Client Testimonial – Dr. Matt Singer
Dr. Matt Singer – Wayne, NJ “I have been a client of Billing Precision and Genesis for over 3 years in which time I have more confidence in my collections than any of my colleagues.” I appreciate how great and thorough their note system has become and how my billing team follows up on claims whether I ask them to or not. I am very profitable because of Billing Precision and my Coach Michelle is incredible to work with and she keeps me up to date with any issues.” Thank you for being a great part of my team, Dr. Matt Singer Billing Precision offers a leading-edge chiropractic office profitability management solution. Its all-in-one Internet-based system includes accountable and transparent billing service, state-of-art touch-screen SOAP notes, advanced patient scheduling, and real-time monitoring for compliance and audit exposure. Billing Precision’s unique value stems from its ability to level the playing field with payers and get chiropractors paid in full and on time by capitalizing on modern Internet technology and billing network effect.
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.
Doctor Testimonial – Levent Erdogan, DC
Levent Erdogan, DC – King of Prussia, PA “We have been using Billing Precision and Genesis for the past 3 years. Billing precision has helped my practices in numerous ways. First of all it streamlined all of our new patient procedures, to the point where even I can enter a patient in. On the day to day use of BP, I cant say enough. We are virtually paperless when it comes to patient record keeping, SOAP notes are a breeze! My front office assistant is able to have a direct pulse on the practice by just glancing at the computer, from aging reports to insurance company requests, things happen in real time. The ongoing and available training is at your fingertips at anytime you feel like training. The staff at BP, keep us compliant while going after every dollar we’ve worked for. I have used other paperless companies before, but this is the most comprehensive, system where patient records, accounting and billing are all integrated. I would highly recommend BP to any chiropractor out there!” Thanks, Levent Erdogan, DC Billing Precision offers a leading-edge chiropractic office profitability management solution. Its all-in-one Internet-based system includes accountable and transparent billing service, state-of-art touch-screen SOAP notes, advanced patient scheduling, and real-time monitoring for compliance and audit exposure. Billing Precision’s unique value stems from its ability to level the playing field with payers and get chiropractors paid in full and on time by capitalizing on modern Internet technology and billing network effect.
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.
Client Testimonial – Dr. Andy Vantreese
Dr. Andy Vantreese – Decatur,GA “A few years back I totally revamped my practice. I went from having 4 employees to running a practice all by myself. Quite the transition! It can be challenging trying to manage everything by yourself,” says Dr. Andy Vantreese. “The one tool that has been instrumental in making everything run smoothly is Billing Precision and Genesis Chiropractic Software. With Billing Precision I just schedule and treat my patients, do my notes and click Bill. From there everything else is taken care of. The system generates the claim and the billing team follows up. All I have to do it cash the checks and post co-pays. They post the insurance payments to my account and take care of everything else. The one ’employee’ I will never do without is Billing Precision!” Billing Precision offers a leading-edge chiropractic office profitability management solution. Its all-in-one Internet-based system includes accountable and transparent billing service, state-of-art touch-screen SOAP notes, advanced patient scheduling, and real-time monitoring for compliance and audit exposure. Billing Precision’s unique value stems from its ability to level the playing field with payers and get chiropractors paid in full and on time by capitalizing on modern Internet technology and billing network effect.
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
Chiropractic Billing Secrets – Tactic #6 – 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 do they use to make it happen? Tactic # 6 – Technology Insurance companies, relative to individual chiropractors, have unlimited money and resources. Recently you may have heard of insurance companies sending letters to doctors telling them they are billing X code outside of the statistical norm. They do not have a person counting the number of claims and codes and creating pie charts. They have invested millions into software to profile each doctor. As a matter of fact the new NPI number makes it even easier. Rather then each insurance company tracking a doctor individually, theoretically, all insurance companies can track each doctor in one database. In addition technology is used to route claims to billers so they can decide if they need to be denied but more likely never have a human touch point at all. Technology can analyze claims statistically and underpay, deny automatically without any human interaction. Even printing and mailing is automated. With technology insurance companies are able to outsource the incoming calls for claims to foreign countries where labor is much cheaper. Since the technology is web based the outsourced resource can look directly into the same system a biller in the US would be looking at. In essence there is no difference other than the cost of labor. There are literally hundreds if not thousands of calling centers in countries like India where insurance companies outsource this work. How can you compete with the size and resources of a big insurance company? Wouldn’t it be nice if you could have a biller in India call the insurance company in India? All of our doctors are doing this now.
Chiropractic Billing Secrets – Tactic #5 – 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 do insurance companies use to make it happen? Tactic # 5 – EOB Line item denials and underpayment Against all odds you successfully sent the claim and they received it. Back comes the EOB. Some codes are denied, some are paid, some are underpaid. All insurance companies have their own unique denial codes and explanation which by themselves can be cryptic. You or your team is supposed to remember each denial code and explanation for all payers? If denial is not bad enough there is line item underpayments. This is where they pay you what you expected for one code but pay you a little less than expected on another code. To combat this you or your biller would need to memorize every combination of expected payment for every code at each insurance company. This is another thousand plus combinations on top of the coding combinations I spoke about earlier. If they underpay for one code by $2 dollars you will have to call them and sit on hold. More on this tactic later, it’s much worse than it seems. The point here is that it is literally humanly impossible to memorize all of the denial codes, expected payment and payer combinations. Even if you could, you would still have to have human eyes look at every EOB leaving your bottom line susceptible to human error. This can be automated. Why take the chance?
