Coding. End-End Full Service Billing Compliance and Auditing Credentialing & Enrollment Accounts Receivable

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1 Phy-CARE Mission is to provide Practice Management with a commitment to service quality at an affordable cost. Phy-CARE achieves its goal by utilizing high end systems, technology, professional staff in a best practice approach to optimize revenue improve compliance. Phy-CARE is able to offer an affordable solution by sharing costs amongst its provider clients. Phy-CARE s Services include: End-End Full Service Billing Compliance Auditing Credentialing & Enrollment Phy-CARE specializes in meeting all of your needs. Phy-CARE Value statement is to provide a service that represents: C = Commitment A = Accountability R = Reliability E = Efficiency The Key to our success is because we C A R E about our s Facilities! Provider Enhanced Reporting Custom Programming Specialized Services Phy-CARE follows the HIPPA privacy security regulations is HIPPA compliant.

2 About Us Phy-CARE is a leading healthcare management company specializing in revenue cycle management solutions with a primary goal to optimize revenue ensure compliance by bridging high-end technology personnel working together in an efficient cost effective manner. Phy-CARE brings a unique industry perspective to its revenue cycle management solutions. Phy-CARE actively manages employs over 1000 physicians working in a complete multi-specialty environment in multiple institutions. Phy-CARE providers comprise the entire medical staff of Hospitals independent physician groups. Phy-CARE bills out over $250 million in charges processes over 1.6 million transactions annually for itself its clients. Phy-CARE ' revenue cycle personnel are senior healthcare professionals responsible for the day to day activities financial success of its providers. Through their proven success, Phy-CARE has made the commitment to assist other providers to achieve their highest level of revenue optimization compliance in a cost effective manner. As a physician managed company, Phy- CARE understs the difficulty providers have in managing their practices collecting their revenues. The company employs over 200 specially trained individuals providing customized billing, coding, provider education, compliance audits, practice management consulting services in a complete multispecialty environment following both teaching private practice guidelines. Phy-CARE has set out to achieve these goals by utilizing the IDX centricity flowcast billing system. Phy-CARE s team of certified professional coders, code review every medical record ensuring compliance revenue optimization utilizing it s proprietary coding system industry resources. Phy-CARE s teams of billing professionals verify patient eligibility, ensure complete proper charge entry, payment posting account follow-up. PhyCARE staff utilizes high-end systems technology to ensure 100% charge capture. Phy-CARE was formed out of the desires to create a quality, service oriented Billing Company. Since its inception, Phy- CARE has maintained a commitment to quality, accountability, compliance, personal service to each of its clients. Phy-CARE's Executive Management Team is actively involved in day to day operations in providing client service. Phy-CARE is a leading provider of billing practice management solutions. The company's growth is attributed largely due to client referrals.

3 Services Phy-CARE team of trained professional, AHIMA, AAPC certified coders code all types of medical encounters directly from the medical records. Our coders utilize our proprietary coding software in order to provide your organization with the highest quality of medical coding services. Our coding is compliant with Correct Initiatives (CCI) Local Coverage Determinations (LCDs). Our services are designed to optimize your organizations reimbursement improve its compliance. Phy-CARE has coded over one million medical encounters specializes in all areas of medical coding including: E & M (all specialties) Emergency Medicine Surgery (all specialties) OB/GYN Psychiatry Phy-CARE process is designed to ensure quality, accuracy, accountability, timeliness. Our proprietary coding system is designed to provide our coders with the tools necessary to properly code each record enable Phy-CARE to provide feedback to each provider with the intentions of improving provider documentation education in-order to enable revenue optimization maximum compliance. Radiology Radiation Therapy Anesthesiology Pathology Dental & Oral Surgery

