BMS has been providing billing/collections and accounts receivable
services on behalf of rehabilitation specialists since 1988.
We are exclusively focused on rehab services (PT-OT-SLP) and
have a specialized understanding of the reimbursement issues
that most directly affect rehab professionals. Given our time
in the industry and focus on rehab billing, we understand very
clearly the financial impact of billing correctly the first time
and appealing claims which are paid incorrectly. The rules and
guidelines attached to rehab billing require the focused expertise
that we will apply to your practice. The following overview is
an introduction to our services.
We work with our clients and their clinical staff to help them
understand how the provision of their clinical services affects
the financial health of their business. Toward that end, we
work closely with staff to identify the reporting of treatment
by CPT code, discuss the importance of documentation as well
as review Medicare Local Coverage Decisions (LCD).
We do not tell your staff how to treat patients but we do
stress the importance of documentation and their complete
identification of services provided. One of our goals is
to have the clinical and administrative staff understand
the importance of their individual roles in the financial
health of the practice.
There are two types of information we
ask you to send us. One set of information is sent via the
Internet and the second is made up of a structured set of
information sent on a weekly basis and again at the end of
the month. The first set of information that comes over the
Internet contains basic patient demographics and identifies
the services that were provided to the patient on a given
visit. The web page for this entry is password protected
and 32-bit encrypted. In the event that high speed Internet
is not available to you, or doing your own data entry does
not meet your needs, we can arrange to do data entry for
you. The second set of information, mailed to us weekly and
again at the end of the month, provides us with the detail
necessary to accurately post payments to your patient's accounts.
We also immediately contact the payers to clear up claims
paid incorrectly and provide the payer with the information
necessary to settle the claim.
All payments go to your practice. We do not accept or handle
payments on your behalf simply because we feel very strongly
that you should never give up the processing of your payments
to an outside party. We have a timely reporting process
to ensure that payments are posted quickly and any rebilling
or appeals that need to take place are completed within a
very short period of time. Any rebilling, billing of secondary
payers or patient billing, if necessary, is done by BMS.
All follow-up necessary for the claim to be satisfied is
undertaken by BMS including phone calls to the payer, faxes,
and postage at no additional cost to you.
Being paid correctly depends primarily on the level of detail
focused on claims that are not paid correctly by he insurance
payer. At BMS, we know a certain percentage of claims require
immediate follow-up and we understand that your profitability
depends on getting paid correctly. When the payer incorrectly
processes a claim, we do our best to get the claim settled
correctly in the shortest time frame possible. Since we are
paid retrospectively based on the quality of our work, we
don't get paid until you do. We will work with you to improve
your cash flow and decrease your accounts receivable.
We keep our clients up to date with current Medicare regulations
affecting billing/coding for their particular type of practice
(PTPP, OTPP, Rehab Agency or CORF). BMS works with its
clients to identify those instances in which a provider
may find themselves out of compliance with Medicare regulations
and will seek to correct them before they becomes an issue.
BMS also closely follows the development and implementation
of the Correct Coding Initiative edit screens used within
the Medicare system and their use by other payers. These
edit screens are updated by Medicare every 90 days and
are being adopted by more private insurance payers every
year for use in their claims systems.
Since rehab billing is our primary business, our attention
to changes in the rehab market is extremely focused.
Even with our focus on a relatively small percentage of the
overall health care market, we will bill over $100 million
in rehab claims per year. What this means to you is that
we have a large data warehouse of information that can be
applied to your practice. We can benchmark your facility
against known standards of reimbursement, and our reports
will provide you with a wealth of information. Practice management
data and reports are available to you on EZTrack – our
secure Internet reporting portal. This information includes
referring physician reports, charge reports by CPT code,
reports by payment system type, patient accounts, accounts
receivable and aging reports, therapist productivity reports
and more. You establish who in your practice has access to
this important practice management information.
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