INSURANCE MANAGEMENT CONCEPTS THAT AFFECT THE
PRACTICE- The single largest insurance company that affects the practice is
Medicare. With the expected growth of the older segment of the population for
the next 30 years, Medicare will continue to be a major influence in your
practice. And the ensuing years will confirm more and more Medicare's influence
on your practice. Medicare, as well as HMO's, PPO's and other entities, in some
way, determines the care provided as the price reimbursed. How well you are
able to manage these concepts depend on the tools used to provide you answers
to questions managed care will present. Managed care is the new force in todays
medical practice. How well the provider can show, for instance, how much income
is being realized per illness, the more informed he or she will be in
negotiating a contract with a HMO or other insurance entity. DO YOU
PRESENTLY HAVE THE TOOLS TO PROVIDE MEANINGFUL FACTS AND FIGURES AND OTHER
ANSWERS WHEN NEEDED ABOUT THE PRACTICE? THIS IS IMPORTANT!
- AUTOMATION AND MONEY...WHAT IT MEANS TO THE PRACTICE
- Today's business is totally dependent upon tomorrow's return of
value for services rendered. With the age we live in, timely recovery of monies
due for services rendered is important. Insurance reimbursement is more quickly
realized when claims are delivered in an efficient manor. Electronic claims are
todays way of speeding up claims filings and reimbursement. Automation is the
key to such concepts. Gone are the days of the archaic paper and pad
philosophy. Instead we look to computers for speed of input, output and
management of information. Savings in time and overhead can be achieved with
the savings realized by both the patient and provider. We provide the latest in
patient billing system. CompuMedic by
Data Strategies, Inc. provides the latest in practice management systems. Its
newest entry is the Windows version for both Windows 3.1 and Windows95.
- TO DO THE WORK IN HOUSE OR EXTERNALLY?
- At what level of complexity does the provider want to get involved?
We provide the resources for in-house processing as well as total billing
without the need to invest in additional personnel and equipment. We offer
alternatives to, giving the office flexibility. If there is a preference to
automate in-house, then we can accommodate. If, however, it is not in the best
interest of the practice to do so, the same level of results can be be achieved
by Tricare handling full patient billing. If we do the
billing, then, at some time in the future, you can actually bring in that
database for your own use. Our Medisyst system can save in both personnel and equipment.
- WHAT ABOUT JUST CLAIMS FILING ONLY
- For those who only need speed in filing claims, our InstaClaim claim filing service will promote fast return on insurance claims. Paper claims traditionally take 30-45 days to pay while electronic claims are much less. For Medicare, Medicaid, Railroad Medicare and Medicare DME (Durable Medical Equipment), electronic claims can save you as much as 30 days in processing time. Use of your money 20-30 days in advance can be significant. There is no long term contract and the cost is surprisingly low.
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- COLLECTION SERVICE
- Having difficulty with accounts that are slow or no pay? Getting
tired of fighting insurance companies for correct filings with no results?
Collection is one of our specialties. Understanding the complexities of
insurance filings, Tricare Medical
Collections can effectively work with insurance companies. For individual
patients, care is taken to work with those who cannot pay it all at once and
wants a programed payout. For those who just will not pay, we will give them
every opportunity to pay with professional mail contacts. We are members of
major credit bureaus allowing the reporting of payment history.
- FULL SERVICE HARDWARE AND NETWORKING
- TRICARE can equipt the medical office with hardware and networking
capabilities from 2-100 users. We use only the highest grade commercial units
capable of operation around the clock for years. In addition, we specialize in
custom networking allowing flexibility of resources within the network. And it
is not a complicated operation. On the contrary, it is contoured for the small
to medium office without the need for a network administrator.
- MEDICAL FORMS AND
PRINTING
- We represent Wilmer Service Line, an old line printing house specializing in medical forms including superbills,, pre-inserted envelopes, checks and a multitude of other products at an affordable rate. Quantity discounts with fast turn-around available. Free quotes with no obligation.
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- AUTOMATION AND THE MEDICAL OFFICE OF TODAY
- Are you really automated or do you just have a computer? There has
been said, "the more the automation the more the work. One begats the other! If
it were not for automation, we would have less reporting and other things would
take up our day. Well, there is some truth in the quote. And we hope it is so.
The more you put into a project, idea or task, the more you will get out of it.
While automation may increase time, it will multiply, many times, productivity.
Isn't that what it is all about?
Now no one can justifiably argue there is no limit. It is conceded there is a delicate balance between just how much you can automate and, at the same time, reap positive dividends that affect the bottom line of the practice.
- This is where we come in. We are not advocates of over automation. We also say complete automation is not for everyone and every type of practice. Selective automation weighed against desired results must be the number criteria in such a consideration. When properly used, computers can significantly boost office productivity-once you have traveled through the "valley of despair." Productivity plummets immediately after offices add computer. But it takes off again once everyone learns how to use them. Office with computer can handle many times the business than those who are not automated.