Chiropractic SOAP Notes Provider Helps Doctors Prevent Insurance Audits

Billing Precision Lives Up to Its Name When it comes to chiropractic billing accuracy is essential. Incomplete or inaccurate SOAP notes can lead to a doctor having to refund thousands of dollars of medical reimbursements to payers. That is, the health insurance agencies. SOAP notes (SOAP stands for Subjective, Objective, Assessment and Plan) are a central aspect of the patient documentation process and the workflow as chiropractors share the information with personnel within their office, including schedulers and billing, health care professionals outside of the office and other agencies and organizations as is appropriate. Exactness is Important The SOAP notes software from Billing Precision addresses insurance issues before they ever become issues. In other words, the notes are setup in such as way that chiropractors are able to fill them out in a matter of seconds in the presence of patients. This helps to ensure accuracy in many ways. First, the ability to take notes immediately means that chiropractors are able to document a patient’s condition with accuracy benefits the patient in their treatment and the practice workflow enabling patient appointment scheduling, the effective creation of notes and timely medical billing. The software makes it easy for a chiropractor to send notes to others via the Internet and storage and access if immediate. The Dreaded Audit If there’s one aspect of chiropractic billing that a doctor dreads it is the insurance company audit. Audits occur when a company questions a chiropractor’s bill. For every dollar an insurance company spends on an audit, they make an average of approximately $13.00 That 13:1 ratio is a big payoff for the insurance companies and a major hit for chiropractors if they are unable to backup a patient’s treatment with clear, succinct notes. That’s when something like the software driven SOAP notes are indispensible. They work wonders in keeping a chiropractor organized, giving them and their staff the ability to access and use their notes at any time. Taking Care of Business Chiropractic billing, scheduling and follow up are all made easy with Billing Precision’s SOAP notes. When a payer requests notes rather than offering an Explanation of Benefits (EOB) or payment, it can be handled quickly. With Billing Precision, chiropractors can create their notes with two to three screen touches, can integrate their bill, insurance claim and care plan records with ease and save money and time, reinvesting them into their practice. Keeping the Workflow Going The income, scheduling and virtual paper stream are uninterrupted with a specialized software notes program. For chiropractic billing, there’s no easier way to keep their business organized. Fully integrated SOAP notes is one way that chiropractors have found to improve productivity and cash flow and to prevent insurance audits.
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.
Part 3 – 3 Mistakes You Make at The ROF – Dr. Fred DiDomenico & Dr. Brian Capra

Dr. Fred DiDomenico is a master at communication. His program, Elite Coaching, focuses on teaching doctors how to use life coaching principles and apply them to chiropractic practice. In doing so his clients realize that they develop the skills to predictably help patients find a deep inspiration for achieving extraordinar health through chiropractic principles. I have first hand experience with Dr. Fred’s system and can say it works. After listening to this webinar series you will be one step closer to a more fulfilling practice and personal life. Brian Capra Founder & President, Billing Precision Dr. Fred DiDomenico: Now that person will stay, you give him a few exercises at home which we’re going to talk about next and put a curve in his neck and he gets off his blood pressure medication. My god, he’s going to with you forever. He can be so excited about his care. Now guess what kind of referrals you’re going to get. People with blood pressure problems they’re not coming in because of the back pain. They’re coming in because they’re scared of their heart problems. And that’s what we see in Elite when we teach people how to do this then, your referrals come in with organ problems and health conditions and less pain. Dr. Brian Capra: Mistake # 3 – The have to know what they are buying Dr. Fred DiDomenico: Mistake #3, they have to know what they’re buying. And this is a huge thing. When you’re to report of findings and you show them, you can show them the x-rays. But how many times have they been, to six other chiropractors, do you want to be in the seventh or do you want to be their last. And this is a thing — we’ve shown