Genesis Chiropractic Software Webinar Teaches Three Key Practice Compliance Skills
Industry leaders unveil tested strategies in chiropractic practice management software to increase office compliance and save practice owners time and money in this short new webinar. Genesis Chiropractic’s new short webinar reveals three most effective methods to increase compliance in the office, thus saving chiropractors time and money. The webinar is available online, and can be watched or listened to on a computer here at any time. “Ninety healthcare providers were charged with compliance violations reaching $260 million in billing in May 2014. A growing number of practices are subjected to audits and penalties,” says Reuven Lirov, Chief Practice Growth Officer at Vericle. “Chiropractic practice owners too struggle to maintain compliant practices against a tangled web of regulations from insurance companies, the government, Medicare, and Medicaid.” Each of those unbilled visits would be marked as a “fail” in the audit, with a resulting penalty of $10,000 per line item. According to Lirov, mistakes and oversights in the office are a regular occurrence in most healthcare practices. “Chiropractic office practice managers face difficult problems posed by compliance issues such as the increased risk of audit failure, growing compliance complexity, and lack of time to learn and implement new procedures based upon new rules,” says Lirov. Lack of compliance is a serious issue that can lead to substantial loss of revenue and fines. For example, a chiropractic office might see 100 patients a day, or approximately 25,000 patients a year. Suppose just 0.4% of those visits (100 visits) are undocumented. Each of those unbilled visits would be marked as a “fail” in the audit, with a resulting penalty of $10,000 per line item — or $1 million in audit penalties. “Better compliance liberates chiropractic practice owners from worrying about fines and audits, and lets them get back to treating patients,” says Lirov. “Chiropractic practice management software helps practice owners stay compliant and grow. Our average clients have seen substantial growth in their practices including an average revenue growth of 186% and patient growth of 141%.” [vc_video title=”Dr. Greg Loman D.C. talks about compliance.” link=”https://youtu.be/i0slFN2U1GA”] “We’re in a compliance era in which we must really become compliant,” says Dr. Greg Loman D.C., an accomplished physician, a high volume practice owner, and a co-founder of Maximized Living. “In my opinion it is just necessary that you use Genesis Chiropractic Software by Billing Precision not just a for compliance but for just how amazing their product is.” Continuously increasing compliance requirements and lack of time do not excuse chiropractic practice owner during a practice audit. This short thirty minute webinar teaches the three most important practice management skills to save a chiropractic office and avoid audit failure penalties. The webinar includes a demonstration of Genesis chiropractic practice management software. It contains automated features to discover the most frequent documentation errors that lead to compliance issues, such as undocumented visits, unsigned notes, and late billing. The software is also browser-based, so it can be changed as the law changes without inconveniencing the practice owner. Click here to sign up for the free webinar and find out more information. About Genesis Chiropractic Software and Billing Precision, LLC Genesis Chiropractic Software by Billing Precision, LLC was designed by chiropractic business owners with both patient relationship management and practice profitability in mind. Genesis software provides a complete chiropractic practice management system that supports every role in a busy chiropractic practice, from the owner and practitioners to the front desk and back office. It automates the vast majority of standard tasks, including patient relationship management, revenue cycle management, compliance and office management. Its exclusive workflow functionality continuously improves productivity, control and predictability, fostering teamwork and time savings, which leads to greater profitability and practice growth. Visit https://genesischiropracticsoftware.com for more information.
