1. No more dealing with insurance company personnel or bureaucrats with Medicare and Medicaid.  In many areas the average length of employment for the people who handle your claims is less than 6 months.  This means that low-wage, untrained people are determining whether or not you get your money, and how soon you get it.  With our service, all claims are handled electronically, by-passing the human “gate-keepers” and turning your claims around in 10 to 21 days rather than the national average of  270 days for Medicare/Medicaid and 58 days for commercial claims.

2. No more wasted time spent by the doctor in supervising the processing of claims.  Many doctors spend as much as two hours per day working on insurance claims.  The amount of money lost by not seeing patients during this time can be far, far greater than the entire cost of an outside service.

3. No more problems with office software and hardware support and service.  Many doctors who have purchased internal software systems (whether cheap or expensive) have difficulty getting good service, support, software updates, consulting, etc. from their software distributor or vendor.  Every bad experience your office has with software and hardware dealers adds another reason for you to try our service!

4. Greater income from increased efficiency of claims collections.  Many doctors will experience an increase in collections of twenty to thirty percent, or more, within a short period of time after starting to use an outside service such as ours.

5. Cost savings.  A great many internal billing operations, like most bureaucracies, can be found to be very inefficient and actually more expensive than an outside service would be to perform the same functions (and get them done better and more quickly).  A recent survey performed on practices all over the country published in The Medical Group Management Journal showed the average cost of internal billing departments was 11% of the practice’s income.  Billing centers typically charge only 5 to 9% to perform the same functions.  Further, the same study showed the collection rate of these internal operations was a dismal 55% and that it took an average of 93 days to collect insurance claims.  Many times, a professional can actually do the job less expensively than the current staff.

6. Increased office space.  It is not uncommon to find doctors that, even though their practices may have outgrown their available facilities, are “locked in” on long-term leases of five to seven years.  Utilizing a billing center can sometimes free up one or more rooms to be remodeled into new income-producing examining or testing areas.

7. A professional who can help the doctor stay up with the latest changes in regulations, technology, etc.  With all the political focus on Healthcare, and the talk of changes in various government and insurance systems, many doctors are beginning to find billing centers a welcome solution allowing them to “wash their hands” of all the administrative details involved in handling relations with insurance companies and government agencies.  Thus, doctors find they can concentrate more fully on what really makes them money:  treating patients and practicing medicine.

As a MyMedicalClaims Contractor, you eliminate the problems
and provide significant benefits for doctors.

The game has changed. It’s important you know the federal government has mandated medical claims to be filed electronically. Enforcing the switch to electronic billing has been pushed back, but the mandate remains for doctors: they must move toward electronic billing, and our Online Medical Billing System allows you to file these CMS1500 forms for doctors and other medical providers completely electronically and in real-time.

While there has been some leniency until now, as of July 1, 2007, rigorous enforcement began in some regions and will spread across the county. All other methods of filing claims are outmoded and on the way out in the immediate future. This means there’s a huge window of opportunity as medical practices flounder for a solution.

If you’re serious about creating your own medical billing service, realistically, true, real-time electronic billing is your first – and only – option.

As our Independent Contractor, you become a trained professional equipped with a proprietary, state-of-the-art system that will allow you to electronically file the claims for the doctor online, in real time. The benefits to the doctor include:

Benefit #1: FASTER – much faster – filing and payment: Electronic filing drastically reduces the amount of time it takes to collect from the insurance companies. Instead of taking weeks, it takes just 7 to 21 days.

The reason is simple: electronically filed claims are handled by computers and therefore bypass all of the low-wage, untrained human "gate keepers" that work the low-level clerical jobs for insurance companies.

These "gate keepers" are the ones who ultimately determine whether or not and how fast the doctor should be paid. But when it's all handled electronically, there is no "human interference" to bog down the process.

Benefit #2: Dramatically LOWER rejection rate: Using our system, the rejection rate for claims plummets from upwards of 30% to under 2%. Obviously, claims that aren't rejected move through the system much faster.

Plus, claims that are mysteriously "lost" or mislaid by the insurance companies, and never paid, are eliminated altogether. They can't be lost when using electronic medical claims filing because an “acceptance report” from the insurance company confirms receipt of the filed claim.

Benefit #3: Frees up time for the doctors and staff: Many doctors spend as many as one and a half to two hours a day supervising and working on insurance claims. Or at the very least, they have one or more highly paid employees working on them.

When the doctor out sources the electronic medical claims filing to you, he or she can focus on seeing more patients. . . and therefore make more money. . . or else spend more time doing other things.

Outsourcing electronic medical claims filing also frees up the time of the doctor’s staff, which allows them to make patient calls and run the office more effectively instead of completing or chasing down medical claims.

Benefit #4: Immediate cost savings: Doctors will see a real and immediate cost savings when they outsource the billing to you.

The New England Journal of Medicine (Volume 349:768-775) says that physicians' administrative work and costs amounted to 26.9 percent of physicians' gross income.

That translates into an average of about one and a half clerical workers per doctor at an average cost of $51,564. . . not including employee benefits like vacation time, insurance, and the like.

Our Contractors, on the other hand, only charge a small per-claim fee to perform the same service, depending on the volume and complexity of the individual claim. In some instances it amounts to only 5% to 8% of the claim amount.

The fee is directly related to each individual claim. When a staff member is responsible, the cost of filing could be wildly out of proportion to the actual income received. You bring a cost-control benefit to the doctor.

And that's just the savings on the front-end direct cost of collections. That doesn't take into account the increased effectiveness and efficiencies of actually collecting the money owed to the doctor.

Benefit #5: No worries about HIPAA compliance. Doctors are excited to learn that patient claims are processed and filed on a system as secure and hacker-proof as those used by financial institutions. In fact, the data is stored on the same secure servers that store data for banks and investment firms.

Any updates or changes are made directly on the site and integrated seamlessly so they’re operational the next time you access the server. HIPAA is a regulatory issue, so the automatic updates provide peace of mind for your clients. (And you, too.)

Benefit #6: The doctor or the staff can also access the claims information. If a doctor is squeamish about losing access to the claims in progress. . . no problem. You can provide a password that permits access to the practice’s private area.

While the staff can’t file claims, they can track their progress and use other powerful management features (including a scheduler) for their convenience.

Benefit #7: The doctor will be compliant with the mandate to switch to electronic filing. Most businesses wait until the last minute to handle government-mandated changes.

When the time comes, your clients will be ready and there will be no sudden panic trying to switch over at the last minute. You can put them into compliance and start filing electronically literally overnight.
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