Patient Flow, Cash Flow, and Compliance – Practice Management Training – Brian Capra, DC
https://youtu.be/UBLSNzahkFY Dr. Brian Capra on practice management: The centralized database acts as the brain. It controls and coordinates, it learns how to make and control the practice members or the organs, even more effectively and more efficiently. What does that lead to? It leads to better patient flow, better cash flow, and a greater level of compliance. So it’s patient flow, cash flow and compliance that this practice management system controls and coordinates. So you can imagine if you are one member, one organ in a body that just does not want to cooperate with the rest of the body: Doesn’t want to send information, doesn’t want to share information, and doesn’t want to do it’s job based on the information it gets. That affects the health of the overall practice. So the way the system works is each region of the practice you can think of as a region of the spine. You have scheduling, you have billing, and you have documentation. Scheduling is made up of different steps or steps in the process. The process is like the backbone, each step being a vertebrae. In the scheduling process we know we need to make an appointment, we need to know who has future appointments, we know there needs to be care plans. All these are steps in the process. Anytime there is a misalignment, or a step in the process that doesn’t happen properly. It’s basically subluxation and it blocks the data getting from the scheduler, let’s say to the travel card or where the documentation happens, or over to billing, where the claims are actually billed. So any subluxation or backup in the data is measured in our system as a task or a ticket. These tasks simplify your practice management. If we have an untrained user, that doesn’t first of all know how to follow the steps in the process or second of all know how to manage the work that the system brings to the surface, what we have is subluxation. Again not just in that practice, in the cash flow, patient flow, and the compliance of that practice, but it’s a subluxation of the entire network and we really can’t afford that as a profession. Again, we need to have every single user optimally trained on the system. That’s how vitally important it is to the success and health of your practice and the overall network. So our training system has seven key components: Number one, we have one hundred online classes with quizzes. Number two, you can actually track the progression of those classes per user. You can see which classes they’ve taken and which they’ve passed and which they need to retake. Number three, we have rating systems for all training materials. Whatever classes you take or quizzes you take or training materials that are out there, you get to rate them. And that has actually helped us drastically improve over time the materials that are there for you today, and they have been all tested. Usually by now they all have good ratings but if we introduce something new, please take the opportunity to rate the materials that you have and give feedback. Number four, there is a search-able help and frequently asked question section. So you can always go in there and search, kind of like a Google search for stuff specific to Billing Precision. Number five, there’s daily live help sessions so you can actually log on, click on the scheduler and you can see each day there’s a live help session, where there’s a live person. You can login and ask a question, and you will get a real answer from a real person. Number six, the help ticketing system. Help ticketing is awesome because when you create a ticket it’s fully transparent and track-able. When you create a ticket it says who you are, when you created it, therefore you can see who replied to you, how long it took them to reply, what their answer was, and then it is track-able. It can be bounced back and forth between each person in the conversation, or over to another person for more feedback. Then that way you are sure that that ticket, that question gets answered, not unlike a claim ticket. Number seven would be the discussion forums, which is just a simple place within the system where you can go voice an opinion, ask a question and get feedback from other people on the network. So when it comes to training, remember when you are using Billing Precision it is not just about making your practice as efficient as possible. It’s about making the entire system as efficient as possible so that you have better patient flow, better cash flow, and better compliance, and ultimately you are giving every opportunity that you have to pass along the principles of chiropractic, and the best opportunity to do that. So it’s not just about a better scheduler, better notes, or better compliance. It’s about giving every person the best opportunity to live a healthier and more fulfilling life based on chiropractic principles.
Chiropractic Billing Secrets – Tactic # 4 – 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 # 4 – Complicated Submission Process Forget getting the coding correct. Even if you have that correct it is difficult just to get the claim physically to them. Quick, tell me 10 fields on a HCFAA form. Have you ever heard of CCI edits or LMRP. I won’t bore you with the details here. Google them. The point is there are so many fields and rules for a reason. Get one number wrong and you are delayed. Clearing houses can help automate some of this by checking for some of the submission errors up front. When you want to go to electronic billing you need to find a clearing house. Then you have to “enroll” with each insurance company to submit through the clearing house. Good luck figuring out that process. If you submit by paper there is no way to confirm the claim was received at all. There are a certain percentage of claims where you are told “we never got it”. Imagine telling your mortgage company you never got the bill. Delayed. Then the form has fifty plus fields. If you make on error or transpose one digit on a birth date, it is denied and delayed. If you make multiple errors it is not spelled out like that on the EOB, they only tell you about one error at a time. Even with clearing house scrubbing you are still left with a lot of errors that can prevent and delay payment. Then there are secondary and tertiary carriers. Appeals process in multiple levels.
