In addition to their medical degree, many physicians argue that they need to earn an MBA or CPA to navigate the insurance and third party payment reimbursement environment in which they practice. Physicians frequently complain they spend equal or more time and resources on the business aspects of their practice than on the medical aspects but with less than stellar outcomes.
Now, with the PC based One Health System, doctors and their staff can feel theyve graduated cum laude with business know-how after a few quick clicks on their keyboard.
Five One Health System integrated tools promote and manage payment from both payor and patients to keep physician offices running smoothly and allow clinicians to climb out from under the burden of payment procurement to focus energies and resources on patient care.
One Health System offers a customized and comprehensive suite of products to smooth patient transition throughout the care cycle and run business interference between patient and physician. The five tools logically walk through patient eligibility to co-pay issues, claims submission, billing and collection without burying physicians and clerks in labor intensive, fragmented multi-step verification and authentication processes required to insure payment. The pointed slogan “We get you paid” sums up the organizational mission.
According to Rob Orkin, One Health System Consultant, these tools can insure a real-time verification of eligibility (within 6 seconds), co-pay guidelines and provide the patient an accurate predictor of their insurance coverage and options for secure and convenient electronic bill payment … all before he proceeds into the office for his care.
Orkin claims that both patients and doctors appreciate the upfront knowledge of anticipated cost and coverage and the variety and ease of payment options. “As we install the system and train our clients, we constantly receive feedback that this system is head and shoulders above the competition,” he said, “in both patient and physician satisfaction.”
Clinical caregivers appreciate the first time submission success rate of 97% claims approval that One Health enjoys versus the industry standard of 50-60% after double the number of submissions. Orkin explained that the systems heuristic technology accumulates and stores non-published rules/policies regarding denial rationale from the 60 million nationwide transactions/month with more than 3,500 contracted third party payors.
“It pulls from this compliance knowledge base to apply appropriate coding specs to claims submissions in order to avoid the need for time consuming re-submissions. The final result of this learning curve is accurate, real time payment reimbursement that costs less to procure, and ends up with fewer write-offs or missed opportunities to secure payments,” Orkin summarized.
Todays internet-savvy patients appreciate the electronic patient initiated payment system through which they can use credit or checks over the web or via an 800 number. They can immediately view current statements and invoices on-line and print updated balances via on-line receipts and email confirmation.
Patient feedback confirms that the on-line accounting lends an air of credibility and authenticity to the payment process, eliminating the fear that your payment is lost in cyberspace. And, research suggests that online payments are first in line as consumers pay bills due to the ease of the transaction.
In addition, this seamless technology is affordable and a veritable turn-key installation with minimal training required. Available through the One Health command center which serves as a gateway, the integrated products allow user access on an a la carte basis, eliminating huge up-front costs. Providers pay per click and immediately get a single log-in, menu-driven interface for eligibility and co-pay confirmation, coverage reimbursement limitations, claims processing, billing and collections functions from which to pick and choose. A simple check reader and credit card scanner attaches to the office billing computer to provide instantaneous approvals and secure transactions. “Most clients realize huge savings due to reduced effort, increased reimbursement, faster payment and more successful collections, Orkin explained.
Finally, the payment tools funnel into a single merchant account and integrate with existing practice management systems for ease of use and value added consistency for medical practices. Individual patient searches can be prompted on customizable information while providing the office with one interface to automatically queue with all different payor specifications. No matter where they fall in the patient cycle, office staff can call up information and update accounts.
“We have attracted the best in breed nationwide to provide this seamless technology through One Health System and anticipate that demand is only going to grow as the next generation of consumers becomes even more insistent on immediacy of record keeping and on-line bill reconciliation,” Orkin concluded.
