in those realms that will need to be addressed, and which MDofficeManager effectively addresses: 

§  How will super-bills and claims be shared?

§  How does billing service fit with the provider’s EHR strategy?

§  Does the service have an integrated EHR?

§  What about data security?

§  What are the procedures for disaster recovery?

§  Where and how is the storage of backup data?

§  Will a provider need to install and maintain software or would they be accessed online?

§  What about compliance of HIPAA?

§  By choosing a medical billing service that integrates with a provider’s EHR (or provides their own EHR) this gap can be closed even more.

Criteria 4 :

Pricing Options

Huge volume of dollars are moved from one account to another and pricing is critical, as well as a social responsibility.

Percentage-based: The     service will charge a percentage of collections or they will charge a     percentage of gross claims submitted or total collections.

Fee-based: With this     model, the billing services charges a fixed dollar rate per claim     submitted.

Hybrid: With this model,     the billing service charges on a percentage basis for certain carriers or     balances and charges a flat fee for others.

 FUNCTIONS OF A BILLING SERVICE

The Entire Revenue Cycle – Automated & Interoperable

Θ Contract Management.

Θ  Fee Schedule.

Θ  Pre-Visit/Scheduling.

Θ  Check In & Check Out.

Θ  Charge Entry.

Θ  Track Claims.

Θ  Reject Management. 

Θ  Pre-Remittance Claim Status.

Θ  Post & Apply Payments.

Θ  Electronic EOB/ERA.

Θ  Account Follow-Up.

Θ  Patient Billing.

Θ  Denial Management.

Θ  Reporting & Benchmarking

HOW MDofficeManager CAN HELP?

Our billing services have the capability to submit claims electronically, which has become the norm for claims submission. Online claim management means on demand access to your detail just a click away that is quick, easily manageable, secure compared to paper.

However, keep in mind, that some of the smaller insurances and HMOs do not accept electronic submissions at this time, so some claims will still be submitted on paper.

MDofficeManager offers several different options for you to submit demographic and claims information to us. Most of our customers prefer to enter their data directly into our web-based MDofficeManager PM system. Providers will dictate or use our EHR system to complete patient note. Our AAPC certified coders will review the documentation and complete coding. If it is required, they will educate providers for better documentation to comply with regulations. We then extract the information needed to submit the claim without you having to do anything further. We also offer other option for customers who do not want to do any data entry themselves.

We follow up on all claims to be sure that they are received in a timely manner and paid. Since the vast majority of claims are submitted electronically, we have immediate confirmation of claims receipt, and if there are any issues with a claim, we know about it quickly. We follow up immediately on any claims that are rejected, denied, or underpaid, or on any claims where there has been no response from the insurance company. You don’t have to worry about claims follow up, tracking specific claims, etc.

  Overview

MDofficeManager

works with your practice to design a system where your office will get us the information we need to do your billing in the fastest, most accurate way possible. We bill out your claims and follow up to make sure they get paid.

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Advantages of a Cloud-Based EHR System

Health Organizations are no strangers to leveraging technological advancements to improve the patient experience. The latest innovations can also improve your practice workflow, and ensure the methodology of recording, storing, and sharing data is more accessible, efficient, and secure.

When moving to a new EHR system, one of the first considerations you will likely come across is whether or not to use a cloud-based or in-house, locally hosted EHR, which can impose a large hardware and personnel investment.

While in-house data storage for EHRs was originally the gold-standard, advances in technology have created several clear areas of benefit brough by cloud-based EHR systems. The staff at GeeseMed, a cloud based EHR service from professionals experienced in the EHR and practice management realms, have compiled these 5 advantages that your organization can leverage by using a cloud-based data storage system.

Costs

According to the AJMC, the cost of a traditional EHR system can total over $100,000, and averages $40,000 today. Keep in mind that this number is for up-front cost, and does not include expected updates, maintenance, electricity, licensing fees, etc.

With this in mind, it should be clear that setting up a new EHR in-house requires a significant up-front investment. This is especially the case is your practice is providing the necessary hardware and the personnel on your end to configure and maintain the practice-side of the setup.

In that case, by moving to a cloud system, you either remove the need for extra IT personnel entirely, or free up your existing personnel to focus on other objectives critical to the practice, such as computer and printer maintenance.