4 Billing Services Phy-CARE trained experienced billing professionals manage the revenue cycle process from beginning to end. The process begins with the use of the GE Centricity Billing System (formerly IDX Flowcast). The system is customized to meet the individual provider groups needs designed to optimize revenues. Phy-CARE utilizes a number of specialized modules including the transaction editing system (TES) which ensures that only clean data is passed into the billing system, E- commerce clearinghouse to ensure that claims are submitted electronically to the payers, the Paperless Collection System (PCS) which enables the accounts receivable follow-up team to work the denied unpaid accounts within the billing system allowing for account targeting, AR tracking, accountability reporting. Phy-CARE performs all aspects of the billing process including: System Set-up Interfaces Claim Scrubbing Credentialing & Enrollment Claim Submission Demographics Payment Posting Registration Insurance Eligibility Account Analysis Charge Entry Reporting Dashboarding Phy-CARE manages it operations processes with an emphasis on submitting a clean claim during the initial claim submission in the 837 format to a payer. Phy-CARE deploys a number of editing scrubbing processes on the frontend of its claim submission process. Our billing professionals are trained to identify, resolve, elevate claim deficiencies. Prior to submitting a claim, Phy-CARE verifies insurance eligibility utilizing the HIPPA transaction sets. Phy-CARE analyses EOBs to ensure accurate receipt of payments during the payment posting process. PhyCARE works directly with the Providers to resolve Credentialing Enrollment issues.

5 Phy-CARE actively manages analyzes all unprocessed, open, outsting claims. Through our Denial Management Process, Explanation of Benefits (EOBs) are reviewed unpaid accounts are aggressively worked based upon the denial code. All appeals are filed when necessary. Phy-CARE utilizes the Paperless Collection System (PCS) which enables the accounts receivable follow-up team to work the denied unpaid accounts within the billing system allowing for account targeting, AR tracking, accountability reporting. Phy-CARE accounts receivable team puts the BARC into its AR process. Not only do we follow-up with the payers patients, but our AR staff works closely with our Billing team to identify denial trends allowing for edits to be built into the billing system thereby minimizing the ability of the denial to repeat itself. The AR team also works closely with the team justifying medical necessity denials enabling for a smooth appeal process. Billing AR Phy-CARE identifies all credentialing issues which may effect a claim from being submitted or paid works closely with the providers the payers in order to correct any problems. Phy-CARE can provide on-site staff to expedite the operational processes in resolving claim denials or edits.

6 Phy-CARE believes that the core to revenue optimization compliance begins with proper provider documentation. It is for this reason that Phy-CARE s Services are centered on being able to provide feedback to the provider in-order to educate the provider on how to properly document an encounter to meet payer compliance guidelines. Phy-CARE utilizes its proprietary coding software reporting, chart audits, billing denial information, practice manager/ provider interaction to identify needed areas of improvement in each provider. Once Phy-CARE identifies areas of improvement, our provider education specialists certified coders work with each provider either one-on-one or in a department group setting to educate minimize any future documentation deficiencies. Phy-CARE educational process is tailored to each physician specialty. The educational process is built on the basis of the 3Rs review, report, repeat. Phy-CARE s education specialists practice managers continue to work with the provider develop tools to assist the provider in order to enable the learning process. Phy-CARE provider education is designed to enable proper documentation, ensure compliance, optimize reimbursement.

7 Business Process Outsourcing Phy-CARE through its subsidiary PhyCARE Services (India) Pvt. Ltd., provides a global solution for all areas of your business. Phy-CARE provides back office support in knowledge based processing that allows your business to: Be More Competitive Improve Efficiencies Reduce Turnaround Time Re-direct Core Focus Phy-CARE is able to offer an affordable solution by incorporation a global workforce cost sharing amongst its clients. Phy-CARE global support network operates using a Best Practice solution model, allowing processes to be performed in the most efficient way possible either in the US or abroad. Phy-CARE enabled processing includes: Mgmt Data processing 24/7 Call Center Financial Analysis Phy-CARE through its dedicated connectivity systems provides a seamless model by bringing high-end technology a global dedicated knowledgeable workforce to ensure efficiency quality to the work product. Phy-CARE also offers Electronic Medical Record Transcription Services. Control Costs Improve Quality Grow Business Reduce Risk Human Resources Business Development Customized Programming System Development

8 Contact Us For more Information regarding our Services to learn how Phy-CARE can improve optimize your revenue cycle performance enhance your service delivery: Please contact: Mr. Peter Gordon Director or References: Available upon request