INCREASE YOUR COLLECTIONS
MedBridge’s billing services focus on one primary objective – collecting more per case (learn more here). As one of the first companies to offer revenue cycle services exclusively to ASCs, our level of expertise is unequaled. Our experienced professionals have extensive knowledge of payer responsibilities both in- and out-of-network. We work with you and your partners to improve dictation, often resulting in more billable codes and increased revenue per case.
REVENUE CYCLE MANAGEMENT
All initial coding and review of denied codes is performed by CPC-certified coders with many years of experience. These coders have expertise in all ASC subspecialties, including new technologies. MedBridge has stringent processes in place to ensure accuracy and thoroughness of all codes, and outside audits are performed regularly. Realizing that revenue is limited by the thoroughness of dictation, we often communicate dictation techniques to ensure that all billable codes are captured.
All necessary codes are applied to a claim based on our comprehensive knowledge of payer-specific requirements. The claim is generated and submitted within 24 business hours of receiving all required documentation. We absorb the costs of electronic billing, postage, forms and other related expenses.
As soon as a claim has been submitted, it is considered a “receivable” account. Claims are typically paid within 30 days of submission. If it is paid according to contractual and legal obligations, we can proceed to bill the patient for any remaining balance. If the claim is underpaid or denied, it triggers our aggressive appeals process to investigate and pursue the full expected amount.
Many billing companies write off the balance after receiving the first insurance payment. Based on our expert knowledge of insurance payers, we calculate an expected amount for every case and work diligently to recover every dollar. From our vast experience, we know that insurance companies often do not pay correctly. We find ourselves educating insurance companies on their payment obligations. Our appeals process—which includes a series of effective letters and aggressive phone calls referencing payer obligations and industry regulations—often results in 20-30% additional collections.
Your patients are your lifeblood. For this reason, every patient is treated with the utmost respect. Our staff takes the time to educate patients on the billing process in order to help them achieve complete understanding. On your behalf, MedBridge provides billing statements and phone calls to obtain the due amounts, but not without a strong commitment to excellent customer service.
Our many years of experience in managing ASCs provide our billing clients with an edge when it comes to revenue cycle reporting. We think like you think and provide relevant reporting. Reports like the Billing Status Report and Transaction Log are provided weekly. Month-end reports, such as the Accounts Receivable Aging Report and Physician Totals Report, are provided monthly. In addition, we generate custom quarterly reports that are extremely beneficial to your physician partners and investors.
We provide an advanced intranet for streamlined communication with you and your staff. This secure portal is often used for access to posted reports, common forms, explanations of benefits and refund requests.
Other Available Services
MedBridge is well equipped to offer many other services that fall within the revenue cycle. Pre-Operative Authorization includes verifying benefits as well as calculating patient portions and alerting them of their responsibility on the date of service. We can work with your current transcription service or can provide one if needed. Our Contracts Consultant is also available to negotiate new agreements or re-negotiate existing managed care contracts. Simply give us a call to learn more about any of our services.