Revenue | Automating Billing Reports
Where Should We Go Tonight? Can Dr. Ben make the commitment to automate his billing reports and take control of his office finances? Ben and Carmen were having a familiar conversation: what should we do about dinner? They had both returned home from busy days at work, both were a little frazzled and hungry and – as usual – the refrigerator was lacking in appetizing options. “I’ve heard that the new Indian buffet is very good,” said Carmen. “But it’s downtown and it’s almost 6:30, so there might be a bit of a wait.” Ben thought about that. “That sounds delicious and we should definitely get there at some point, but I’m too hungry for a long wait. Why don’t we just go grab some Chinese at our usual place – there’s never a wait there.” “You know, Ben, we’re never thrilled with our meals there and we’ve tried everything on the menu,” Carmen said. “There’s a pretty good reason why there’s never a wait there.” They looked at each other testily for a moment – hunger and a lack of accord might become a threat to their nice evening out. Just then Jonathan came running out of the living room and hugged Ben, happy to see his father. “Daddy, you’ve got to see my new art book – I drew all of the pictures myself!” “Of course, Jonathan, I’d love to see it,” Ben said. “Listen, Carmen, I’m going to look at Jonathan’s artwork and then we can go try that new restaurant downtown. It sounds like fun.” He went into the living room with Jonathan and sat down on the couch with him. He wondered why he was so irritable this evening as he turned the pages of the book. Ben’s thoughts kept returning to earlier in the week, when Luisa explained the difficulty she was having keeping track of the office finances. Too often they were surprised to learn that some patients had accounts that were past due. And between varying accounts receivable windows and some insurance companies that were dragging out the reimbursement process due to even minor errors in data entry, it was making confident budgeting impossible. Ben pondered how difficult it was for him to keep track of crucial patient information until he put a system in place. Between his voice recorder, written notes and meticulously organized files on his computer, he felt confident in his mastery of the most important details for each patient. But then he thought about how many areas of office management that Luisa was expected to stay abreast of: office supplies, scheduling, working with outside vendors, insurance reimbursements… her plate was truly full, even with Pam’s able assistance. And considering that third parties don’t always respond when and how you want them to, the level of complexity and the time it takes to handle each task can be multiplied exponentially. Carmen – who had a business degree and always seemed to be several steps ahead of Ben in understanding the ins and outs of finance – and he had talked about the program that could automate many of the functions of his office and Ben had been serious about actually following through and implementing it. But there always seemed to be a crisis to attend to… trying to collect from patients who owe balances beyond a certain date, trying to figure out where long-overdue insurance reimbursements were. Ben knew when he started his practice that it wouldn’t only be about attending to patients – he knew there would be crucial administrative work that would have to be handled by his staff. Luisa had certainly had shown she understood the benefits of having data to inform business decisions. But customization is key when reviewing large amounts of detailed data and it didn’t seem like Luisa was tapping the full potential of the system when it came to the billing reports. Ben knew that there were reports that could be broken down in a number of different ways and could be endlessly customized so that they could stay on top of potential problems. Well, maybe we should take some time to figure it out together, Ben thought. Without getting these reports done – and done right – we really have no idea how well our office is functioning. This sounds like something we should talk about on Monday. But first he wanted to enjoy a nice dinner with Carmen and Jonathan. He appreciated how Carmen listening to him talk about the various issues in his office, and she often responded with some great feedback. That business degree had served both of them well over the years. When Ben had finished looking at Jonathan’s artwork and congratulating him on being the next Rembrandt, he found Carmen in the hallway, ready to go – her purse in one hand and a small lunchbox in the other. “What’s in the lunchbox, Carmen?” Ben asked. “Well, since you’ve agreed to my pick of restaurants, I wanted to reciprocate by packing some snacks for the drive so you won’t be starving while we wait for a table,” Carmen said with a smile. “I’ve got some fruit, cheese and crackers, and your favorite – cashews.” Ben took Jonathan’s hand and smiled at Carmen, who never failed to make even the most hectic and frustrating day better. “We’d better get going,” he said. “Maybe we can be on the lookout for a new Chinese place on our way there.” Both were laughing on their way out the door. Can Dr. Ben make the commitment to automate his billing reports and take control of his office finances? Disclaimer: For HIPAA compliance, all characters appearing in this post are fictitious. Any resemblance to actual persons or actual events is purely coincidental.
