Ever wonder what a day would be like if you didn't have to deal with the stress of your account receivables and insurance carriers working to keep you from your money? Imagine what it would be like to have a relationship with a company that took care of the practice management and allowed you to focus on your patients.
Medical billing can be a cumbersome, overwhelming, and time-consuming process. Med-West Billing has been providing expert medical billing and accounts receivable management services for over a decade, can aid in this process, thereby streamlining the patient billing, collections and reimbursement processes on behalf of the clients we serve.
Med-West Billing Solutions can help your medical practice:
Full-Service Practice Management
By using Med-West you will liberate your staff of tedious billing and remittance tasks to focus on patient care and growing your practice. Med-West's practice management solutions allow your practice to eliminate all charge entry and patient demographic updates, as well as payment posting. A dedicated team of Account Representatives will enter all charges, perform claims scrubbing, update demographics, post payments, bill patients, and follow-up on all denials. The vast majority of insurance and governmental payments will be directly deposited in your bank account, and all other payments will be sent directly to your office.
Electronic and Paper Claims Filing –
Med-West manages all data entry, claims and claims tracking for you. We have the capability to transmit claims electronically to thousands of insurance carriers nationwide. With Med-West, electronically submitted claims are typically paid within 15 days.
Advanced Claims Review System –
Coding errors cost doctors over $6 billion annually. Med-West advanced claims scrubber identifies and corrects errors and omissions before claims are submitted. The results are reduced denials and faster reimbursement.
Claim Adjudication –
Only 70% of the average medical practice’s insurance claims are ever paid by carriers. Med-West aggressively monitors and accesses EOBs and payments to ensure the highest possible reimbursement rate.
Follow-up –
At Med-West, claim follow-up is a priority. Our staff regularly follows-up on the progress of your claims to make sure you are receiving prompt, correct payments.
Patient and Insurance Payment Posting –
Once payment is received and verified for accuracy, Med-West promptly posts payment to your account.
Patient Invoicing
Collection and Inquiries - Monthly statements are sent to patients with remaining balances. Our automated collection letter system sends reminders and collection letters directly to patients, notifying them of their outstanding liabilities. Additionally, our dedicated staff handles all patient phone requests, billing inquiries, and necessary follow-up calls.
Management Reports –
Med-West provides your practice with the most advanced financial and practice analysis reports available in the industry today. Custom reports can be generated at your request, and a wide range of standard reports are instantly available. For more information contact our office
Form Development
Med-West will work with your staff to develop customized practice forms such as Superbills.
Remote Access –
We provide internet access to all of your account information, giving you 100% direct visibility over patient data, current charges and balances, as well as financial performance.
Billing & Collections
At Med-West we understand that cash flow and quality is the driving factor when deciding to out sourcing your billing.
Our expert services include:
Data Entry
We realizes that accuracy in data entry is vital to claims reimbursement. We’ve established a set of checks and balances to ensure that all patient and insurance information is entered correctly. Our practice management software allow us to “scrub” all claims before they are submitted, minimizing the potential for human error at the data entry point.
Charge Entry
After the coding and data entry is performed we go one step further and claims are
“scrubbed” again EDIFECS Online for even further accuracy. EDIFECS Online has
specific “scrubs” which have been obtained from the insurance companies themselves
for proper data entry. Claims are stopped here and corrected for accuracy prior to
sending them to the insurance carriers. Because of the multiple “scrubs” we have in
place prior to claims submission, Med-West has an accuracy rate of 98% clean claims
before they hit the insurance company.
Follow-up Process
Our follow-up on claims is what truly separates Med-West from the competition. Other medical billing services concentrate on the collection of “easy money:” the revenue attainable by utilizing only the initial billing process. This only generates tremendous profit margins for the billing service and not the medical practice.
Med-West Billing is committed to following up on all outstanding claims, no matter the charge or reimbursement. We believe in continually following up with each insurance company until payment or processing is resolved. It is this attention to detail and commitment to our clients that provides an increased level of reimbursement and that sets us apart from our competitors.
