Take a moment and answer the questions below to see the many ways MCC can optimize your performance.
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Is your front desk verifying patient demographics, confirming insurance eligibility, and scanning the front and back of insurance cards?
YES:
Verifying patient demographics, confirming insurance eligibility, and scanning the back and front of insurance cards are very important and can impact timely and complete collections. If in the future you should need help in reviewing and implementing front end best practices, consider The Fisher Consulting Group for your needs.
NO:
Implementing front-end best practices heavily impacts your customer experience and insurance reimbursements. Our skilled and knowledgeable team of experts is experienced in implementing best practices to ensure workflow efficiency and timely reimbursement is obtained. Through an assessment and review of your current workflows the Fisher Consulting team can assist with your current challenges and provide solutions for an efficient workflow that results in customer satisfaction and increased revenue.
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Do you know if your practice is being reimbursed at your contracted rate?
YES:
It is crucial to review the causes of payment variances to determine how they can be corrected and avoided in the future. If an additional review is needed to confirm that your center is not being underpaid. The Fisher Consulting Group is experienced in identifying variances and understanding insurance fee schedules based on location, specialty and credentials and is available to review your expected payment versus received payment.
NO:
It’s important to monitor reimbursement variances and identify and address the underlying reason(s). The Fisher Consulting team can review the differences in expected vs received payments by evaluating your current system configuration, fee schedules and status of providers credentialing. The Fisher Consulting Group is experienced in understanding payer requirements and leverages this knowledge in reviewing overpayments and underpayments. We stand ready to assist.
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Are you managing your insurance denials?
YES:
Out of all your efforts to make your health center is financially sound, managing denials is the most crucial. Continue to monitor this closely and if you should need expert assistance in understanding and how best to correct and prevent from happening in the future, please don’t hesitate to reach out to Fisher Consulting Group to leverage our industry and insurance carriers’ expertise.
NO:
Monitoring and managing denials are critical for healthy Accounts Receivables. The Fisher Consulting Group can assist with defining a denials management process that can assist with recovering revenue that would otherwise be lost or uncollectible, as well as find trends in errors, so that your team can correct processes to prevent future denials.
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Are you routinely monitoring your medical providers credentialing status?
YES:
Staying on top of your medical providers credentialing status is essential to making sure resources have been appropriately trained and certified and have the required skilled experience to provide healthcare services to patients including billing to insurance payers. The Fisher Consulting Group can assist in the future in confirming that your practice and resources are correctly credentialed.
NO:
It’s crucial for health centers to have a good understanding of medical credentialing and are kept current. This time-consuming, expensive procedure need to be handled by seasoned resources. If clinicians are not fully enrolled or credentialed your creditability and revenue could and will be impacted. The Fisher Consulting Group stand ready and available stand ready to assist to confirm your credentialing.
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Are you taking advantage of all available EDI connections for claims, remittances, and eligibility?
YES:
Taking advantage of available EDI connections reduces the amount of time staff devote to manual functions and speeds up the claim submission process. Continue to monitor manual processes and looking to identify new opportunities. If you should need additional assistance in reviewing your options, the Fisher Consulting Group stand ready to assist with identifying opportunities and assisting with paperwork completion.
NO:
Taking advantage of available EDI connections aids in decreasing manual functions and the time can be better spent on other practice efficiencies. The Fisher Consulting Group can assist with reviewing your current connections and help with identifying new opportunities that could decrease expenses related to mailings, speed up claim’s submission for faster reimbursement. The Fisher Consulting team also assist with completing the complicated paperwork for approvals.