Chiropractic Software Patient Education Increases Compliance
Personal Growth Could patient education help reduce Dr. Ben’s exasperation with compliance? Ben pulled a weed viciously. His wife looked at him with raised eyebrows. “What did that dandelion ever do to you?” “I guess I’m just exasperated,” Ben said, tossing the weed into a wheelbarrow and starting in on another. “You can take out all your exasperation on these weeds,” Carmen laughed. “But tell me what you’re upset about.” “Another no-show this afternoon!” Ben said, pulling more weeds with more force than was absolutely necessary. “I’m just getting sick of it.” “I thought you had worked out –” “Oh, we have a good system in place now, as far as the practice is concerned. But I still hate it. This particular patient skips half her regular adjustments, and then comes in with pain and emergencies that she probably wouldn’t have if she just followed her treatment plan. It’s frustrating to know that I can’t do my best for her because she won’t cooperate and be in compliance.” Carmen nodded sympathetically, digging out a stubborn root. “I sometimes think,” Ben went on, sitting back on his heels, “that they don’t really get what we’re doing.” “Maybe they don’t,” Carmen suggested. She reached across to help their son with a tough weed he was trying to pull. “They act like what you do is magic. They don’t know why it works, they just feel happy that it does.” “But you see, that attitude means that they don’t follow through with my recommendations.” “You explain things clearly, I know,” Carmen assured him. “I’ve heard you do it.” “Better sometimes than at other times,” Ben admitted. “It depends how busy I am, and which room I’m in — some have better visual aids than others.” Carmen laughed again. “I hadn’t thought of that, but it’s true. Plus, you’re not always the one giving the explanation. It’s not really systematic, is it?” “I guess it’s not,” Ben agreed. “We all just answer questions and give explanations as needed — office staff, too. And of course we work together on patient cases, or with other health care professionals. There can be a lot of people involved in a single medical decision, and we don’t all end up sharing the same information.” “I don’t do a lot of education in my business,” Carmen said, “but I know that anything that doesn’t use a good system ends up taking more work, more time, and more trouble than it needs to.” “Hmm.” Ben stood up, brushing dirt from his knees, and hoisted the wheelbarrow. “It sounds like non-compliant patients are my fault.” “That’s not how I meant it,” objected Carmen. Jonathan scrambled up into the wheelbarrow, shouting that he wanted a ride. “I’m just going with what you said — they don’t always get what you’re doing. Then they might not realize the importance of doing their part.” “I’m doing my part,” Jonathan announced. His parents assured him that he was, and Carmen lifted him down from the wheelbarrow so Ben could tip the weeds onto the compost pile. “A little patient education might do wonders,” Ben said. “I hadn’t really thought about it, but I’m sure the patients would be more cooperative if they understood the value of follow through.” Could patient education help reduce Dr. Ben’s exasperation? Disclaimer: For HIPAA compliance, all characters appearing in this post are fictitious. Any resemblance to actual persons or actual events is purely coincidental.
Visual Embedded Analytics in Your Software
Can of Worms What do the numbers mean to you and your practice? Opening your own practice means opening a whole new can of worms. That’s because there are so many elements that they don’t teach you about in school: aspects of running a business that you’re left to learn on the fly — all while attempting to provide quality care for your patients. One of the most critical components of achieving practice success is making sense of the numbers. There are numbers everywhere, from revenue to no-shows, from patient visits to accounts receivable. When you first start to look at them, it can almost seem like you’re staring at signs in a foreign language, hoping that the context might shed some light on what they mean. Practice management software can help, but until you know what numbers are most important to your practice — and how they signify growth or, conversely, difficulties — you’re still left wading through a mess of mathematical gobbledygook. Fortunately, there are analytics — tools to help you make sense of the data — available, and the best chiropractic software solutions, such as Genesis, embed those tools into the program so that they’re easily and immediately accessible. Offering a visual presentation of the numbers, these analytics finally make it possible for you to interpret and understand the numbers that drive your practice. Examples include: Radar chart — Visually resembling a spiderweb, the radar chart shows multiple variables on axes starting from the same point, radiating outward like spokes on a wheel. The length of the spoke is proportional to the magnitude of the data. This allows you to examine the correlation of values — say, accounts receivable and NFAs — that aren’t otherwise measured in comparable units. Trend report — A trend report presents data on a traditional line graph, thereby allowing you to see the peaks and valleys of your information — and the inter-relation of different data sets — over time. Histogram — With a histogram, you can choose three charts to show you a graphical representation of a single area of your practice over a given time period (weekly/monthly), depending on the selection. This allows you to gauge how your practice is doing comparatively for a set amount of time. Dashboard — A dashboard is an organized presentation of the numbers, so you can get an at-a-glance picture of where your practice stands on collections and outstanding work. Genesis, for example, can show you failed claims, AR > 120 and outstanding tasks — or “tickets” — on a single screen through its homescreen dashboard. Billing Stats Report — This type of report allows you to view claims by date of service. The report can then be broken down in a number of different ways, depending on what you’re looking for (customizable by practice). The Billing Stats Report, or BSR, is very useful for digging into problems. Ultimately, it’s up to you to determine which numbers provide the best snapshot of practice success; however, analytics are the tools that help bring that snapshot into focus.
