Chiropractic Practice Management Group Helps Doctors Outsource Their Billing
Coordinating Chiropractic Practice Management and Insurance Billing is Essential For years it has been exceptionally burdensome for chiropractors and other health care providers to handle billing effectively and economically. That side, the part that involves the business aspect, has taken a large number of resources, time and money to manage. Outsourcing chiropractic billing has become one option that many doctors have found to be helpful. Companies such as Billing Precision, which focus on helping chiropractors manage their practice, increase their productivity and earn more money, have discovered a new way to outsource that is groundbreaking. A Billing Methodology In creating a system for outsourcing that works, as it is with solving any problem, companies such as Billing Precision must first identify the problem and it’s source. Although it may be common to blame the insurance companies for problems related to claims that remain unpaid or are rejected, the fact is when it comes to chiropractic billing there are various places where the process breaks down and they are often connected with what the doctor’s office is doing. For years within the field, billing problems that originated with either the process, effort or attitude of the doctor’s office seemed endemic and needed to be cured. The specific problems being experienced by health care providers that were generated by their offices included insurance companies increasing denial rates, an ignoring of appeals and an auditing of medical notes that that resulted in requests for refunds and fines. When traced back to the chiropractor it was found that the medical office lacked a consistent and integrated billing methodology, used a billing service that did not follow through and did not identify reasons as to why their claims and bills were underpaid. Coordinated and Integrated Using the power of the Internet and computer to create a truly coordinated effort made the most sense. With that idea in mind, Billing Precision was able to develop a Web-based chiropractic practice management solution that included a highly automated and integrated system. In creating a system that would work for the provider, the company had to first understand the system being used by the payer. It is a system that would rather pay the provider less than more, that likes to hold onto provider cash and that would rather not pay at all. Knowing that, a software had to be developed that would conform to demands made by the insurance companies and a billing service had to be developed that the provider could easily maximize and that would integrate with outsourcing. Results Oriented With a commitment to being results oriented, the new billing system focused on reducing and eliminating as much as possible five primary strategies used by insurance companies. The insurance companies: 1. Created complexity and use new reasons for claim denials, which would increase doctor’s billing service costs. 2. Worked towards reducing fees allowed. 3. Consolidated the insurance industry to give them heightened leverage. 4. Underpaid claims as much as possible. 5. Returned claims for after-payment audits, which would result in a demand for refund and an imposing of fines. The decision to create a results oriented billing system with coordinated outsourcing defines exactly what a successful chiropractic practice management group like Billing Precision had to do to help remove the veil of contradictions and confusion with which practitioners were dealing. Increased Productivity The area of specialist in medical management and billing has been redefined by companies like Billing Precision. Making the medical practitioner’s job more productive by offering a real solution to a challenging problem. As the industry continues to develop and change, chiropractic practice management software and outsource providers will need to alter their programs and services in order to stay competitive. You are currently on the blog of Genesis Chiropractic Software, which is a product of Billing Precision, LLC.
Billing Precision Voted the Leader in Chiropractic Billing Software
Billing Precision has created a chiropractic billing software that has revolutionized the manner in which chiropractors run their business, increasing payments, offering more efficient use of office time and ensuring doctors have fewer unbillable hours due to patient no-shows. Co-founder of Billing Precision, Doctor Brian Capra, has developed a system that is winning praise from chiropractors around the country. Dumont, New Jersey, July 5, 2011—Billing Precision co-founder Doctor Brian Capra has worked with his partners to revolutionize chiropractic billing software. Capra, a chiropractor himself who still maintains his practice in New Jersey, intimately understands the challenges that practices face when it comes to billing. The software and system he has developed has been voted the leader by chiropractors across the country. “The chiropractor faces various complex challenges that are related to billing,” notes Capra. “The tip of the iceberg involves patient billing and record keeping with the wealth of the time consuming work revolving around enabling insurance company payments and reducing patient no-shows. Both of these aspects of billing and scheduling can greatly reduce the productivity and viability of a practice.” The integrative nature of Billing Precision’s chiropractic billing software is extremely effective. The web-based program is an all-in-one Internet-based system that includes accountable and transparent billing services, state-of-art touch-screen SOAP notes, advanced patient scheduling, and real-time monitoring for compliance and audit exposure. By covering all bases related to chiropractic management, Billing Precision has become the favorite of busy chiropractic offices. The software has been re-branded as Genesis Chiropractic Software. “An example of what we’ve done,” says Capra, “is the manner in which we’ve fully integrated the all-important aspect of SOAP notes. These notes are essential in tracking a patient’s health needs and progress. But they are also exceptionally important when it comes to securing payments from insurance companies and dealing with audits. We’ve totally automated SOAP notes, utilizing a state of the art touch screen that makes note taking fast and efficient. In a matter of seconds, a chiropractor can create a record of his appointment while with the patient. It saves times, protects against audits and fully integrates with all aspects of management and billing.” The company offers an integrated program that includes a highly interactive scheduler, SOAP Notes (which stands for Subjective, Objective, Assessment, Plan), EMR Documentation (Electronic Medical Records) and outsource billing services. Focused on a network solution, Billing Precision has developed methods and systems that allow for the highest level of collaboration among all elements of the management and billing process, creating a product that is total and complete. Dr. Capra, whose degree is from Life University, has extensive practice management experience, seeing from 100 to 1,500 patient visits per week. He has also taken an integral part in the shaping of the service processes and automation requirements for Billing Precision to increase billing efficiency and overall practice profitability. He has written numerous articles as well as given many lectures on the subjects of practice management, compliance, and billing. Dr. Capra also wrote the foreword for the book Practice Profitability—Billing Network Effect for Revenue Cycle Management. This book sets the methodological foundation for the Billing Precision solution, explains the rules of the modern “payer-provider conflict,” and shows how to apply and manage winning Internet strategies, such as the “network effect,” to level the playing field with the payers.
