Choosing an EMR is like getting married: Unless you make a really lousy choice, you will be happier than before. It can take as long to find an EMR as a spouse, and it’s a huge deal to divorce your EMR and wed another. I’m still waiting to see if I have a midlife crisis with my EMR.

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Processes involving large volumes of complex billing transactions require effective mechanisms for problem assignment and tracking. Without such mechanisms, billing personnel cannot be held accountable for problem resolution, resulting in loss of revenue and increased compliance risk. While medical billing industry has developed specialized systems and processes for resolution of content problems, little attention has been paid to billing process problem resolution methodology. This article outlines a process and a technology for integrated billing process problem resolution methodology.

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Financial care plan is an important component of practice building strategy as it helps the patient to afford the care while establishing a guaranteed cash flow to the provider. But tracking multiple patient care plans becomes difficult upon reaching large numbers of patient visits, impeding continued development of the clinic. Outsourced billing services leveraging integrated technology helps chiropractic clinic overcome care plan management complexity and building successful large-volume practice.

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Arcane terminology and complex rules for payer- and time-dependent claim validity and pricing interpretation plague medical billing industry, resulting in massive payments of invalid or ineligible claims and denials of error-free claims. Billing service transparency allows participants of the billing process to expedite error identification and resolution, resulting in reduced over- and under-payments and improved regulatory compliance.

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Benchmark-driven performance management helps establish objective industry standards. Medical service providers can use benchmarking to compare performance of their billing service and measure their improvement over time. This article presents a prototype for a rule-based chiropractic index, including its coverage definition, update cycle, volume weighting, and provided information.

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September Billing Performance Index (BPI) underperformed August value by 5.6%, replacing five participants in the list of top ten performers and dropping the index from 16.3 down to 21.9. This article describes a fourth iteration of a prototype for a rule-based chiropractic billing index, including its coverage definition, update cycle, volume weighting, and provided information.

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Patient loyalty is key to continued practice success in terms of both recurring and new revenue. Frequent patient communication is the only effective way to increase the likelihood of timely loyalty problem identification and resolution. Such patient communications can be driven by a any of the practice management components, starting with patient scheduling, to SOAP notes, to special health care literature, to medical billing, insurance payments, copays, and deductibles.

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Insufficient SOAP notes are the most frequent reason for failing a post-payment insurance audit. Timely filing of compliant SOAP notes and submission of congruent insurance claims are the most mission critical parts of any chiropractic office automation solution. But SOAP notes and insurance billing software are also the most complex parts of such solutions, often confusing doctors and assisting personnel and degrading practice profitability. Component-driven Vericle SOAP notes are both audit-proof compliant and require minimal time spent for visit documentation.

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Doctors and therapists must produce clinical documentation in ever increasing volumes and detail to ensure best healthcare, get medical claims paid in full and on time, and protect the practice from post-payment audits and unfair litigation. SOAP notes must not merely emulate the paper folder that every doctor has for every patient. They must use computer technology to help automate routine tasks and create a faster, easier, and error free process to increase practice profitability and reduce its audit risks.

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Increasing frequency of post-payment insurance audits and mounting severity of penalties, ranging from license suspension to heavy monetary fines, emphasize the need for effective and affordable education about compliant office management and audit risks. Doctors and practice managers are looking for cost-effective and productive ways to learn better ways to manage their practice and revenue cycle. The key benefit of the webinar is its convenience - there is no travel required and important information is delivered in ninety-minute sessions that make it easy for even the busiest doctors to quickly gain important information on topics ranging from successfully implementing EMR systems, to understanding the real benefits and challenges of outsourced billing services, risk management of post-payment audits, and much more. Historically, live webinars attract 11 to 311 participants and dozens more access the archives.

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