Do You Know Your Practice Management Metrics
Too Many Variables How can Dr. Ben effectively put his information and ideas into his chiropractic practice? Ben closed his office door gently and pulled his chair up to the desk. He pulled his wife’s crayon-made chart from his pocket and smoothed it out on the desktop. Carmen knew a lot about business, he thought. He had to admit that he found that part of his job challenging, but he was also confident that he’d be able to take control of this aspect of the practice now that he had some direction. With medical information, he could look at a few pieces of data and see what was going on — or what else he needed to know to find the answers to his questions. If he needed additional information, he knew where to look for it. And generally speaking, the patients’ charts had the data he needed in the places where he expected it to be. His own experience with that data made it instantly meaningful. It didn’t seem to work that way with practice management. So Carmen had grabbed one of their son’s crayons and drawn him a chart. Ben chuckled. Ben copied the chart into a spreadsheet and hit “print.” He heard “Dr. Ben?” at his door and just had time to put away the original chart before Pam entered. “Dr. Ben, we have another last-minute cancellation.” Pam handed Ben the patient folder. “She’s done this before, hasn’t she?” he asked, checking the file. “She does it pretty regularly,” Pam admitted. “She always says something about work, but I wonder whether maybe she just finds herself short before the appointment comes up, and makes excuses so she won’t have to pay.” “Do we have other patients who work at the same place she does? Do we have the same kinds of problems with them?” “That’s a good question. I’ll check on that. I hate to have to charge her if it’s work-related and she can’t help it.” “If we take that position, though,” Ben pointed out, “we’d never charge anybody for cancelling, even though we have a sign out there explaining the policy. Everybody probably has a reason they think is important.” “I know, but if the cancellations are caused by financial problems, then charging…” Pam continued, but Ben had stopped listening. “This is paralysis by analysis,” he interrupted. “What?” “I mean, we’re looking at so many possibilities and so many hypotheticals that we’re never going to be able to make a firm decision. If cancellations are enough of a problem to us that we have a policy, we ought to follow that policy. She could go to her boss and explain that she’ll lose that $35 fee if she cancels, and then it would be in the boss’s court. Or if it’s financial, she could level with us and we could work out a payment plan for her. All those things about her life are just muddying up the waters for us.” Pam nodded. “You’re right.” “Or if our data shows that cancellations don’t really make any difference to the bottom line, then we could get rid of that policy. But let’s narrow this in to the most basic information we need for the decisions, instead of broadening it out to include all the possibilities we can imagine.” Pam left looking satisfied, but Ben remained in the office, lost in thought. It sounded good when he said that, but the truth was, he didn’t know what no-shows cost him and whether they needed to be firm or not. He didn’t even know how often this particular patient had made a last-minute cancellation or not shown up for an appointment, and Pam simply had a feeling about it, not hard facts. This was definitely a case in which having fast access to the KPIs would improve decision-making at his chiropractic practice. In fact, if he or Pam could spend a little time sorting these things out, they would probably make it up by having fewer conversations agonizing over decisions of that kind and second-guessing their earlier decisions. Ben looked at his spreadsheet. Why couldn’t someone from the office staff pencil in the current figures every week and calculate a running total? Then when questions arose, they could take a quick look at the spreadsheet and find exactly the information they needed. Pam wouldn’t like it, he was sure, but it seemed like just the right solution. How can Dr. Ben effectively put his information and ideas into his chiropractic practice? Disclaimer: For HIPAA compliance, all characters appearing in this post are fictitious. Any resemblance to actual persons or actual events is purely coincidental.