Chiropractic Billing Software from Billing Precision
The Genesis Chiropractic Billing Software was made by a Chiropractor for Chiropractors. Billing Precision and Dr. Brian Capra have invented Chiropractic Billing Software that also helps Chiropractors manage their practices from top to bottom. The practice management features a task management system so your staff never looks for work to do. The software finds the work needing to be done and it assigns the task to the right person to handle it. View the video for more information. The Chiropractic Billing Software has been re-branded as Genesis Chiropractic Software. https://youtu.be/9v8VfA412sE
Chiropractic Billing Software Helps Doctors Collect More
Doctors Find Chiropractic Billing Software Can Help Ensure Payments from Insurance For chiropractors, who are so busy seeing patients and maintaining records regarding their patients, the chiropractic billing process can be time consuming and it can often lead to a doctor losing cash that they have earned. Record keeping is an essential aspect of not only patient health but a doctor’s fiscal well being. There are a range of services related to chiropractic billing that can make the difference between success and failure. Even if a doctor sees a large number of patients, he/she can end up losing money due to the amount and kind of paperwork that they must engage in when working with health insurance companies. Range of Activities Chiropractic billing and compliance are two general areas that can be taxing, as chiropractors must ensure that they are able to properly document visits and treatment in a timely manner. The computer and Internet have become major factors in this process. Companies such as Billing Precision have developed software dedicated to making a chiropractor’s paperwork as effortless, effective and efficient as possible. SOAP One major area that software can help in chiropractic billing is the manner in which it allows a doctor to use SOAP notes. SOAP, which is an acronym that stands for Subjective, Objective, Assessment and Plan, is an essential part of the patient documentation process that doctors may be asked to submit to insurance companies when they are audited. The ability to make short order of this process by taking immediate notes that are accurate is essential to chiropractic billing and the financial health of a practice. Result—Doctors Collect More Over the years, the amount of money that health care providers have had to pay back to insurance companies has risen precipitously. In 2006, it was 20 times more than a decade before, resulting in doctors refunding insurance companies $3.1 billion. Software such as that from Billing Precision allows doctors to take SOAP notes in seconds with exactness that is indisputable and unquestionable. When it comes to submitting them to health insurance providers, chiropractors can do so with confidence. The notes are exact and specific and dissuade insurance companies from performing further audits where doctors who are not in compliance often have to refund thousands of dollars. Reversing a Trend By creating time saving chiropractic billing software with SOAP notes that are 100% compliant, a company such as Billing Precision has helped to ensure that chiropractic billing can be done in such as manner that the doctor is guaranteed their payment and later if they do face an audit will found to be in compliance. Over the past few years, doctors have had to struggle more and more to collect and keep money from insurance companies that they have earned. Specially designed software is focusing on and successfully reversing that trend. That has helped to raise the health care practitioner’s productivity, making their business much more profitable.
Chiropractic Billing Secrets – Tactic #10 – 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 above it is pretty obvious. What tactics to they use to make it happen? Tactic # 10 – Fear, Uncertainty and Intimidation – SEE VIDEO Interwoven into all of these tactics is a sense of fear, uncertainty and intimidation. A doctor fights back against an audit. Suddenly he hears his patients are getting letters stating he is under investigation for insurance fraud. They stop coming in, cash flow comes to a halt. Money owed to him on past claims is held by the insurance company, we’ll apply it toward your settlement. They report the doctor to the state board. Even if he did nothing wrong the board will have to investigate and it will cost him. His reputation is trashed, his license is in jeopardy, legal bills skyrocket while cash flow comes to a standstill. What can he do except pay? That is the extreme example. There is a much more subtle fear and uncertainty. It is a known fact that when there are too many decisions to make a person will choose not to make one if they can. With all of the coding rules, documentation, compliance, red flag triggers compounded by finding , hiring and managing billing staff the billing problem seems insurmountable. It’s easier to go cash. That is when we let them win. Collect premiums and never pay. Then they take the money and audit more chiropractors.Summary – SEE VIDEO I have hundreds of clients and I see thousands of insurance claims each month. Managing billing is just one component of the greater profitability picture. Learn how to defend yourself and your practice profitability against insurance company tactics in upcoming webinars, articles, emails, blogs, videos, posts and tweets.
Chiropractic Billing Secrets – Tactic #9 – 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 # 9 – Post Payment Audits – SEE VIDEO Now we have thoroughly explored the most common tactics used by insurance companies. The goal, to either prevent you from submitting claims or delay paying you for them. The latest trick up their sleeve is the post payment audit. This is where the look at the money paid to you and ask for it back, plus penalties, plus interest. It is scary by design. Insurance companies have figured out, using technology, who are the doctors who are least likely to defend themselves based on documentation, billing profile, practice size and other criteria we will never know. They have calculated that for every audit they pursue to the fullest they will get $13 dollars back for every $1 they spend. Not a bad way to make even more money. Remember we talked about in the beginning of this article, the insurance company takes your money that should be in your pocket and reinvest it? How do you feel now that you know their best investment is taking your money and auditing other chiropractors with it? What a racket and it is all legal. In some cases the accusation of insurance fraud has put the doctor out of business. Letters are sent to the patients by the insurance company. Complaints are submitted to state boards. Doctors are strong armed into paying just to avoid the legal battle. It’s the modern day witch hunt. It seems hopeless on the surface but with the explosion of web based technology around the world the scales are tipped back in our favor.
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
