MedMD'net

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Toll Free [phone] ext.11 Office
[phone] ext.11 Fax (843)
266-9006 Internet www.MedMD.net
IMPROVE THE PULSE OF YOUR A/R
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What You Need, Can Provide

• What Are Your Practice Needs?
• Physicians have seen a significant decrease in
  their practices revenues. Insurance providers,
  including Medicare and Medicaid, have become
  increasingly difficult to collect full
  reimbursements for services. In addition, HHS
  compliance rules, regulations and changes within
  the CCI standards have created obstacles for
  physician reimbursements. Here are some
  questions to think about while attempting to
  improve the reimbursements for your practice
• Am I receiving optimum reimbursements and legal
  limits for the services rendered?
• Are overhead costs creating inefficiencies
  throughout my practices revenue cycle?
• Is my claim denial rate lower than four percent?
  
• Are A/R claims taking longer than 35 to 40 days
  (national average) for payment?
• Is my technology achieving its full potential?
• Is my billing staff formally educated,
  certified, and trained similar to the staff of
  insurance payers, Medicare and Medicaid,
  hospital, and large-scale practices?
• Are my medical claims being followed up on in a
  timely and effective manner?
• Is my billing staff directly accountable for
  their results?
• MedMD Solutions
• MedMD understands physicians deserve to be
  reimbursed for services rendered. Our
  professional staff delivers high-quality,
  compliant results. MedMD will provide your
  practice with improvements including
• shortening the revenue cycle. Improving cash
  flow.
• providing optimal compliant insurance
  payments. reducing error rates.
• improving A/R management. improving
  collections.
• following up on problem claims
  submitted. appealing denied claims.

MedMD generates quality-driven professional
solutions for your practices billing, coding,
and collections needs. Our staff, coupled with
the latest technology, produces high-quality
results for your practice to achieve the
efficiency frontier of the revenue cycle.
MedMD requires our staff to be educated and
trained in the latest compliance rules and
regulations dictated by the HHS and CCI. Our
quality-driven and compliant work flow allows
MedMD to achieve a claim error rate far below the
high-benchmark practice standards.
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About

• Established in 2002 by T. Russell Williams, MBA,
  JD
• Our mission MedMD strives to maximize physician
  and facility reimbursements through accurate,
  timely, and consistent billing, coding, and
  collections of medical claims.
• Medical practices we provide service for include
• -- specialty / surgical offices. -- internal
  medicine / family physicians.
• -- facility billing. -- durable medical
  equipment sales companies.
• MedMDs Values and Goals
• -- to constantly meet and exceed our clients
  expectations. -- to deliver a high-quality level
  of work.
• -- to shorten our clients revenue cycle. --
  to be compliant with all government agencies.
• -- to lower our clients aging A/R. -- to
  produce optimal reimbursements for our clients.
• Our services include
• -- CPT / ICD-9 / HCPCS Level II coding. --
  data entry (demographics and E.O.Bs).
• -- accounts receivable management. --
  electronic claims submission.
• -- problem claim follow-up. -- patient
  statement generation mailing.
• -- collections. -- account reporting.
• Staff degrees and certificates include
• -- Certified Coding Associate (CCA).
• -- Certified Coding Specialist for Physicians
  (CCS-P).
• -- Certified Medical Reimbursement Specialist
  (CMRS).
• MedMD utilizes billing software including

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The Process of a Service Becoming a Revenue
Source
MedMD will assist the patient w/ any and all
questions pertaining to their medical billing
status. This allows the office staff to
concentrate on front-end data collections and
other duties.
Patient receives a service from physician and
completes his / her part of the payment w/ the
co-pay.
MedMD works w/ medical offices in order to assure
easy, quick, error-free claim processing. MedMD
follows-up on and collects on both new denied
claims. If necessary, the appeal process also
begin at this time.
Revenue from service provided is deposited into
bank.
The front-office (or MedMD if necessary) enters
all demographic information for patient.
Verifies insurance information is correct.
Insurance preauthorization for patient.
MedMD works w/ insurance companies/payers to
quickly review, edit, release, and collect on
claims submitted. We also clear up any denials
and aging A/R that are associated w/ claims.
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Typical Medical Office Billing Structure
Physicians
Practice Administrator / Office Manager
Patient Relations
Charge Entry Charge Capture
Training Compliance
Account Follow-Up
Data Control
Collections
Audit