Your Data and Practice Management Metrics
Big Data? Can Dr. Ben get the benefits of data-informed decision making in his Practice Management? Carmen stomped around the kitchen, slamming cabinet doors, and mixing ingredients furiously. Ben wondered how dinner would taste with this level of irritation mixed in. “I am so mad,” Carmen informed him, as though he could have missed that. “You know a restaurant like mine is always just on the edge of profitability.” “I thought the pizzeria was doing well,” Ben objected. “We are! But doing well for a pizza place can be an 8% margin. I believe in giving good value, treating my workers well, and using fresh ingredients. And every time I turn around there’s another expense!” Carmen slammed the oven. “Hey, come sit down and let me get you a glass of water.” “I know I’m making a big deal over this, but seriously, Ben, this just makes me mad. We’ve had Wifi in the restaurant since we opened, and now all of a sudden we’re supposed to pay an extra fee and buy a special router and — I don’t know. I’m going to have to sell five more pizzas a day just to keep the same level of service I have now.” “So don’t have Wifi,” suggested Ben. “In a pizza place? You’re kidding, right?” Carmen shook her head. “Hospitality industry surveys say that over 70% of my regular customers could go elsewhere if I didn’t have free Wifi for them.” “Does it have to be free?” Carmen’s pitying expression answered the question. Ben persevered. “Okay, what if you raise the price of the pizza to cover the extra cost of the Wifi?” Carmen stared off into the distance and her eyes narrowed. “That’s not impossible,” she said. “I’d only have to raise prices by about 26 cents per item… if I went from $12.79 to $12.99 and made up the difference on the drinks, probably no one would notice.” “How can you do that?” Ben asked his wife. “It took you less than a minute to figure that out.” “In business, you have to know your numbers,” Carmen said firmly. “How can anyone know all those numbers?” Ben objected. “We have so many numbers in our practice, I don’t even know what I should be keeping track of, let alone what to do with them.” “Then how do you know when you need to hire another staff member, which products to stock, or which services are most profitable?” Ben considered the question. “I guess I don’t. We’re tied into all kinds of information systems, but they don’t seem to connect with decisions about the practice. As long as we’re doing pretty well and have enough money to pay everybody, I don’t really think about those things. If we’re falling behind, I cut out the free coffee in the break room…” “And stay up nights worrying,” Carmen’s voice was soft. “Wouldn’t it make sense to have control of that information for your Practice Management?” “I guess,” Ben frowned. “I don’t see how I can add any more to my work day, though, or to Pam’s.” Ben thought about his office manager. Pam was great, but he felt fairly sure that she didn’t have control of the numbers the way Carmen did. Carmen stood up and went more calmly to check the oven. “Can you help Jonathan wash up for dinner? And thanks for helping me sort out my problem.” “I’m always happy to help,” said Ben. He thought he might be the one who needed help, though. Can Dr. Ben get the benefits of data-informed decision making in his practice? Disclaimer: For HIPAA compliance, all characters appearing in this post are fictitious. Any resemblance to actual persons or actual events is purely coincidental.