some spinal corrected techniques. Even if you’re not in CBP or Pettibon , but there are a couple of things you can do. One of the most important is a stress test. Because when your telling them “Hey, you don’t have a curve in your neck” and this represents disease according to principle of chiropractic. And its normal one represents health. Then what can we do to take them there? Now what’s the probability that another chiropractor taught him the same thing? They went and they’ve got out of pain, now they still have that problem. In fact now, there is more of the generation and so what’s going to be different about you that’s going to make them commit when they’ve never committed to a chiropractor before. How are you going to make them act or inspire them to act differently with you than what they have done before? How many patients say have come in, “My last doctor didn’t take x-rays.” Or you know, “He only recommended 12 visits and you’re recommending 30.” Or “The fee structure is different.” I mean is that a common objection. Well here’s how you get through those objections. Let’s go to the next slide. Again, spinal correction is tangible. There’s a thing called Denneroll and it can help the doctor who knows nothing about spinal correction, made predictable changes on post x-ray. So let’s show you. This is real easy, here’s a way — here’s someone comes, takes an x-ray, a denneroll is like a very dense foam role with a very specific shape in it. And what you do is you have a patient lay on that denneroll and then take an x-ray of them. So if you hit that again. There you go. Now this is a person laying on a denneroll. That black area right behind their neck, you could see how it’s very densely black. That’s the denneroll, you can kind see the shape of it. And what it does is down by the shoulders it’s got a little wave. Now that actually puts in, helps to upper thoracic curve. The upper thoracic curve is what forms the cervical curve. Now when they lay down and they lay over that denneroll then, look at the change in that structure. Now yeah, I get there’s people they’re saying, “Well that’s because we’re lying over the back of that”. And well that what my patients are going to say. Well, that’s exactly right. Now here is the benefit. Ligaments creep. You guys know that when you look that ligaments can deform according to a sustained position. So when they lay on that denneroll, you get plastic deformation, what’s that mean? The ligaments will deform and actually hold that deformity after about 20 minutes. Now begins at 10 minutes, the greatest deformity of ligaments happens between 10 and 20 minutes. So if they can lay on that denneroll for 20 minutes and they do that everyday in about three months, you’re going to stand them up and that’s what their curves going to look like. So when you look at this person that has a slightly reversed curve at top. But basically, no curve through the neck and then she lays — this was a staff member of a clinic I was coaching. And then she lays over that denneroll look at the change in that curve. Now in three months if she does that everyday, that’s what her curve is going to look like. So as long as you know where to place the denneroll and you place it in the right place. Now, how do you figure that out? Hey, wherever you want to push the neck forward basically. And you can take a couple different x-rays with different placement, what’s that Brian? Dr. Brian Capra: Yeah, I just going to laugh at that but one of the things that’s interesting with this too, it just, I don’t know if I really told you this, but I was using this for my stress x-rays but I didn’t have an x-ray unit where I could take it while they were laying down. So, I would
Part 2 – 3 Mistakes at Your Report of Findings That Are Causing Your Patients to Walk Out Your Door – Dr. Fred DiDomenico Dr. Brian Capra

Dr. Fred DiDomenico is a master at communication. His program, Elite Coaching, focuses on teaching doctors how to use life coaching principles and apply them to chiropractic practice. In doing so his clients realize that they develop the skills to predictably help patients find a deep inspiration for achieving extraordinary health through chiropractic principles. I have first hand experience with Dr. Fred’s system and can say it works. After listening to this webinar series you will be one step closer to a more fulfilling practice and personal life. Brian Capra Founder & President, Billing Precision Fred DiDomenico: That’s where we get into coaching. And I did the “three problems” for years. Buckminster Fuller said, “You never change things by fighting the existing reality.” What does that mean? By doing the same thing over and over and over again