MBS scrutinizes all aspects of the revenue stream to determine areas of potential lost revenue. Whether it involves fine-tuning or a complete overhaul of current collection methods, MBS is committed to increasing our clients’ profitability.
| Billing Oversight MBS pays close attention to all aspects of billing and collections ensuring proper and timely reimbursement. |
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Billers are involved in the day-to-day details of charges and payments. Our expertise lies in looking at the bigger picture, analyzing trends, identifying problem areas that may be negatively effecting financial performance and taking the necessary steps to ensure the billing process is reaching its potential.
We monitor biller performance through our unique tracking system that projects expected, upcoming collections based on actual information including the number of patients seen during a month, the distribution of CPT codes and your payor mix. This dynamic tool allows us to quickly identify and resolve any billing problems that may delay reimbursement.
MBS serves as a watchdog over the entire billing process. The importance of this in the healthcare industry cannot be overestimated. After all, would a billing service really tell their client they have failed to perform adequately?
Our experience shows that only in a rare occurrence would a billing service call attention to their inadequacies in collecting charges. As a separate, objective entity, MBS offers great value in assuring the billing mechanism is performing at its best.
With MBS involved, you will no longer live with increasing accounts receivable and decreasing reimbursements. MBS monitors all billing activities and ensures proper and timely collection of charges.
Link to Top-Performing
Billing Companies
If your current billing mechanism is ineffective in billing
and collecting for your services, MBS can introduce you
to one of the many billing companies we trust to handle
the specific needs of your practice. Our billing service
affiliates have proven their ability to turn charges into
revenues, producing remarkable collection results for each
of our clients.
| Documentation
and Coding Analysis By auditing current usage of CPT and ICD-9 codes, MBS identifies documentation and coding inaccuracies and establishes appropriate correction measures, including physician or coder education, to reduce the occurrence of income loss or compliance violations. |
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MBS optimizes reimbursements by effectively monitoring the usage of ICD-9 and CPT codes. Periodic analysis of documentation and coding allows us to recognize trends and recommend changes to improve the accuracy and completeness of medical charts. When necessary, education can be arranged to improve coding and documentation.
Fee
Schedule Analysis
An analysis and adjustment of current fee-schedules, compared
to industry and geographical standards, resolves fee-related
deficiencies while keeping your practice competitive.
Accounts
Receivable Analysis & Follow Up
MBS evaluates and oversees the accounts receivable management
and follow up performed by the biller. We analyze aged receivables
and offer solutions to convert accounts receivable into
actual revenue.
Audits
& Analyses |
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Registration & Insurance Demographic
Analysis
MBS carries out quality assurance functions by sampling
registration and insurance demographic information to
ensure that billing data is correct and complete.
Data Flow Analysis
MBS monitors the transfer of information to identify
data flow constrictions affecting prompt filing of insurance
claims and statements.
Charge Capture & Audit Control
Analysis
MBS evaluates audit control procedures to ensure all
services provided are identified, coded and billed appropriately.
Fee Schedule Analysis
MBS utilizes geographic market area information and
current Medicare allowable amounts to recommend adjustment
of fees on an annual basis, or as necessary.
Documentation and Medical Coding
Analysis
MBS monitors the usage of CPT codes to identify inconsistencies,
which may affect reimbursements. We analyze the accuracy
of coding specific to the guidelines applied by the
payor and consistent with the documentation of medical
records.
Financial Performance Ratio Analysis
MBS develops performance standards for monitoring and
improving accounts receivable management. We track performance
on a month-to-date, year-to-date and six-month moving
average basis on standards established by MBS projections.
Explanation of Medical Benefits
Analysis
MBS provides ongoing analysis of EOB’s from Medicare
and insurance plans to identify any avoidable denials
and determine if proper reimbursement was received from
third party payors.
Aged Trial Balance Analysis
MBS assesses the status of a sample of open claims,
identifying reasons for non-payment to recommend necessary
steps to obtain reimbursement.
Managed Care Contract Analysis
MBS reviews the terms of prospective managed care agreements
and monitors the associated risk factors. MBS evaluates
the proposed reimbursement provision to determine the
economic benefit or cost associated with participation.
Practice Performance Reporting
MBS attends monthly corporate meetings to discuss the findings
of our analyses. The report is presented in written narrative
with corresponding charts and graphs, allowing our clients
to know exactly where their practice has been, where it
currently stands, where it is heading and how MBS plans
to achieve future goals.
Office
Policy & Procedure Analysis
MBS evaluates and refines registration, patient tracking,
benefit verification and data flow procedures to improve
efficiency and effectiveness for the practice.
Credit
& Payment Policy Analysis
MBS reviews and establishes collection policies and procedures
to ensure productive and appropriate methods for collecting
patient payments at the time of service.