A cloud based EHR offloads much of the technical and financial load to the vendor you are partnering with. This means that as your practice scales, your EHR partner bears the responsibility for replacing, upgrading, and adding equipment. This eases the process of adding new doctors, medical offices, etc. A web-based solution will also provide the most up to date software, which means your practice never falls behind competitors.

Enhanced Security

Keeping your patient and other healthcare data secure is a vital part of being in compliance with HIPAA and general healthcare privacy regulations. A cloud storage solution can help provide improvements to how your patient data is managed, as they deliver highly secure, remote data centers that are well-protected from theft, attack, and other issues.

If you have an in-house solution, you are 100% responsible for the security of the data storage. Whether or not your system is in compliance or putting patient data at risk may be hard to discern, especially as the hardware you have invested in ages, and the security measures that were once reliable no longer protect data against incursions.

Recovery

Piggy-backing on the data security avenue, practices are more secure in the unlikely event an incident does occur. With cloud storage, the contained data is safe and secure off-site. Regular backups are made via automated features, which provides a fast and reliable recovery method if needed.

Making the Switch

Switching your EHR solution to the cloud is a serious decision and will require preparation to map out a plan to ensure minimal impact on your data and practice.

To learn more about the process of switching EHRs from your current system to a new more modern, adaptable, and secure solution like GeeseMed, please reach out to our staff.

Suhas Gandhi.

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Custom Solution Provider To The Healthcare Market @MDOfficeManager

MD Office Manager Provides All type of Medical Services like Transcription, Billing and Coding, EMR integrated, Partial Dictation, AR follow up Medical Billing. For More Information Call Today! @ 502-409-1274 www.mdofficemanager.com

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Top Medical Transcription, Billing and Coding Company in USA.

MDofficeManager is a leading provider of Revenue Cycle Management, Medical Coding, Credentialing, A/R Management, Ambulatory care Electronic Health Record (EHR) and Practice Management Software, Medical, Business and Legal Transcription Services, to Acute, Non-acute facilities, Outpatient Surgery Centers, Ambulatory care Practices, LTC facilities including SNF, NF, & ALF of all sizes across the US.

Visit Us: http://mdofficemanager.com/

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WHY Healthcare Organizations Should Outsource Their Coding Needs ? ? ? ? ?

==>> ICD-10 Experienced Coders <<==While outsourced coding is a resource available to coding managers (that can eliminate coding backlog by utilizing a highly educated, cost-effective workforce), very real concerns about data security may cause hesitation.  Complete confidence in information security, HIPAA Compliance, and Disaster Recovery is essential to coding managers and is necessary in order to enable their ability to outsource a portion of their services. Our 256 bit SSL web portal provides the highest security level possible. Our commitment to quality standards and information security is evidenced by the infrastructure in place to assure uninterrupted service in a secure information environment. ==>> High Security, HIPAA Compliant <<====>> Scalability <<==As ICD-10 implementation draws near, the shortage of qualified medical coders will only become more prevalent. Outsourcing your medical coding is a solution that fits the needs of large hospital groups, standalone hospitals, large and small physician groups, and other healthcare organizations. It can result in zero coding backlogs, guaranteed quality, reduced cost, and no worries about coding resources or shortage-driven cost increases.

Below, MDofficeManager offers you the reasons why outsourcing makes sense for your organization.

==>> Scalability <<==

Recent estimates suggest the United States currently has 30 percent fewer medical coders than needed. Combine this shortage with the productivity losses created by ICD-10, and with the results being critical lost time and revenue, as well as denied claims due to incomplete or inaccurate coding.

Outsourcing to a team of highly experienced medical coders—those who understand ICD-9 and ICD-10 coding guidelines (as well as the coding platforms)—benefits coding managers in multiple ways. First, it enables them to support existing staff, reducing their workload. It also provides training, encouraging new professionals to join the field of medical coding.

In addition, with the abundance of offshore medical coders, this solution can fit the needs of large hospital groups, standalone hospitals, large and small physician groups, and other healthcare organizations.

==>> High Security, HIPAA Compliant <<==

While outsourced coding is a resource available to coding managers (that can eliminate coding backlog by utilizing a highly educated, cost-effective workforce), very real concerns about data security may cause hesitation.  Complete confidence in information security, HIPAA Compliance, and Disaster Recovery is essential to coding managers and is necessary in order to enable their ability to outsource a portion of their services. Our 256 bit SSL web portal provides the highest security level possible.

Our commitment to quality standards and information security is evidenced by the infrastructure in place to assure uninterrupted service in a secure information environment.

