Compu-Med Claims

H1

carl — Tue, 12 Oct 2010 18:44:23 +0000

Why Outsource

carl — Fri, 08 Oct 2010 18:40:01 +0000

Annual Cost of In-House Billing*		Compu-Med Claims
Employee @ $16/hr	$33,280.00	Included
25% Taxes & Ins	$8,320.00	Included
Sick Time (40 hours/yr)	$640.00	Included
Computer & Software	$2,000.00	Included
Clearinghouse	$720.00	Included
Postage	$720.00	Included
Supplies	$360.00	Included
Supervising, Training, Etc.	$2,000.00	Included
Sub-Total	$48,040.00	Included
Office Space	$3,000.00	Included
Long Distance	$300.00	Included
We guarantee 100% follow-up. Most in-house billers have no incentive to do follow-up. If just 5% of your claims went unpaid due to lack of follow-up and/or appeal, add to annual your cost:	$30,000.00
If 10% went unpaid, add:	$60,000.00
Coding Errors – If the biller isn’t staying abreast of coding changes, CCI edits, Medicare’s Local Coverage Determinations, etc., the billing error rate is estimated between 10%-25%. If we estimate 10%, your lost revenue is:	$60,000.00
Total Annual Cost:	$189,380.00	$45,000.000	Industry average = 7.5%
*Assumed Monthly Revenue	$50,000.00

About Us

carl — Fri, 08 Oct 2010 18:05:08 +0000

Our Administrator, Robin Cope, takes a personal interest in each client’s practice. We like to think of ourselves as your partner, working for your practice as if it were our own. Compu-Med Claims has been partnering with the Medical Community in Metro Denver since 1993.

Since 1993, we have had the opportunity to work with virtually all types of practices and specialties and have experience with the full spectrum of CPT Guidelines and the use of a multitude of modifiers. We have seen Managed Care nearly strangle the Primary Care Physician in the 90’s and technology has been a double-edged sword for the industry in the 21^st century. Technological advances have made the medical office more efficient, and put huge amounts of data at our fingertips. That same technology has created the need for government intervention in our industry, notably HIPAA and it’s HITECH revision with all of the requirements for standardized data transfers and security management. Many practices and probably all insurance companies have collectively spent untold millions of dollars programming, implementing, and reprogramming to meet the ever-changing data requirements. And additional changes are coming: ANSI standard format 5010 testing in 2011 and implementation in 2012; and ICD10 implementation in 2013

Our team of professionals and our careful association with vendors put us in a position to provide you with the best service, utilizing technology to our advantage and making sure we are compliant with regulations. Our practice management software is Medisoft Network Professional, and our clients have the option to access their data, and to use the Office Hours Professional appointment management module.

Contact

carl — Fri, 08 Oct 2010 17:20:07 +0000

Thank You for Visiting our Website!

If you have any questions at all, feel free to give us a call at the number provided below.

Thank you again and we look forward to being of service to you.

Compu-Med Claims: Fax: 303-254-4209: compu303@aol.com

Info & Forms

carl — Fri, 08 Oct 2010 17:19:48 +0000

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FAQs

carl — Fri, 08 Oct 2010 17:18:24 +0000

Q. How often should we send our new billing to you?
A. As often as you choose to! We personally recommend; however, that our clients send us their new billing consistently on either a daily or weekly basis.

Q. What do information is needed in order for your office to generate a claim on our behalf?
A. We normally require the following (may vary):
New Patient Information Form
A copy of the patient’s insurance card or WC ID card (front and back)
A copy of the patient’s written prescription (if applicable)
The patient’s first treatment form

Q. How do we report when treatments are rendered, so that you are able to generate a claim on our behalf?
A. We must receive a completed treatment form, which has been signed by the physician rendering the services. This form must contain the following (may vary):
Patients name
Name of insurance carrier
CPT codes
ICD-9 code(s)
Referring physician’s name and the referral #
Any/all applicable modifiers
If your practice does not currently use this type of form, we can custom design one for you.

Q. Do we have to report the insurance payments received in our office to you?
A. Yes! It is vital to your practice that we receive this information, so that we can enter the insurance carrier’s payments and generate the necessary patient statements for those accounts which still may have a balance due. You can copy and mail these remittances, send them via fax, or even scan them and send it electronically!