Our follow-up methods include:
Phoning insurance companies regarding unpaid claims at 30 days for electronic claims and paper claims.
Filing secondary and tertiary insurances.
Never balance billing a patient until insurance denials have been resolved.
Denial Management
Claims that have been rejected or denied are carefully reviewed and resolved as quickly as possible. We utilize a three level appeal approach and handle incorrect denials by calling the payers directly, appeal in writing with supporting documentation, and if necessary utilize the administrative appeals approach to submit higher level appeals.
Reporting
Regardless of the number of physicians in your practice, the capturing and analysis of key data components is vital to your long-term success. Med-West provides you with options of over 50 standard reports give you many ways to target specific data in real time. Within each report, data can often be sorted or displayed in various manners to focus on the information you need.
Reports can be generated and sent via fax or email, or they are available online 24/7/365.
Since there are so many reports and options available, we encourage you to contact us for a detailed reporting list or demonstration of our system reporting capabilities. Some popular options are:
Summary Report
Overview of all charges, payments, and adjustments. This report can be customized by any criteria relevant to your practice's needs.
Accounts Receivable Report
Up to the minute, detailed or summarized aged receivable information that will give you 100% visibility over your uncollected claims.
Revenue and Production Report
Allows you to analyze your procedures by code, giving you better insight into how you allocate your time.
Payment and Charge Report
Detailed or summarized list of payments received and charges submitted, helping you to categorize payments and charges by multiple variables including location, physician, or insurance carrier and more.
Frequency of Procedure/Diagnosis
Examine the most common procedure, diagnosis code, other information recoded within you practice. Customize this report for any provider, location, or time frame of your choice.
Payment Reimbursement
Analyze the payment history by insurance carrier, helping you to determine if contracted carriers are meeting their negotiated fee schedules. This report is useful when renegotiating contracts or fee schedules with insurance carriers.
AMA Reports....
30% of all
medical claims
are denied or lost by the carrier. 50% of those claims are never resubmitted by the physicians office!
Physician Credentialing Services
Med-West Billing provides physicians with complete credentialing services and can credential you with the insurance carriers and networks of your choice. These carriers include Medicare, Medicaid, Blue Cross Blue Shield, Commercial carriers, DMERC carriers, Workman's Compensation carriers, etc...
Our physician credentialing experts will fill out the applications for you! This can be done with just one carrier and/or network you choose, or it can be done for multiple carriers and/or networks.
But we don't stop with filling our the application. We stay on top of the credentialing process for you. Many times applications sit on someone's desk for months. Our persistent tenacity ensures that your application does not. There is constant follow-up and the applications are completely filled out correctly the first time.
From start to finish, the time frame of the credentialing process is dependant on the carriers and/or networks. It typically takes 60 - 180 days before they show you participating with the insurance carrier and/or network.
Most importantly, do not assume that all of these carriers and/or networks are going to "back date" your participation. Most do not!
Call us at 480-654-2919 and we will help you with your credentialing process.
Old AR Analysis and Recovery
Do you have a billing system in place but wonder if it’s running as efficiently as possible? Med-West provides consulting services to pinpoint exactly where your system can be improved to maximize profitability. Our goal is to help you get the most out of your existing system.
Unresovled insurance accounts receivables is a very common problem within medical facilities, irrespective of their size. Even with a strategy that seems good, many healthcare facilities find that their insurance receivables keep growing. This causes a significant financial burden on the medical practice.
Imagine having all of the collectible money sitting in your 60+ day AR sitting in your bank instead. Imagine doing this without any disruption to your current medical billing process. Well, this is all possible with Med-West's Denial Management and Old AR Recovery service. With this service, we focus exclusively on your AR over 60 days old. This requires no change to your current staff, process or technology.
