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F.A.Q.
Frequently Asked Questions
Why outsource your billing?
It’s a Matter of Economics!
Over the last decade or so, medical providers have become buried in the paper while it has become more and more difficult to get paid for their services. Today every provider faces the potential of getting paid less for more work. Gone are the days of “submit a bill and get paid.” Insurers have deployed “armies” of people, using high-end computers, with sophisticated software in order to find ways to deny providers payment. We call this Revenue Leakage.
At risk is the loss of tens of thousands of dollars in revenue to your practice. Clinix Data Management can help to substantially lower your costs; increase revenue collected and reverse your Revenue Leakage (lost revenue from denials and poor follow-up).
Lowering Cost
Billing systems and human resources are often difficult to maintain and very expensive. Many billing personnel in a private practice lack experience, training, time, and resources to properly manage your billing cycle. Hiring, managing and successfully maintaining in-house billing staff is a challenge in many practices, and can negatively impact your bottom line. Training billing staff to become proficient requires time, money, and resources. Staff vacations, illnesses, medical and family leave, etc. can be disruptive. Attrition and turnover – after you pay for all of the training – can be catastrophic.
In addition, there are computer software and hardware expenditures. Service, training, support, maintenance, and upgrade fees also must be considered. And the cost of not upgrading can be even more expensive resulting in high claim rejections. Then you also have the cost to mail patient statements – envelopes, postage, phone calls coming into the practice, and on it goes!
With Clinix Data Management managing your revenue cycle you can reduce your billing cost, helping you improve your bottom line.
Increase Revenue Collected
Clinix Data Management has a proven track record of reversing Revenue Leakage and maximizing the revenue for our clients. Our services and systems are designed to get you paid faster, prevent rejections, track claims efficiently, and follow-up on unpaid claims and patient balances.
Over 95% of charges submitted by Clinix Data Management are paid on the first submission. Our clients experience half the national average of Days in AR. We can improve your cash flow significantly by getting you paid faster and collecting the maximum amount of money possible.
What makes Clinix Data Management different?
We are the solution that healthcare providers turn to for plugging the revenue leakage problem that plagues their practices. As healthcare providers face ever increasing cost and revenue pressures, the last thing they can afford is to “leave money on the floor” – but that happens all too often in many practices as revenue leakage is significant and widespread across the medical practice landscape.
Nobody reverses revenue leakage faster or better than we do – our innovative software and specialized services solutions quickly drive significantly improved results. We can deliver substantial cost savings as well as significant improvements in revenue and cash flow.
Do you assist your clients with Medicare Provider Revalidation and Medicare Audits?
Yes, we can help process client Provider Medicare Revalidation applications. And we offer to our clients a free review of their documentation when responding to a Medicare or any Insurer’s Audit requests.
How do I send my patient data to Clinix Data Management?
Clinix Data Management utilizes state-of-the-art scanning technology and can accept billing data on paper or electronically via sFTP, efax, fax, USPS, UPS, or FedEx.
Will Clinix Data Management perform a strategic analysis of our billing process?
Yes, Clinix Data Management will provide a detailed analysis of charge practices to determine your deficiencies. We then recommend changes to your billing process (Charge forms, etc.) to ensure prompt payment.
Does Clinix Data Management handle all the steps of the billing process for us?
Yes, Clinix Data Management receives the required data from your office, and handles the rest: From billing insurance and patients, answering patient questions, to the final resolution of each account.