Q. What happens if we accidentally omitted any of the information contained on the required forms, and we already sent them to your office?
A. You will receive a report indicating that the claim is does not contain enough information to be processed by the carrier, listing exactly what is missing, which is normally faxed to your office immediately. We do this as a courtesy to you and your staff, to assist in gathering the information quickly, and to avoid timely filing deadlines that are imposed by many insurance carriers.

Q. How do we report payments received from our patients, for both co-payments and patient billing?
A. You can easily report a patient’s co-payment, made at the time of service, on their treatment form for that day’s treatments.
You can also report all of the patient’s payments, received in the mail, by keeping a Payment Log. A payment log enables you to report all payments received in your office, using one simple form. If you do not already use this type of form in your practice, we can custom design one for you.
You can also report all of the patient’s payments, received in the mail by making a copy of the check and attaching it to their patient statement remittance (if returned).

Q. How often will our patients be billed?
A. Any patient in our system will receive a bill for any balance due, once a payment has been received by their insurance carrier, if you have contracted for this service. Patients are billed on a monthly basis usually. Payment Plans can be easily accommodated also.

Q. How do you handle non-payments from an insurance carrier? (Denials, etc.)
A. We must first determine if the denial, whether in part or in full, is valid. If the denial is valid it must be written off. If the denial is not valid, as in many of the cases, we will request that the carrier reprocess the claim. Unfortunately, many carriers will require that the claim be resubmitted on paper via snail mail, and additional charges may be invoiced to your account as a result.

Q. How do you handle non-payments from a patient?
A. We will send out no more than four statements, and make follow up phone calls (if patient support services have been included). After 120 days we recommend that the account be turned over to a collection agency, and that the patient be denied future treatments until their account has been paid. If you are not already affiliated with a collection agency near you, please let us know.
We strongly recommend that an additional fee be applied to each account which has not received a payment within a 30 day period.

Q. How many clients are you equipped to handle?
A. Our staff size is accommodated to meet the needs and volume of our own business. We will consider any practice, regardless of their size, and ensure that we will be prepared to handle all of our clients needs in that process.

Q. We’ve never outsourced our billing before, and we are leaning towards taking on the responsibility of handling this area ourselves. What services can you offer to assist us in this process?
A. Our consulting services would be a perfect solution! We can assist you with software selections, staff training, organization, office policy & procedures, compliance, and more!

Q. We are receiving many denials which cite that the patient was not covered at the time of service, resulting in many write offs, how can we prevent this from happening in the future?
A. Immediately start performing Verification of the patient’s Benefits! If your staff is not already performing this necessary evil, they should be! This is another valuable service that we offer, even if you are not contracted for our full billing services!

Q. We just do not have the staff to keep up with the old accounts receivable. Do you offer A/R Recovery services?
A. We sure do! Click here for more information!

Q. What methods of payment do you accept?
A. We accept cash, checks, money orders, MasterCard, Visa, or American Express.

Q. How fast can you get us up and running?
A. We can start immediately! From start to finish it can take an average time of one week to 3 months, depending on the individual circumstances surrounding each client. We can give you a more specific time period once we have had the opportunity to analyze your individual practice.

Q. We just lost our biller and desperately need someone to help us out until we are able to replace her, can you help?
A. It may be possible for us to assist you in replacing a staff member. Compu-Med Claims networks with other billing centers and health care professionals across the United States!

Q. I’m thinking about starting my own practice, can you help me?
A. Yes! Starting a new practice is an exciting experience, and often a little scary too. Our services are designed to keep it an exciting experience for you, and to do everything in our power to ensure it will be a profitable one for you too! We offer a variety services, which can benefit most any practice, in a variety of different ways!

HOME

carl — Fri, 08 Oct 2010 17:16:27 +0000

Medical billing, Medical Claims Denver, CO

Compu-Med Claims is the intelligent choice for medical billing outsourcing solutions. Our sole purpose is to significantly improve the profitability of your practice. We perform all activities and incur all costs in order to achieve one goal – ensuring you’re paid: data entry, electronic and paper claim processing, EOB posting, resubmissions and appeals, patient statements, collections, comprehensive reporting, postage, supplies and much more!

Our medical billing services include

Medical Insurance Billing and Follow-up.
Electronic and paper claims submission.
Analyze and update CPT, ICD-9 and HCPCS codes.
Analyze and use correct Modifiers to increase reimbursement $ amounts.
A/R management
Customized Monthly Financial Report
Monthly Patient Statements
Receivable Collections and Reduction
Call us today to find out how you can start making more money