Most practices have significant money tied up in their 60+ day AR. We can capture these funds for you without any changes to the rest of your current process. Our Denial Management and Old AR Recovery Services provide several benefits:
This Denial Management and Old AR Recovery service does not require any changes in your current process, no new technology, and no system changes. We work on your system to provide effective AR collections and pursuing these old accounts by assigning a dedicated team of specialists who analyze the unpaid and underpaid claims and aggressively follows up with insurance companies to recover maximum payment.
Med-West has helped medical practices recover tens of thousands of dollars from insurance companies in "lost" reimbursements and denials. This service is ideal for medical practices that do not want to outsource their entire billing but only recover their old AR.
Contact Med-West today to learn how we can significantly improve your denial management and collect on your old AR. To learn more about how Med-West's Denial Management and Old AR Recovery Services can help your practice.
Technology
Med-West Billing ultizes the latest software and newest technology to provide our clients with the best service.
IT Service Consultant
Venture Technologies
Nathaniel Lee
602.845.8885
nlee_venturetechaz.com
A Tailored Medical Billing Services that Improves Performance and Reduces Costs
Improved Performance
Practice medicine, not management. Our comprehensive medical billing service is focused on maximizing your collections, getting you paid more and paid faster. Our advanced claim submission reviewer detects medical billing errors prior to entry, dramatically reducing denial rates. We aggressively follow-up and appeal denials and mis-adjudicated claims, increasing your overall revenue. Specifically, you will improve your collection rates and your reimbursement cycle, reduce your accounts receivable, decrease the rate of lost and denied claims, and gain improved insight into your practice’s financials and performance. With Med-West, you will have 100% visibility over your claims, and you will know where your cash is.
By letting Med-West manage the task of collecting payments and monitoring reimbursement, you and your staff will have more time to focus on patient needs and practicing medicine.
Cost Effective
We get paid only once you get paid – Med-West is 100% performance driven. With Med-West, your costs are directly proportionate to your actual income. With in-house billing and many other medical billing companies and services, you are responsible for all costs upfront, regardless of how much you collect. Not with Med-West. In addition, when outsourcing to Med-West, there are no initial start up costs, no hidden ongoing expenses, and no costly investments in hardware and software.
Most importantly, there are no dedicated staffing and administrative expenses related to in-house billing.
Tailored to Your Needs
Med-West understands that all medical practices are not the same. We provide physicians with a billing solution tailor made to the individual needs of any practice. From customized performance and demographic reports to insurance provider enrollment, Med-West offers the full range of . We will work with you and your staff to design a program that best fits the needs of your practice.
How a medical billing company can help your practice's bottom line
The cash flow of healthcare facilities largely depends on medical reimbursements and insurance claims. Prompt submission of medical bills without errors is therefore important for all medical practices. Outsourcing medical billing tasks to a dependable medical billing company can help your practice claim reimbursements on time and increase your profitability.
Well-planned Services Make Your Practice More Profitable
Well-structured medical billing solutions offered by Med-West Billing help your practice increase its profitability in the following ways:
Submit claims and bills without flaws: As the billing and claim processing tasks are performed by professionals, you can submit medical bills and insurance claims without any flaws within the prescribed time limit. Chances of claim denials and rejections can be minimized, and the revenue and profit of your practice can be maximized.
Save on infrastructure cost: Outsourcing your medical billing tasks enables you to save on a considerable amount of money that is required to set up the infrastructure, advanced devices and software utilities to perform the billing procedures within your practice. You can also avoid the financial outlay involved in maintaining additional billing and coding experts and accountants and providing employee remunerations and other comprehensive benefit packages.
Benefit from Regular Follow-ups: Medical billing companies that work as an extension to your practice ensure regular follow-ups for all your claims and this would help you get maximum reimbursement on time.
Improve productivity: Medical billing outsourcing reduces your administrative workload. You can concentrate on your core competencies with exceptional efficiency, which significantly increases productivity and allows your practice to arrive at the next point of profitability and patient care.