• Operations Handled
• Training Compliance ? compliance procedures,
  cash management, separation of duties, office
  transactions
• Patient Relations ? patient registering,
  appointment scheduling, correspondence, insurance
  verification
• Charge Entry Capture ? patient information,
  insurance information, demographic entry
• Collections ? front-end billing (time-of-service
  payments, write-offs, payment plans) back-end
  billing (collection agency, claim reimbursement)
• Data Control ? claims statements, cash control,
  information technology, electronic claim
  submission, claim charge corrections, payment
  postings refunds, EOB posting, reports
• Account Follow-Up ? insurance follow-up, patient
  follow-up, claim reimbursement, appeals process
• Audit ? documentation, E M coding, chart audit

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The Revenue Cycle Potholes In the Process
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3 Priority Revenue Enhancements
Provides

• I. Priority One Decrease Re-work and Aging
  A/R
• Denied claims create increased workloads for
  staff ? increasing labor costs ? presenting
  an obstacle for the goal of reaching the
  Efficiency Frontier.
• Aging A/R create increased workloads for staff
  ? increasing labor costs ? hampering the
  collection and revenue cycle process.
• corrects these issues with our trained
  staff. Our services provide your practice with a
  shortened revenue cycle, an increase in revenue,
  and opportunities to cut overhead costs.
• II. Priority Two Incorporate More System
  Automation
• Careless data entry creates increased risk of
  errors associated with submitting claims ?
  increasing all costs ? increased costs equals
  decreased revenue.
• Copying and filing of paperwork creates a slow
  documentation process ? creates additional lag
  in receiving payment ? aging A/R creates poor
  revenue efficiency
• corrects these issues with our
  quality-driven professional staff. Our staff
  will release your claim within 48 hours of
  submission. We also provide internet access to
  our clients accounts in order to provide the
  most informative service available.
• III. Priority Three Increase Productivity and
  Efficiency
• Training, administering and keeping office
  staff up-to-date ? increasing labor and
  administration costs, as well as keeping
  physicians from patients ? causes inefficiency
  throughout the practice by increasing overhead
  costs hampers patient-physician relationships
• Increased volume of patients causes hiring and
  training of additional staff ? increasing labor
  costs and valuable office space lost ? new
  staff means more training and labor costs, as
  well as losing valuable office space that could
  be used to expand practice for increased volume
• corrects these issues with our
  ability to handle any amount of volume your
  practice may require. There is no additional
  overhead cost to your practice that would come as
  a result from the hiring and training of new
  staff members.

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What can do for you?

• MedMDs Professional Staff
• Provides high-quality, compliant medical billing,
  coding, and collections
• Extensive follow-up on all medical claims
• Allows your technology to achieve full
  potential
• Certified and trained in HIPAA
• Degrees Certifications in CCA, CCS-P, and CMRS
• Continually educated in the latest billing
  coding methods
• Experienced with multiple billing software,
  EMRs, clearinghouses
• Experienced with multiple surgical claim
  processing
• Audit coding services
• Electronic filing of insurance claims
• Posting of patient EOBs

• Reviews and resubmit denied claims
• Generates patient statements
• Handles patient billing inquiries
• Handles appeal process with denied claims
• Error rate below that of the national,
  high-benchmark value
• Electronic claim release w/in 48 hours of
  submission
• Time efficient and persistent collection process
• Revenue Improvements Cost Reductions
• Employee salaries
• Reduction in claim rework and remittance (from
  reduction in error rate)
• Reduction in clearinghouse fees
• Federal state tax exemptions
• Management costs to oversee practice
• Employee benefits cost reduction
• Insurance
• 401(k) participation
• Workers compensation