|
Patient Billing Services
Our Patient Billing software is a suite of online and PC based applications, specifically designed for the health care industry, that serve as a synchronized process of securing payment from both insurance payers and patients. The main business objective is to GET YOU PAID!
Our Patient Billing software provides five different front end office web tools that promote and facilitate the collection of fees for service, from both the insurers and the patients. Our Patient Billing software is present throughout the entire medical payment collection life cycle touching all non cash payments from insurance payers and patients both before and after the point of service within various billing cycles.
- Patient Eligibility – determine in real time what insurance coverage the patient currently has.
- POS Payment Processing – collects the non cash co-pay by credit card or ACH check via virtual terminal, recurring payments, and EZ Pay payments.
- Insurance Claims and Claim Submission – validates and submits the insurance claim to the paying insurance company
- Electronic Bill Pay – collects the balance owed on any service within the office billing cycle via web, or telephone IVR with a credit card or ACH check.
- Delinquent Account Collections – delinquent or charge off accounts are electronically submitted to a collection agency for professional collections.
Collectively, these five products provide a payment collection product for every critical point in the medical office payment collection life cycle. The synchronized workings of all five of these products produce a greater and faster cash flow for the medical office that the office will ultimately come to depend on as their standard operational protocol
Real-Time Patient Eligibility
Patient eligibility is one of the important challenges facing providers today. Most providers complete only as many eligibility verifications as their staff have time for 1-800 phone calls. The eligibility of half or more of all patients is typically not known until receipt of an EOB weeks after the date of service. Approximately 6% of all claims are denied due to ineligibility and less than 50% of patient pay receivables are collected.
OHS Eligibility solves this problem by delivering critical eligibility data to your desktop in a matter of seconds using a standard web browser. This allows you to collect appropriate funds from both patient and payor or make financial arrangements before service is rendered.
POS Payment Portal (Virtual Terminal)
The payment portal provides a robust web payment gateway that features every possible way to accept a non cash payment for service. The Gateway is the central repository for all payment transactions initiating from all points of entry either merchant initiated at the POS or patient initiated from a bill pay. This provides for a robust and comprehensive reporting and reconciling process for all transactions regardless of how or who initiated them.
Claims Editing
We understand the complex issues surrounding payer adjudication. Minimizing wasteful time and money adjudicating claims with errors is critical to the efficiency and bottom line of your organization. The Claims is a robust, scalable, high speed yet easy-to-implement rules engine designed to meet the ever changing requirements of your environment and the healthcare industry.
Electronic Bill Payment
Generating patient billing each month is expensive and slowly eats into profits as printing and mailing costs continue to rise. As well, carrying any amount of patient receivables on the balance sheet also impacts profitability. As receivables age, they discount in value and lead to write off. Reducing the potential for a patient to become a receivable has a exponential impact on the bottom line and protects your margins from creeping debt losses.
Every medical office ultimately generates some measure of patient billing at the end of the month hoping patients will eventually mail in a check or pay on their next visit. This billing process poses the best opportunity for increasing patient payments, cash flow, and ultimately reducing write-offs.
Collection of Delinquent Accounts
When the patient's bill remains unpaid for a specified period of time (typically 30 to 60 days), automatic forwarding to our collection office can recover the account while it is at it's most recoverable point. Lost time in collections always means lost recovery. Quick forwarding of delinquent accounts will minimize losses and maximize cash flow.
In the collection recovery cycle, the same bill pay feature exists on all dunning notices (collection letters). Patients, who are now debtors, are instructed to pay the recovery office via web site by credit card or ACH check or use the touchtone telephone IVR system to make payment. If the account remains delinquent past the first 14 days of the collection cycle, the debtor receives additional more demanding collection notices along with a schedule of telephone calls to secure immediate payment or make payment arrangements.
|