Staff Turnover
Eliminating the trial and tribulation of in-house billing employees. Every practice knows how difficult it is to attract, train and retain outstanding medical billing employees. Many times just when the billing process is under control a key employee (or multiple key employees) will leave; often with less than a 2 week notice.
You give your medical billers a 10% raise....the office across the street offers 12%. They leave you. The new doctor in town offers a 401K -- your medical billers will leave.
Med-West Billing eliminates a practice's dependence on a small group of medical billers. With our team based account service approach and cross training on all accounts and skills, Med-West Billing eliminates the risk of disruptions caused by the departure of billing employees.
Financial Privacy
Do you think for financial information private? Your billing in house your biller has complete knowledge, understand, and access to what your practice generates finanacially. Do you really want your employees having that kind of information about you and your business?
One component for hiring an external billing service is financial privacy. Most individuals prefer to keep how much money they make to themselves. If a physician utilizes his office staff for billing, claims and collections, the privacy that she or he would normally have regarding income could be compromised. Med-West keeps this information completely private, thereby eliminating the possibility of it becoming public knowledge.
Med-West Billing give you the opportunity to keep your finanaces private and secure.
Med-West Billing aims to be a leader in maximizing physician reimbursement. We believe our outstanding level of medical reimbursement services and superior technology platform, provide medical groups with the tools necessary to realize more revenue and get paid faster.
Partners are an essential element of the Med-West Billing network. By becoming a part of our network of Partners, you can join Med-West's mission of helping doctors practice medicine and not manage paperwork. Together we will continue to improve our clients’ profitability and more importantly, the quality of service our clients can provide to their patients.
In line with our mission, we want to continue to develop our ability to assist physician reimbursement practices and we turn to our network of partners to help in accomplishing that goal. If you are interested in exploring an alliance with Med-West, partner with us today!
Why chose Med-West instead of the other guys?
Entering data and sending claims is easy. Effectively managing a medical practices AR and cash flow takes strong management and great people. Med-West Billing is a truly unique medical billing company that stands out from the crowd. At Med-West we are focused on one mission: To collect the maximum revenue for your practice as fast as possible while helping to alleviate costs and hassle for your organization. Everything else you will read about in our site is how we deliver our mission with a single-minded focus.
Med-West provides you with:
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Med-West Billing truly stands out from the crowd of over 7,000 medical billing services in the United States. Contact us today to see how we can improve your profits and allow you to focus on medicine instead of medical billing.
Get a Quote or More information TODAY.
Call (480) 654-2919 or email us at info_medwestbilling.com
In 1998 co-founder and managing partner Patty McDaniel decided the time was right for her to leave a successful 17 year career with a Fortune 1000 company. After years of working in a large corporate environment, Patty felt it was time to apply her background, skills, and drive to develop and build her own company from the ground up.
Utilizing her extensive management background and people skills, Med-West has grown from a small business working with one doctor to a successful, full-service, practice Management Company. Today we have a highly trained staff of billing professinoals, with an average tenure of seven years, managing millions of dollars in revenue annually for our clients through the Southwest.
Getting Started
Getting started with Med-West Billing couldn’'t be any easier. We handle all aspects of system setup, documentation, EDI implementation, process coordination, and training for your practice, so you can move forward without any of the headaches generally associated with a transition.
Our implementation staff will guide you through the simple “step” program which helps provide our specialists with the information needed to setup the software system specifically for your practice. This includes everything from electronic claims, to procedures, fees, follow-up parameters, and reports.
The implementation program also ensures that your practice’s preferences become policy before starting the actual billing process. Such preferences may include policies which address bad-debt issues, small balances, credit cards, or missed visits. And if you don’t have a policy, we will create one for you with your approval.
Regardless of the size or location of the practice, Med-West makes getting started a very simple, worry-free, and painless experience.
Starting up a new practice? See how easy it is for New Practices to get started with Med-West.
info_medwestbilling.com
Med-West Billing Solutions Inc
Mesa, AZ 85205
Phone: 480.654.2919
Fax: 480.854.8685