and getting the same result of wanting something different. That’s the definition of insanity. “To change something, you have to build a new model that makes the old model or the existing model obsolete.” That’s really the shift in communication and moving with the times. We’ve gone through economic changes. People in the last few years have been less willing to part with their money. It doesn’t mean they haven’t had the money, it just means they’ve been more skeptical about where they’re going to put it. So, if we got to change that model and that consulting model is now obsolete, then what’s the new model? That’s where we get into coaching. Statements equals selling. Does anybody ever feel like you’re talking someone into care? That’s the most frustrating question that equals influence. If you want to create influence and get people from back pain into posture, into spinal correction, into whatever you’re delivering, then it has to be their idea. Once it becomes their idea, then they’re far more empowered and inspired to do. In fact, they’ll pay you anything and they’ll follow the recommendations. So, how do we make it their idea? Again, I’ve already given you the clue. That’s the shift and the coaching. So, what coaching is — if you look at a coach or an athlete, if you’re an Olympic coach and you’re coaching an Olympic athlete, a coach’s responsibility is to pull all the inspiration out of that athlete. When that athlete doesn’t feel good, the coach still pushes them to train hard that day. The coach reminds him of the goal. The athlete may commence, “I want to go to the Olympics,” and the coach trains him and inspires him and keeps that goal in front of their eyes. Everybody has an emotional reason why. If you can’t find that emotional reason why, that’s why your patients are leaving. What they’re saying is, “You didn’t tell me why I should do this.” So for instance, once you go from pain into posture, you go through a coaching interview on a consultation, you have things like a woman could come in and I use this example. We are saying, “Hey, you have nerve stress on your neck,” or “Your posture on your neck is weak,” and that can cause, “Oh my God. I’m so tired all the time.” Now, you speak to their emotion, “Wow, you sound really frustrated.” And they’re going to say, “Yeah, I don’t feel like a good mom,” or “Its affecting my marriage. I come home and I’m so tired. It’s hard to keep up with the house work.” You can just kind of get a sense, Hey man, maybe they don’t have enough intimacy in their marriage. Now, whatever service you’re delivering isn’t about change in their spine. It’s not about putting a curve in their neck. It’s about helping them have a great marriage, to feel like a good mom. Now, if you can say, “Look, we can help you build your energy and metabolism,” she’ll pay you anything that you want because it’s not about a curve in her neck anymore. Now what it becomes about is she can feel like a fulfilled person and that’s life coaching. Now, one thing I did was I actually became a professional life coach. So I took life coaching communication and put that into a chiropractic consultation. I put that into a chiropractic exam and a pre-consultation. That’s what coaching is. Every person has a reason why and when you find that reason why, their inspiration is going to go to a whole new level. Then the next thing is when you get into the ROF and you’re selling somebody their X-rays. Rather than you telling them what their problem is, you’ve got to see what they know. So, when you care more about what they know rather than what you know, then you’re going to start asking questions because we all know this stuff. “Hey man, how are you going to cure my neck?” I live by a chiropractic lifestyle. I know it. The thing is what do they know. So again, when you start caring about what they know, then you’ll start to ask questions at your ROF. So you’re looking at an X-ray, “Hey, here’s normal and here is yours. What do you see?” Now, the funny thing is how many people in an ROF that you’ve shown, “Hey, you’re supposed to be curved and yours is straight,” and the patient says, “Well, isn’t it supposed to be straight?” They don’t get it. Have you run in to that before? So then when you explain what that means, “Hey, a loss of a curve, major spines collapsing, the stretch is weak, you’re posture is distorted.” There are medical studies that show loss of curve is a weakened structure. Hey, that’s engineering and leverage. And now, there’s also — when you lose a curve, it strikes the spinal chord and then it shuts down the conductivity. So you basically say, “Hey, you don’t have a curve in your
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.