==>> ICD-10 Experienced Coders <<==

With changes in U.S. healthcare resulting in increasing costs – costs of medical insurance, changing coverage restrictions and allowances – as well as the revised ICD-10 codes, healthcare providers are rightfully concerned about the quality and accuracy of medical coding.

MDofficeManager has taken a proactive approach to assuring our medical coders are proficient inICD-10 coding guidelines. Our approach to preparedness includes developing a training infrastructure that teaches ICD-10 coding guidelines to current and future coders, as well as on-going training, practice, monitoring, and feedback to assure our high-quality expectations are met.  Our coders have extensive medical record coding, HIPAA, and compliance training or review that assures retained accuracy standards. In addition, our medical coding quality assurance team monitors ongoing coder accuracy.

The specific coder preparedness initiative is developed in collaboration with the client.  It allows sufficient practice and leads to proficiency in medical coding according to the new guidelines.  Individual coder quality is monitored closely, and improvement initiatives are developed to assure coder proficiency within ICD-10 requirements.

At the core of the MDofficeManager Coding Service is the dedication to quality and the understanding of how these codes relate to reimbursement and claims payment.

==>> Accelerate Cash Flow <<==

Recent estimates suggest the United States currently has 30 percent fewer medical coders than needed. Combine this shortage with the productivity losses created by ICD-10, and the result is a “perfect storm” of lost time and revenue, as well as denied claims due to incomplete or inaccurate coding.

Complete and accurate medical coding requires the coder to be thoughtful and take the time to thoroughly review the record and coding guidelines as necessary to assure the coding captures all services provided.  Conversion from current ICD-9 to the upcoming ICD-10 coding system(expected to take place in October) leaves providers in a costly position.  A backlog of medical records needing to be coded may result in less revenue as the coders are caught between the goal of complete and accurate coding, the need to reduce the backlog, and the expectation to learn the new ICD-10 coding guidelines at the same time.

Multiple coding sites enable us to code while you sleep.  With our help, your organization essentially codes 24 hours a day.  Our outsourced coding teams code overnight while your on-site medical staff codes during regular business hours.  With our extensive network of highly-trained medical coders, we can provide you with cost-effective coding resources to ensure accurate and prompt payment.  Our goal is to improve the bottom line for our customers. Your success is our success.

With an abundance of medical coders, outsource coding with MDofficeManager is a solution that fits the needs of large hospital groups, standalone hospitals, large and small physician groups, and other healthcare organizations. It can result in zero coding backlogs, guaranteed quality, reduced cost, and no worries about coding resources or shortage-driven cost increases.

==>> Dedicated Team of Medical Coders <<==

We assign our customers a dedicated medical coding team to assure that, in addition to fundamental coding knowledge (reading medical records and applying coding guidelines), they learn and apply client-specific guidelines and procedures developed by the coding manager for implementation in his or her facility or practice.  

Our dedicated team of medical coders quickly become familiar with the facility’s coding processes, services and associated providers.  The assigned coding operations team works very closely with the customer to ensure our processes and performances achieve their high-quality coding expectations.

==>> Friendly, Client-Centric, US-Based Coding Company with Proven Results and ONE Point of Contact <<==

MDofficeManager is both provider-tested and proven to closely monitor and assure policies, security, and operations for high-quality performance.  Outcomes have shown — outsourced medical coding provides a cost-effective, yet first-rate coding resource.  As managers struggle to meet the challenges of ICD-10 implementation, a coding backlog makes those challenges even more urgent to conquer.  Outsourced coding promotes a reduction in coding backlog and accelerates cash flow.  Outsourced coding also makes the initiation of staff education programs by coding managers possible, without the fear of developing a coding backlog.

This dedication to medical coding quality enables MDofficeManager’s clients the opportunity to continue to choose, with confidence, MDofficeManager’s Outsourced Coding that complements their coding efforts.

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What are the steps in the revenue cycle?

A Complete Walkthrough of the Healthcare Revenue Cycle Management Steps

Step 1: RCM Software or Outsourcing Processing. ...

Step 2: Patient Pre-Authorization. ...

Step 3: Eligibility & Benefits Verification. ...

Step 4: Claims Submission. ...

Step 5: Payment Posting. ...

Step 6: Denial Management. ...

Step 7: Reporting.

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We have Lot to Say!!!!!!!!!!

http://mdofficemanager.com/how-medical-software-improves-revenue-cycle-management/

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We have Lot to Say !!!!!!!!!

