Charge Capture Review
In January an operator of 12 MRI centers in the Midwest wanted to review their charge capture process and identify any missed charges during the prior fiscal year. The operator contracted with Bern Medical who reviewed all procedures and discovered that 99% of all charges had been captured and submitted. Bern discovered 1% of charges, or $120,000 in contracted rates, that had not been submitted by their billing company. After receiving Bern's report the operator was able to submit the procedures to the payers for reimbursement.
Do you currently perform a review to identify charge capture leakages? All we need is a data extract from your billing system and the system that records the procedures, such as PACS, RIS, LIS, EMR, or HIS.
Contact Bern today to learn more about performing a charge capture review for your company. You have a choice of a retrospective analysis or an ongoing review that can be in real-time, monthly, or quarterly. You also can choose a flat fee or contingency based on what is collected. Finally, process the claims yourself or have Bern do it for you.
Do you currently perform a review to identify charge capture leakages? All we need is a data extract from your billing system and the system that records the procedures, such as PACS, RIS, LIS, EMR, or HIS.
Contact Bern today to learn more about performing a charge capture review for your company. You have a choice of a retrospective analysis or an ongoing review that can be in real-time, monthly, or quarterly. You also can choose a flat fee or contingency based on what is collected. Finally, process the claims yourself or have Bern do it for you.
Post-Payment Review
According to AMA's 2012 National Health Insurer Report Card the payments made from commercial payers only matched the contracted fee schedule 91% of the time.
What this means for you is that if the commercial payers pay you like everyone else, they underpay you on 9% of your procedures.
Do you currently compare each payment against the contracted rate? All we need is a data extract from your billing system.
Contact Bern today to learn more about performing a post-payment review for your company. You have a choice of a retrospective analysis or an ongoing review that can be in real-time, monthly, or quarterly. You also can choose a flat fee or contingency based on what is collected. Finally, process the claims yourself or have Bern do it for you.
Please view the NHRIC 2012 Report Card to review for yourself how often third party payers did not pay accurate based on the contract schedule.
What this means for you is that if the commercial payers pay you like everyone else, they underpay you on 9% of your procedures.
Do you currently compare each payment against the contracted rate? All we need is a data extract from your billing system.
Contact Bern today to learn more about performing a post-payment review for your company. You have a choice of a retrospective analysis or an ongoing review that can be in real-time, monthly, or quarterly. You also can choose a flat fee or contingency based on what is collected. Finally, process the claims yourself or have Bern do it for you.
Please view the NHRIC 2012 Report Card to review for yourself how often third party payers did not pay accurate based on the contract schedule.
Denials Review
According to AMA's 2012 National Health Insurer Report Card the average percentage of all claim lines that are denied because of lack of information is 21%. Some commercial payers reported up to 40% of all denials are because of lack of information.
What this means for you is that if the commercial payers (don't) pay you like everyone else, you may have AR that is collectible if you can correct the information errors.
Are you collecting all the payments you should? Bern Medical can provide an analysis of your receivables and help you collect more.
Contact Bern today to learn more about performing a denials review for your company. You have a choice of a retrospective analysis or an ongoing review that can be in real-time, monthly, or quarterly. You also can choose a flat fee or contingency based on what is collected. Finally, process the claims yourself or have Bern do it for you.
Please view the NHRIC 2012 Report Card to review for yourself
What this means for you is that if the commercial payers (don't) pay you like everyone else, you may have AR that is collectible if you can correct the information errors.
Are you collecting all the payments you should? Bern Medical can provide an analysis of your receivables and help you collect more.
Contact Bern today to learn more about performing a denials review for your company. You have a choice of a retrospective analysis or an ongoing review that can be in real-time, monthly, or quarterly. You also can choose a flat fee or contingency based on what is collected. Finally, process the claims yourself or have Bern do it for you.
Please view the NHRIC 2012 Report Card to review for yourself