Part 1 – 3 Mistakes at Your Report of Findings That Are Causing Your Patients to Walk Out Your Door – Dr. Fred DiDomenico Dr. Brian Capra

Dr. Fred DiDomenico is a master at communication. His program, Elite Coaching, focuses on teaching doctors how to use life coaching principles and apply them to chiropractic practice. In doing so his clients realize that they develop the skills to predictably help patients find a deep inspiration for achieving extraordinary health through chiropractic principles. I have first hand experience with Dr. Fred’s system and can say it works. After listening to this webinar series you will be one step closer to a more fulfilling practice and personal life. Brian Capra Founder & President, Billing Precision Dr. Brian Capra: Hello, everyone. This is Dr. Brian Capra from Billing Precision. Today, we are lucky to have on the phone Dr. Fred DiDomenico from Elite Coaching. As you know, I love to do these webinars obviously outside of what Billing Precision offers our clients but it’s a great synergy to have experts in our field on different aspects of practice come on and give their expertise on certain topics. Dr. Fred is the owner of Elite Coaching and I’ve had actually some personal experience with his Elite Coaching system both in practice and as a part of what we do in Billing Precision. And I can actually say that Dr. Fred’s system is probably the only actual true coaching program not to bash any other coaching system out there, but it’s true coaching program. One of the things that make it such is that it focuses on communication. At the end of the day, what you wind up feeling is basically rather than having to sell your patients or in Billing Precision to sell my clients, I’m actually able to learn how to communicate better with them so that they find their own inspiration if it’s there to do by Billing Precision or become a patient in chiropractic. So first of all, Dr. Fred DiDomenico, thank you so much for being on this call and thanks for getting into this. Dr. Fred DiDomenico: Well, thank you. I think you summed up pretty well. That was one of my greatest frustrations in practice but as you know, I mean, we’re principal chiropractors and I think chiropractic is the best form of health care there is and it just got to be frustrating in practice when you’re feeling like you’re having a talk to somebody into doing something that’s going to benefit their life and they just didn’t get it or for whatever reason they have objections. And when I started applying coaching communication principles, I always thought people should be coming to us and begging us to be a patient. Yet, here we are with this great delivery, yet, we’re trying to talk people into it and that just never resonated with me, in fact it was very frustrating. And so once we came up with this coaching application, coaches help people find the inspiration within themselves and when you find them around emotional reason, people come to you asking to be your patient, and I just found that that was a lot more fulfilling. Dr. Brian Capra: Yeah, a lot less frustration, yeah. Dr. Fred DiDomenico: And a lot less work. Dr. Brian Capra: A lot less work and easier. I can tell you that’s 100% true. All right, I guess the title of today’s webinar is “The 3 Mistakes at Your Report of Findings That Are Causing Your Patients to Walk Out Your Door.” And again back to that, okay. Dr. Fred DiDomenico: Yeah. And again, what this is — the problem was I just found a correction so I could predict a clinical response and now there are people with many techniques. You can pretty much predict what response you’re going to get from a patient clinically, but I couldn’t predict whether or not a patient is committed. And what we’re going to go through today are three mistakes that people commonly make of why you don’t know why they’re walking out the door. So when you can take care of these, then your results on your ROF become much more predictable and search communication. And that’s what it says, “Communication tools that would take your practice and your purpose to a new level.” So let’s go through that. We’re getting there. Okay. Any entrepreneur, Brian, as you know, doesn’t say, “Hey, they didn’t get it.” They know their success is based on their communication. Communication is your success. So the effect of your practice is only as effective as your communication. So what we look at in chiropractic really, the strength and stability of a practice is in a patient visit average. What’s that mean? How many visits the average patient comes? So if you take your office business per week divided by your new patient, that’s your PVA. And if you have a zero to 25 PVA, that means they’re symptom-oriented. It doesn’t mean that’s your intention, you may have corrective care recommendations, whatever that corrective care program is in your office. But if they’re basically coming zero to 25, then they’re getting rid of their symptoms. That’s they’re mindset. If they’re coming 25 to 40, then they may be completing an initial corrective care but they’re not following through with maintenance. We look at the principle and philosophy of chiropractic, really it’s optimal, spine optimal health, and we want people to have a lifestyle of keeping their spine healthy. So if they are averaging 20 to 40 visits, yeah, they may have followed corrective recommendation or their first set of recommendation but they’re not following through with the lifestyle. We had people coming 60 to 90 PVA. And when we’re talking about PVA, Brian, a lot of people, they take the PVA, the average visits of the people that commit. Well, we don’t do that because what if you only have 30% of your new patients committing? Then that’s a problem, that’s the day one problem. So
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