Chiropractic Software Dream Practice Analysis
Dreaming of a Healthy Practice Dr. Ben goes shopping for a picture of efficiency What’s the ROI of a Dream Practice Analysis (DPA)? “Do you think about the ROI of your spending in the grocery store?” Ben was teasing his wife, but he was also still trying to decide how to approach the issue of ROI in his practice. He wanted to get his partners on board with the idea of completing a Dream Practice Analysis, but he was facing some resistance. “I guess in a way I do,” Carmen answered thoughtfully. “I consider fresh produce an investment in our family’s health and well-being, even if it costs more than chips. But groceries are usually an expense, not an investment. We have to buy food. That’s not the same as — what were you thinking about? Software?” “Practice management software. We’ve been asked to take part in a Dream Practice Analysis. The object is to figure out how what kind of return on investment we’d get from practice management software.” “Now, that’s a perfect example for ROI,” said Carmen, reaching for a jar of mustard. “Whatever the software can do, you could probably do yourselves with paper and pencil if you had the time and the skill. But automating some of those tasks can pay off big time by reducing current costs and helping you identify areas of opportunity. Software can be a very important investment and the ROI can be significant.” “I guess that’s the key to the problem,” said Ben. He quickly compared the nutrition labels of two loaves of bread before tossing one into the basket. “It’s like these labels. You can’t tell which loaf has more fiber just by looking — taking the time to check the labels makes a difference. The partners feel like we can just look at the cost of the software and say yes or no. But I think the DPA might give us more accurate information.” “Obviously,” Carmen agreed. “You know I looked at franchise opportunities before I decided to open my own pizzeria. A lot of them pointed to their management software as a big part of the value they provided for the franchise fees. The right software can replace a lot of worker hours, reduce errors that cost money, and keep your practice running smoothly. If you don’t have a handle on your finances, though, you can end up making bad investments.” “I guess that’s why they’re worrying about. It’s not like we haven’t tried different software solutions. Some have been great and some have not.” “If you make random choices about the investments you make in your company, you can expect random results,” Carmen said flatly. “I don’t mean to be harsh, but I can’t see why your partners can’t grasp that. You should never make an investment without running the numbers. If you have someone who will help you sort it out, it’s just common sense to let them help.” What’s the ROI of a DPA? Disclaimer: For HIPAA compliance, all characters appearing in this post are fictitious. Any resemblance to actual persons or actual events is purely coincidental.
3 Must-Haves for Credit Card Processing | Q&A from the Webinar
If your practice currently accepts credit cards, or if you are considering incorporating them into your payment options, you likely have questions regarding the policies surrounding their use. To help you get the answers you need, we have compiled all the questions that were asked during our recent webinar, “3 Must-Haves for Client Credit Card Processing,” along with the presenter’s responses. Feel free to add any new questions in the comment section below. Q: What is PCI? A: PCI compliance stands for Payment Card Industry compliance. This is the regulation that the federal government puts on the credit card industry as well as merchants who accept credit cards. Similar to HIPAA in terms of documentation and patient record-keeping, PCI is the regulatory board that oversees all aspects of credit card payments. Q: What sort of fines do practices face for non-compliance? A: Most people don’t realize that they can be fined up to $2,500 per card that they’re not handling properly. So if you see 400 patients over the life of your practice, and you handle those cards improperly, you would face $1 million in fines. A big company like Target can handle that, but for most medical practices, that would put them out of business. Q: What percentage of medical offices are PCI compliant? A: An estimated 95 percent of practices are not PCI compliant, in one way or another. Q: How do I know if my office is PCI compliant? A: The first year you set up with a merchant services company, you have to take a PCI compliance survey. Then there’s a yearly survey after that. If you haven’t taken some sort of survey, or don’t remember taking one, chances are, you’re not compliant… and there’s a 100 percent chance that you’re being charged a monthly fee. That fee can range from $20 to $100 a month. Learn more about how CredEdge simplifies credentialing and protects your revenue: Schedule a Free Credentialing Consultation Book a Consultation
ICD-10 Redux | Questions & Answers
