ABOUT

The client successfully established a new dermatology practice in a metropolitan area in Pennsylvania.

CHALLENGES

Breaking away from a larger group, the client established a new dermatology practice in metropolitan Pennsylvania. She preferred using EMA from Modernizing Medicine as an electronic health record (EHR) but wanted us to integrate it with AdvancedMD, the practice management system that we use. The practice also required that coding be regularly reviewed for appropriate payments from insurance companies. As a new practice, it was imperative that money came in quickly to enable sustenance and growth.

WHAT WE DID

We methodically identified and implemented several protocols that helped the dermatology practice succeed in a tough metropolitan market. Integrating EMA and AdvancedMD ensured that charges automatically flowed from one system to the other. We review every single claim for coding accuracy and appropriate modifier usage that is critical for payments. We submit charges on the same day of receipt that dramatically reduces lag days for payments. We execute a patient collections process as agreed by the practice. Further, we worked on all old AR and recovered previous balances.

LIFE WITH NEXTSERVICES

Billing discipline requires that we put extraordinary focus on doing the small things well that add up to provide financial stability required for growth. This sometimes means doing simple things well, such as a weekly call between the administrator and the billing team. The NextServices team strives for predictability in billing outcomes through innumerable, frequent actions that repeat every single day.