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1    Why should I consider outsourcing my accounts receivable management?
2    Can BMS help everyone?
3    How can BMS improve my reimbursement?
4    I am concerned about outsourcing. I don't want to be another number in the system. Who will take care of my account?
5    Will someone be watching my practice statistics and financial performance? What kind of interaction can I expect beyond patient account handling?
6    I don't want to lose ãcontrolä over my billing. I am concerned about outsourcing!
7    What happens with payment denials and payer errors?
8    Do we bill patients for their share of treatment?
9    I have to send in notes or other specific information with certain claims. How do you handle that?
10    How does patient information get to BMS?
11    What if I don't have access to high speed Internet, or I don't want to do my own data entry?
12    I have cash patients and a special contract that I really don't have trouble collecting. Do I need to give BMS those accounts?
13    Who do I call regarding legislative and regulatory issues that could affect my reimbursement?
14    Who receives payer and patient payments?
15    How does BMS get paid for doing my billing?
16    Do I still have to collect co-pays and deductibles?
17    Who does insurance authorization and verification?


 

 
   
 
 

1 Why should I consider outsourcing my accounts receivable management?

Obviously, this is not an easy decision. There are two main considerations. The first is whether you, as the owner and manager, can best spend your time keeping up on all the changes that affect how you are paid and whether your time is best spent supervising the people and processes related to billing and collecting. Secondly, costs and personnel are important considerations. Most practices spend up to 12% to collect their accounts receivable. Costs not only include personnel, but also supply, postage, hardware/software licensing, maintenance, support, and staff education costs. Hiring and retaining qualified staff familiar with rehab billing is also a challenge. Losing your key billing person to maternity leave, illness, or transfer of their spouse can have a serious long-term impact on your cash flow.


 
 
 
 
 

2 Can BMS help everyone?

Yes, but we can help some practices more than others. For established practices, we perform a Reimbursement Evaluation. By looking at a 6-month snapshot of your billing and collections process we can identify key points of improvement. We only want to take on those clients who we are sure we can help. In nearly every case BMS at least pays for itself while most clients experience an increase of 10% or more in payments and cash flow.

 

 
   
 
 

3 How can BMS improve my reimbursement?

  • BMS provides training to your therapists in the proper use of CPT codes and documentation requirements.
  • BMS audits your charges and adds the appropriate Correct Coding Initiative modifiers and checks for payer appropriateness.
  • BMS reviews your fee schedule to make sure it is in line with regional payment levels.
  • BMS constantly monitors your practice's treatment charges and payments in order to assure you are receiving appropriate payment from both regulatory and contracts perspective.
  • BMS bills as many payers electronically as possible enabling payers to process your claims faster.
 
 
 
 
 

4 I am concerned about outsourcing. I don't want to be another number
in the system. Who will take care of my account?

You will have your own customer service representative. Your CSR will be able to answer questions you may have about individual patient accounts and issues that directly affect your practice. Your CSR will seem like one of your staff by becoming very familiar with your staff, patients, and unique processes and contracts. If your rep cannot answer your question immediately, another member of the staff with expertise in the area of your question will get back to you as soon as possible. The BMS staff is bonused based on A/R aging, customer satisfaction and other important performance measures. Our process is designed to assure that our mutual goals are as closely aligned as possible!

 

 
   
 
 

5 Will someone be watching my practice statistics and financial performance?
What kind of interaction can I expect beyond patient account handling?

One of our upper management team will review your practice's financial performance and contact you to discuss any changes we notice and to be sure we are meeting your needs. Of course, we are available any time to answer your questions, strategize, and problem-solve issues facing your practice.

 

 
 
 
 
 

6 I don't want to lose “control” over my billing. I am concerned
about outsourcing!

With EZTrack (our on-line reporting tools), you have the ability to stay in control! You have full access to all patient data, account information, and practice statistics. This information is literally at your fingertips. All information is automatically updated daily on our secure Internet reporting portal.


 
 
 
 
 

7 What happens with payment denials and payer errors?

BMS automatically appeals medically necessary denials and improperly paid claims. BMS follows up on all claims from billing the primary payer to patient payment. We will request supporting documentation from you as necessary.

 

 
   
 
 

8 Do we bill patients for their share of treatment?

Yes. Your patients receive statements monthly after their insurance company processes the claim. Patient statements are printed and go out from BMS with your practice name and address and our toll free telephone number. Our phones are answered from 6:30 am until 5 pm California time.


 
 
 
 
 

9 I have to send in notes or other specific information with
certain claims. How do you handle that?

This can be done weekly, or more often if you prefer. You can send this information to BMS and we will attach it to your paper claims before they are sent out.

 

 
 
 
 
 

10 How does patient information get to BMS?

It is as easy as the click of a mouse. Your staff logs on to our secure data entry web site. From there, patient demographics and charges are entered. When the information has been completed, the information is processed for payment by BMS - clean electronic claims are billed within 72 hours and paper claims within 3 to 5 days!

 

 
   
 
 

11 What if I don't have access to high speed Internet, or I don't
want to do my own data entry?

We don't require you to do data entry if it's not right for you or high speed Internet is not available to you yet. We have a number of clients that have us do their data entry. Let us know what will work best for you.

 

 
 
 
 
 

12 I have cash patients and a special contract that I really don't
have trouble collecting. Do I need to give BMS those accounts?

You can continue to bill those accounts yourself. Most of our clients keep their cash patients and prospectively paid accounts in-house.

 

 
 
 
 
 

13 Who do I call regarding legislative and regulatory issues that
could affect my reimbursement?

BMS has it covered. Since 1988, we have been keeping our clients informed on regulatory and legislative changes. We also have current knowledge on Medicare regulations. We'll help keep you in compliance!

 

 
 
 
 
 

14 Who receives payer and patient payments?

Payments are made directly to you. You deposit the checks and send the Explanation of Benefits (EOB) information to us.

 

 
 
 
 
 

15 How does BMS get paid for doing my billing?

BMS does not get paid until after you get paid! We are paid based on a percentage of your monthly collections. At the end of each month, you will receive a bill for our services based on the collections from that month.


 
 
 
 
 

16 Do I still have to collect co-pays and deductibles?

Yes, you still collect those at the time of service. BMS posts the payments to the patient's account. BMS does not bill you for its percentage of money you collect at the time of service!


 
 
 
 
 

17 Who does insurance authorization and verification?

Your staff continues to authorize treatment when required and they verify insurance benefits for your patients.

 

 
 
 
 
 

 

 

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