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Merit-based Incentive Payment System (MIPS)

I first reviewed the incentive data of 2017 MIPS released from CMS and think that something funny was going on. We had just checked the provider’s 2017 final MIPS score and it was a high one, 87+% and lowest is about 64%. That is a score to be proud of. However, they would only be seeing a positive 1.93 to 0.15% payment adjustment in 2019. One would think a MIPS score that high score would bring a higher Medicare Part B reimbursement incentive. What is going on here?

We have been led to believe that a high MIPS score would put eligible clinicians in line for a Medicare Part B reimbursement adjustment at the high range of the potential incentives. Those adjustments, starting at +/- 4%, escalate to +/- 9% within a few years. And this does not include the “exceptional performance bonus” for scores over 70. The MIPS payment scheme was constructed to be a zero-sum system in which those with high scores received positive adjustments that equaled the negative adjustments of those with low scores. This is the “bell curve” we all hated in high school which mandated someone had to be given a “F” to balance the “A” awarded to someone else. In the case of the MIPS “bell curve” something unexpected seems to be happening. Is this an unintended consequence of some MACRA-MIPS rule making over the past few years?  

Wikipedia tell us that “unintended consequences are outcomes that are not the ones foreseen and intended by a purposeful action.” So, I’ve been wondering what decision was made that is producing lower than anticipated positive payment adjustments in the face of high scores. Could it have something to do with all those MIPS eligible clinicians who were excluded because they didn’t meet patient volume and reimbursement thresholds? That is exactly what a number of members of Congress think

Five Congressmen in a letter last week to the Administrator of CMS made the following statements:

Θ   However, the program relies in part on meaningful participation in the program and the current regulations have reduced the payment incentives by excluding many providers from participation.

Θ   For example, high performers are estimated to receive an aggregates payment adjustment in 2019 of 1.1 percent – based on their 2017 performance – even though adjustments of up to 4 percent are authorized. The trend of continued actual adjustments that are significantly less than authorized fails to incentivize meaningful participation in MIPS. In 2020, for example, CMS is projecting a 1.5 percent payment adjustment for high-performers, compared to a potential 5 percent adjustment level authorized under the law.

Θ   Based on feedback received from provider groups, we are concerned that the low-volume thresholds are too high and effectively preclude providers from earing more that that a nominal payment adjustment.

Θ   We also hope CMS can incentivize more significantly and meaningful participation in MIPS by adjusting low-volume thresholds adequately.

Θ   So, there you have it. CMS estimates that for the 2018 performance year about 60% of otherwise MIPS eligible clinicians are excluded based on low thresholds. Those low bars were heralded when they were announced but now we are seeing the other side of the coin. Tinkering with the distribution curve by excluding those on the low end is having consequences to the high end that are just now being realized. We can expect to hear more and more about this in the coming months. I would not be surprised to see regulations and rule-making focused on this issue sooner rather than later.

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Are you having problems managing your medical records department and searching for lost paper chart ???  

Then there's a solution to this problem!!! MDofficeManager provides Physician Document Management Solution where instead of wasting valuable revenue producing resources writing patient notes, the clinician can dictate patient information using his smart phone, 

Dictaphone or toll free number, review the reports and e-sign it anywhere and anytime, so by using the services of MDofficeManager you can spend more time with your patients, and clinicians can get back to what they do best that is care for patients and creating satisfied repeated customers which will also save your time and money. 

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One Stop Solution Provider : Now It’s In United States Of America.

MDofficeManager is a leading provider of Revenue Cycle Management, Medical Coding, Credentialing, A/R Management, Ambulatory care Electronic Health record (EHR) and Practice Management Software, Medical, Business & Legal transcription Services, to Acute, Non-acute facilities, Outpatient Surgery Centers, Ambulatory care Practices, LTC facilities including SNF, NF, and ALF of all sizes throughout the Unites States.

For More Information Please mail me info@MDofficeManager.com or call me 812-248-9206

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MDofficeManager is a one of the best services provider of Revenue Cycle Management, Medical Coding, Credentialing, A/R Management, Ambulatory care Electronic Health Record (EHR) and Practice Management Software, Medical, Business and Legal Transcription Services.

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Our aim is simple to let technological advances simplify your daily workflow and provide turnkey solutions - Medical Transcription, Medical Billing, Medical Coding to healthcare professionals for all administrative and financial aspects of their medical practices.

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Outsource medical transcription