Compare traditional billing services with Rx Business Solution's Revenue Cycle Management service >

Building a successful practice is extremely difficult in today’s healthcare environment. Practice overhead is averaging more than 60%, staff turnover remains high, regulations are increasing and reimbursements are declining.

A practice needs professionals to manage the financial labyrinth of coding, insurance reimbursement, contract management and collections. The days of pegboards and paper claims submissions are gone and so are the days of the traditional billing services.

The Rx Business Solution's team consists of certified coders, professional practice administrators and work flow experts. Rx Business Solution's operates only on the software we deploy and support. We work on your database via a HIPAA secure connection so that you have complete visibility into our production and progress. You maintain total control while we provide the labor and expertise to maximize your collections.

Unlike traditional hardcopy billing services, the Rx Business Solution's electronic billing process begins the moment a patient calls for an appointment. The workflow processes established at your office impacts the speed and accuracy of your claims. A successful billing service must also include a detailed approach to training internal staff to ensure data is captured correctly at the front desk eliminating double entry and removing paper from the process.

Our experts will train you to utilize your system to suggest E&M coding levels at the point of care, and calculate the insurance and patient costs before check-out. The model is very simple; eliminate paper errors and duplicated data entries while accelerating your rate of collections.

When you outsource your billing to a traditional hardcopy service, you face multiple points of failure.

These include:

• Limited access to financial database.
• Additional work generating paper superbills and faxing/sending them to the outside service
• Staff time dedicated to the external billing service requests.
• Increased chances for error with regards to no E&M coding tools.
• Long lead time between service and claims processing.
• Limited control with regards to HIPAA compliance using Superbills or Fee Tickets.
• Ownership of your financial data is in the hands of the billing service not with the practice.

Why transition your A/R management to Rx Business Solution?

• Our success rate is 97% with regards to claims being paid the first time.
• Our experts can review your charges at inception and audit your coding quarterly to ensure you are maximizing your revenue.
• We manage the complete collections process, from posting your payments to dropping to patient responsibility and sending out collection letters. We develop correspondence to patients with your input so you can be sure that we are representing your practice.
• We offer access to Medicare CCI (CPT to CPT) and LMRP (ICD to CPT) codes to make sure you do not submit incorrect claims.
• Our EMR software provides an E&M coding engine to check your provider’s level of billing and we build in “explosion codes” to automatically line ICD-9 with CPT.
• Our team utilizes complimentary technologies such as Code Correct for online access to an encoder for CPT and ICD-9 as well as proper bundling of codes.
• We automatically re-bill Insurance if they have not paid in 45 days and send out tracer letters.
• Because we manage the software in your office, we have instant access to the details of any encounter so that we can provide additional information, if necessary — we do not have to call your staff and interrupt them for additional information!
• We handle all patient statements and correspondence. At set up we develop the presentation of the statement so that you are comfortable with what your patients are receiving.
• We provide you with a myriad of monthly reports to manage your business. We also set up “canned reports” that you can access on your own in an instant to review where your practice is day–to-day.

Real time knowledge of the financial health of your practice through productivity dashboards…

• Accounts Receivable -
• Track productivity of your practice by insurance group facility and provider -
• Review your open claims and the productivity of our staff -
• Drill into the dashboard for more detail on a specific claim -

Most importantly . . .

• You can see our progress day to day as our team post and collects and screens are updated with the latest information— we are true partners in the financial health of your practice.
• Secure messages can be sent real-time to our staff through your software onsite. This is one way we can assist providers with coding and bundling. We are working alongside you and your staff.
• You own your data. You will never be “held hostage” by a billing service again!