As your practice is preparing for the impending ICD-10 changes, you might have many questions concerning billing procedures and software requirements. To help you get the answers you need, we have compiled some common questions and answers. Feel free to add any new questions in the comment section below. Q: I have a question about the top 50 ICD-9 codes we use, and doing the crosswalk to ICD-10. Where is the best resource for being able to do that? A: CMS GEMS would be one website that you can use; that’s CMS’s GEMS System, which is the General Equivalent System that they use — the General Equivalent Mapping System that they use to translate ICD-9 to ICD-10. Another good site for you is AAPC.com. Click on their ICD-10 link and they have a feature where you type in our ICD-9 and it returns the equivalent ICD-10 code. GEMS prompts you to choose the lateralities and origins, whereas AAPC is more one-to-one, but GEMS is really what most systems are basing their crosswalk from, and GEMS is built and maintained by CMS, the CDC, and AMA. Q: I’ve done all my conversions from ICD-9 to ICD-10 and I’ve done the left and right conversions. We’ve changed some of our documentation so it’s more specific about mechanism of injury — the when, where, the why and the how. What else is there really to do? A: You really want to make sure that how the practice is supposed to document the guidelines for documentation are clearly outlined in your policies and procedures manual. And that means adding in specificity and laterality. The manual should also have references as to where you seek the information; your reference point would be to CMS. Q: If I want to take a coding course to get certified, do I need to be certified on ICD-9 and ICD-10? A: Right now, you have to certify for both, but after October 1, 2015, you only have to certify for ICD-10. Q: Are you able to come out and help us train our staff? A: We can give you the tools that you need in order to train your practice. They can also take external classes — specifically from the AAPC, because their classes on physician documentation are extraordinary. In terms of crosswalking, we will work with you. Q: Where can I find CMS guidelines in written form? A: On CMS.gov, click on the Medicare link and you will find a link for both local and national coverage determinations. Q: When can I start finding ICD-10 codes within your software and submitting them? A: Our software already has all of the ICD-10 codes listed; we are building the crosswalk now. We recently completed ICD-10 testing with Medicare, and were successful with our front-end edits. We are looking to have this available to practices by June, to really start testing and crosswalking. At this point, payers are not accepting claims in ICD-10; they are not coming over until October 1, 2015, but we are testing with payers and clearinghouses directly. Q: Will you install products well before the October 1, 2015, deadline, so I can begin testing them now? A: We began crosswalking for ICD-10 in February 2014 and completed the process in April. Speak with your coach about testing for the new coding system. Q: When will you update my current products and applications for ICD-10? A: Our products are continuously update in accordance with new regulations and policies, so the ICD-10 changeover will be virtually seamless. Q: Will there be a charge for these updates? A: We do not charge for updates. Q: Will I need new hardware to accommodate ICD-10-related software changes? A: No. Our software, being cloud-based, will continue to run on your current hardware. Q: What are the costs associated with maintaining new products? A: There are no additional costs.
SWAT outsmarts payers to resolve billing issues
Beating the insurance companies at their own game can be extremely frustrating and time-consuming for chiropractors who want to improve the cash flow at their clinics. Even when a provider makes time to deal with the payers instead of treating his patients, he usually lacks the necessary expertise to resolve any issues and often ends up losing massive amounts of profit due to delayed, denied or reduced payments for submitted claims. So, when the going gets tough and a provider finds himself overwhelmed by complex billing issues that keep him from getting paid, Genesis’ SWAT (SPOCs With Attitude and Training) Team steps in to save the day and discover underpayment and delay tactics in massive volumes at the request of the provider’s account manager (a.k.a. SPOC). By analyzing large amounts of data to discover trends for underpayments and delay tactics SWAT puts the combined expertise of over 50 years of billing, practice management, and Vericle experience to use to come up with creative solutions to counteract the payers’ tricks and outsmart them. These solutions are then shared and implemented as concerted effort by multi-specialty teams, including practice managers, billers, account managers, audit and quality assurance managers, systems development, customer support, and the technology team who focus on large-scale problems. The SWAT team is not geographically limited in any way and works effectively to solve chiropractic cash flow issues across multiple states and specialties regardless of any differences. As case in point, SWAT helped a practice collect $5,418 in payments after months of not receiving any money for submitted claims in spite of being re-credentialed as group provider by Medicare. The solution consisted of correcting an incorrectly entered provider’s Group NPI number so that the practice can now enjoy steady income from Medicare. In another example, SWAT helped a practice increase their income from $600 to $15,147 by discovering and correcting inaccurate data that had led to denied claims. These corrections also resulted in steady income from Medicaid and significantly increased profits. Ultimately, Genesis’ billing SWAT team will go to bat for the practice owners against any and all payers who try to avoid paying what they owe for claims.
