Successful Billing Solutions
Welcome to the Site of:
Successful Billing Solutions
Solving Billing Problems
About This Business:
Successful Billing Solutions is a medical claims coding, filing, and billing service for physicians who are serious about lowering rejections, reclaiming lost revenues upwards into the thousands, want alternative claims services, and want to decrease payment to days instead of months. If your practice has unpaid claims, lost revenues, or simply slow payment problems the Successful Billing Solutions is available to assist you in addressing, and resolving these issues.
Industry Information:
In 1996 President Clinton signed into law the Health Insurance Portability and Accountability Act (HIPPA). One part of this act, referred to as Administrative Simplification, is aimed at reducing administrative costs and burdens in the health care industry. It requires the Department of Health and Human Services to adopt national uniform standards for the electronic transmission of health insurance claims as well as certain other information.
***The Health Information Management Association have implemented basic guidelines for Third-Party billers to maintain high standards for Ethics, Confidentiality, Security, and Accuracy. Not conforming to these guidelines could cause steps to implement monetary and/or legal penalties to the offending claims service. (Not to mention probable business failure as a result)
**This information may be seen at;
http://www.os.dhhs.gov/progorg/oig/modcomp/thirdparty.html
The standards and ethics established at Successful Billing Solutions are due partly to personal upbringing, and clarified by the AHIMA code of ethics listing displayed at;
http://www.ahima.org/infocenter/guidelines/ethics.html
Patient information must be held in the highest confidentiality, and because of this act "we" (third-party billers, insurance carriers, physicians, etc.) have an opportunity to utilize and standardize the technology available today. The most important issues for transmitting patient data electronically are; Security, Confidentiality, Ethics, and Accuracy.
Security:
Any transmission or transfer of patient data must be as secure as possible. Using up-to-date encryption is paramount. Securely encrypted accounts must be maintained, and firewalls established to safeguard information from intruders. With passcodes or passwords, that are changed regularly, and only being accessable to ethical responsible personnel, access capability can be minimal.
Confidentiality & Ethics:
All individuals must practice the highest ethical standards and practices. Instituting the Health Information Management Associations' Office of the Inspector Generals' Guidelines can assist implementation of the standards and ethics required for billing and coding practices for the Third-Party Biller. Claims must be accurately coded and invoiced. Unethical, Deliberately improper, or inappropriate billing will be addressed with monetary and/or legal penalties. Simply for the sake of trust and reliability it is in the Third-Party Billers' best interest to maintain the highest coding and billing standards possible.
Accuracy:
If there is even a minor error, typo, omission, or just indistinguishable writing on the invoice it is automatically rejected. After several days of processing it is then returned to the physicians office to be corrected and re-submitted. Without any errors the claims take 10-15 minutes each to be manually checked and approved, then about 60-90 days for the physician to recieve payment. When errors Do occur turn-around time can be 120-180 days, and the error rate for manually filed claims can be as high as 30%.
When claims are processed electronically, the system remains the same for the invoicing process, but from that point forward the process changes dramatically.
At a Medical Claims Service, like Successful Billing Solutions, the invoice can be personally or electronically transferred from the provider to the claims service as pre-arranged. Through simple data entry invoices are converted into electronic messages. This data only takes seconds to transmit to the clearinghouse. The data is electronically checked at both ends of the transmission, and the rejection rate is usually 1-2%.
Annual healthcare expenditures increase by more than 10% each year. Approximately 40% of the 6 Billion claims filed each year are filed electronically. In addition, consider the numbers of the "Baby Boomers" starting to expand the files of the medical community. The increasing burden of this sector alone verses the slower increase in new physicians practicing would be incentive enough to easily and economically utilize the services of Third-Party Billing.
Because Successful Billing Solutions incorporates the use of electronic data for transactions, the physician can reduce claim related costs, reduce rejections, increase revenues, reclaim lost revenues, increase productivity in the medical practice, refocus medical services back to serving the patient, and increase turn-around time for compensation. Payments can be directly deposited into the physicians bank account in as little as one week.
Your practice may already be facing the changes these facts and statistics will cause. An economical alternative would be to consider Third-Party billing. As a licensed member of that business sector Successful Billing Solutions is here to efficiently and ethically serve your medical claims needs.
What We Do:
1.) In offering medical practicioners an evaluation of existing proceedures, Successful Billing Solutions can ascertain the areas in claims filing that could be improved.
2.) From that point a plan to implement improvements can be established.
3.) Successful Billing Solutions can offer appropriate services to remedy any deficiencies.
a) Claims coding
b) claims filing
c) patient billing/follow-up (several options available)
d) various reports ie; verification, aging (both insurance and patient), analysis, referring providers, etc.
e) full services (either fee or percentage payment option)
4.) Provide written agreement outlining arrangements, services, options, requirements, compensations, etc. for both client and biller to abide by as agreed upon by both.
5.) And finally-Increase your productivity, and the practices' Bottom Line.
Successful Billing Solutions is a Proprietorship that believes in and maintains strong ethics, and a current copy of the OIG (Office of the Inspector General) Third Party Billing compliance program guideline onsite. This business is dedicated to providing swift and accurately serviced claims, thus ensuring that this enterprise can help the physicians dedicate their service to patients and reduce the expense of running a business. We also adhere to the AHIMA listed Code of Ethics standards. Being a proprietorship allows the flexibility to go the extra mile in serving our clients.
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Send E-Mail to: SBSMedBill@aol.com
Copyright © 2001 S. K. Jones. All Rights Reserved