Is Your Practice Leaving Collectable Money on the Table?
Billing doesn’t have to be complicated—but it can be expensive when things aren’t done correctly.
Lisa can help your practice:
- Audit A/R revenue to find missed charges, underpayments and uncollected money.
- Solve difficult insurance and patient collections problems including denials, claim rejections, payment issues and confusing claims.
- Improve billing and collection systems so fewer dollars fall through the cracks.
- Recover outstanding A/R and identify accounts that may still be collectible.
- Review insurance payments to identify potential underpayments.
- Credential and enroll providers with appropriate and available third-party payer networks.
- Train your staff to handle collecting more effectively.
The goal is simple:
Collect more of the money your practice has already earned.
We’ll look at what is happening, identify opportunities, and give you practical recommendations for improving your reimbursement revenue.
Want to know what you’re leaving on the table? Check out our Revenue Management Services below.
Revenue Management Services
Here they are, our 8 Reimbursement Services:
Insurance can be one of the most complicated and frustrating parts of running a chiropractic practice.
Claims get denied. Payments don’t always match expectations. A/R ages.
Staff spend hours trying to solve problems that aren’t always obvious.
And sometimes, collectable money simply gets left on the table.
Lisa, our reimbursement specialist, can help you identify problems, recover revenue, and develop systems that make insurance collections more effective.
Here are her services and how to steps to utilize this opportunity to recover lost revenue:
- Reimbursement Revenue Audit
- Complex Insurance Problem Solving
- SYSTEMS- Develop Customized Billing and Collection Systems
- Accounts Receivable Recovery
- Insurance Payment and Underpayment Review
- Denial & Rejection Analysis
- A/R & Collections Analysis
- Insurance Staff Training
PLUS
1. Reimbursement Revenue Audit
A detailed review of your revenue cycle & billing and collections process to identify opportunities for improvement.
We look at areas such as:
- Charges and payments
- Insurance A/R
- Aging accounts
- Denials and rejected claims
- Patient Self-Pay process
- Adjustments and write-offs
- Payment patterns
- Potential underpayments
- Recurring billing problems
The objective: Find out where money is being lost or delayed and what can be done about it, and bring it in!
2. Complex Insurance Problem Solving
Some insurance problems don’t fit neatly into a billing procedure.
We help investigate and resolve difficult issues involving:
- Claim denials
- Claim rejections
- Eligibility and benefits
- Unexpected payments
- EOB questions
- Authorization issues
- Payer inconsistencies
- Documentation problems
- Other difficult-to-resolve insurance issues
The objective: Find out what happened, determine what can be done, and help get the issue resolved and collect the revenue.
3. SYSTEMS- Develop Customized Billing and Collection Systems
Every practice is different.
We review the way your practice handles patient and insurance collections—from the patient’s first visit through final payment—and help develop a system that fits your individual practice.
This may include:
- Implementing effective patient financial agreements
- Eligibility and benefits verification
- Insurance billing procedures
- Claim follow-up
- Payment posting
- Denial management
- A/R follow-up
- Staff responsibilities
- Reporting and accountability
- Patient Statements and collecting at time of services
The objective: Create a repeatable system that improves collections and reduces problems.
4. Accounts Receivable Recovery
Old A/R doesn’t necessarily mean uncollectible A/R.
We can review outstanding insurance balances and help identify:
- Accounts that need follow-up
- Claims that need correction or resubmission
- Potentially collectible balances
- Recurring causes of aging A/R
- Opportunities to improve future patient and third-party payer collections
The objective: Turn outstanding A/R into collected revenue whenever possible—and reduce future aging.
5. Insurance Payment and Underpayment Review
Are your insurance companies paying what they should?
We can review insurance payments and compare them with expected reimbursement based on available information, contracts, fee schedules and patient benefits.
The objective: Identify potential underpayments and determine whether additional follow-up is warranted.
6. Denial & Rejection Analysis
A denial is more than a claim that wasn’t paid.
Repeated denials can indicate a problem in the practice’s system.
We can analyze denials and rejections to identify patterns and help determine:
What is happening?
Why is it happening?
How can we prevent it from happening again?
7. A/R & Collections Analysis
We can analyze your insurance A/R to give you a clearer picture of where your money is sitting.
We can look at:
- Total insurance A/R
- Aging
- Payer performance
- Collection trends both patient and payer
- Problem accounts
- Denial patterns
- Staff follow-up
The objective: Help the owner understand the health of the insurance side of the practice.
8. Insurance Staff Training
Sometimes the problem isn’t the billing system.
It’s that staff haven’t been given a clear, consistent process.
We can help train your team in areas such as:
- Financial Consultations
- Insurance verification
- Benefits
- Billing procedures
- Claim follow-up
- EOBs
- Denials
- A/R management
- Collection procedures
The objective: Give your staff the knowledge and systems they need to do the job correctly and consistently.
The Whole Enchilada:
Complete Billing and Collections Department Program
Establish – or Re-establish
- Need your own in-house Billing and Collections Department
- Do You Need to Rebuild your Billing and Collections Department
This is a complete reimbursement program that dives into and collects everything possible, and then helps you establish a strong billing & collections department that continues to collect what you earned.
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- Revenue cycle analysis – We discover the strengths and weakness in your procedures and of those involved. Based upon this, we work up a plan of action covering 2-6 months that establishes a tightly effective Billing and Collections department that continues to run on its own.
- We work with you and your team:
- Engineering workflows
- Training people on procedures by reimbursement types:
- Commercial
- Auto/PI/Worker’s Compensation
- Government
- Cash
- Patient Financial Consultations
- Hiring if needed
- Recovery
- Establishing systems to prevent future leaks
- Training your people on what needs to be done
- Regular short follow-ups as maintenance.
Where Should You Start?
You don’t have to know what’s wrong before you call us.
If you suspect that your practice is:
- Leaving insurance money and patient balances uncollected
- Carrying too much A/R
- Experiencing excessive denials
- Spending too much staff time on insurance problems
- Having difficulty with payer and patient payment issues
- Or simply not getting the results you expect
Let’s take a look.
We can help identify the problems, quantify the opportunities, and recommend practical solutions.
The goal is simple:
Collect more of the money your practice has already earned.
Let’s Get Started!
Complete the Intro Form below and we will contact you with a estimated quote for pricing.
The 8 Ala Carte Services consisting of off-site work are $90.00 per hour. (If an on-site visit is required travel will be an additional fee which will be estimated prior to travel.) Upon signing agreement, a retainer fee consisting of 5 hours will be due. Additional hours will be billed after the work is performed.
The Whole Enchilada Program is an anticipated 2-6 month program. Cost will be $450 per month plus onsite and travel fee for the onsite visit. Payment will be due upon signing the agreement. If travel is required the fee will be an additional $600.00 plus travel expense to include air or mileage, and lodging at a modest hotel.
Other Services:
