Client Testimonial – Cathy Barna, Billing Manager – East Village Chiropractic in New York city
My name is Cathy Barna. I am the billing manager at East Village Chiropractic in New York city . In the 12 years that I have worked at East Village Chiropratic, we have used 4 different billing software programs. I am most pleased with Billing Precision. I like that I can look at each claim individually and can clearly see how a claim was paid. I also am pleased that there is a log for each claim detailing the activity, as it let’s me see exactly what’s being done to get the claim paid. I REALLY like the Ticket feature. If I have a question or need a claim changed or edited, I simply send a ticket to my billing team and it is taken care of. The billing team that works with me answers all my tickets within less than 24 hours. They are polite, cordial and efficient. I ESPECIALLY like working with my Profitability Coach, Michelle Corrigan. She also responds to my tickets, phone calls and e-mails within less than 24 hours. She is knowledgeable and diligent. She is also very friendly and I feel extremely comfortable contacting her with any issues I may be having. I would highly recommend Billing Precision, in fact I already have. Sincerely, Cathy Barna
Chiropractic Billing Secrets – Tactic #8 – What Insurance Companies Don’t Want You to Know
Strategy Review In most cases insurance companies have 45 days to process the claim once they receive it. Key words, process, and receive. Remember, they make up to 50% of their profit from interest earned on your money. Not just premiums they have collected from patients. The insurance company strategy comes in four basic flavors. Delay claim submission Prevent claim submission Prolong the “processing” time. Take the money they paid back from the doctor. Now we know their motivation. If you look at the chart below it is pretty obvious. What tactics to they use to make it happen? Tactic # 8 – Documentation – I have spoken to dozens of doctors who are so scared of not writing SOAP notes correctly they don’t do them at all. Seems counter-intuitive but it is the extreme example of the documentation issue. Remember that your state board has requirements for daily notes that must be followed. That is not what scares doctors. What scares them is not knowing what the insurance company will accept as medical necessity. What is medical necessity anyway? I’m a chiropractor. The fear of getting it wrong is huge. Usually when I explain there should be a bigger fear of not doing it at all then getting it wrong, it is motivation enough. More on that in the next section. The rules for what is and what is not “medical necessity” are intentionally ambiguous just like coding, insurance verification and reading EOB. Know the game being played and do not fear it. If you at least look like you know what you are doing you will drastically reduce the chances of poor documentation biting you in the butt. You can get software to help with this. That’s another subject.
Chiropractic Billing Secrets – Tactic #7 – What Insurance Companies Don’t Want You to Know
Strategy Review In most cases insurance companies have 45 days to process the claim once they receive it. Key words, process, and receive. Remember, they make up to 50% of their profit from interest earned on your money. Not just premiums they have collected from patients. The insurance company strategy comes in four basic flavors. Delay claim submission Prevent claim submission Prolong the “processing” time. Take the money they paid back from the doctor. Now we know their motivation. If you look at the chart below it is pretty obvious. What tactics to they use to make it happen? Tactic # 7 – Benefit Verification Have you ever called to verify patients benefits? I’m sure you have and I am sure you have also been frustrated when the person one the other end of the phone is in India and can barely speak English. This is not a mistake. It is a tactic. Other parts of the verification process are designed to ultimately cost you time and money, frustrate you to the point where you “go cash”. There is the deductible family and individual, co-insurance/copay, allowable amounts, contracted amounts, in network, out of network, maximum benefits for a year and lifetime and so on. Hundreds of more combinations right? At the end of the call you think you know how much you might get only to find out the person gave you the wrong information. You have already submitted 20 claims, now what? This is no accident and it cost you at least 30 minutes in man hours to get the information. 30 minutes X $15/hour equals $7.50. It cost the insurance company maybe $1. They are kicking your butt. If it were $1 for you it wouldn’t be so bad. Some docs are also outsourcing this to India. This is one thing we help our clients do. This process is one of those that takes so many man hours that it just drains your staff and they are unable to focus on patients when they need to.
Cash Practice – Billing Precision Integration – Cash Plan Calculator
Did you know Billing Precision has integrated with Cash Practice? What does this mean to you? It means with the Cash Plan Calculator® System you can create 100% customized care plans for individuals, family plans and plans with insurance! Having customized, professional, affordable and complaint care plans is the key ingredient to patient retention. What You Need to Know About Care Plans By Cash Practice: Are you giving any of your practice members discounts on their plans? Are you confident the care plan is legal? Are you relying on what your friend down the street is doing? Most Chiropractors are creating care plans in a NON-COMPLIANT fashion which puts their practice and it’s members in jeopardy. We’ve teamed up with some of the industry’s noted experts in the field of compliance and discounting to ensure our Cash Plan Calculator® is providing Chiropractic offices with a trustworthy source for financial plans. Don’t gamble on what you think is right – join Cash Practice today and gain piece of mind! Having clients commit to an outlined program of care, with affordable financial options has many benefits: Better compliance on following care plan recommendations. Clients easily transition on the the next phase of care. Increased collections. Decreased dependence on insurance money. More time to focus on patient education, marketing, etc. Consistent cash flow coming into the practice. Client retention!! Imagine a Practice Full of Clients who Pay, Stay & Refer! Become a member of Cash Practice today! Yours in health, Billing Precision & Cash Practice
