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Medcare MSO is a Medical Services Organization with innovative business and practice management solutions. We help all types and sizes of healthcare organizations to achieve their maximum attainable goals and efficient revenue cycle management.
We PrOvide beSt
we guarantee our services
• if a claim is denied for untimely filling then it will be reimbursed. • Follow Up on 85% of your claims within 30 days. • Follow up on 100% of your claims by 45 days.
some numbers that matters
Our goal is to help physicians focus on patient care as we provide them the support with expedited billing and increased revenue.: • • • • • • • 96 % Collection ratio below 4% in 120 + Ar 12 days Medicare average turnaround time 7 days Medicaid average turnaround time 15 days Commercial average turnaround time 24 / 7 real time access to all billing & financial reports 90% electronic submissions & remittances
billing and Practice
Medcare MSO offers complete billing and revenue cycle management for the physicians that are having problems with billing, claim processing/coding checks and audit. We at Medcare MSO offer a complete revenue Cycle Management solution and an eMr system that can make the whole process easy and manageable. Our quality is based on our expert billing methodology which increases your efficiency, effectiveness and revenue. Our CMS/PMS/eMr certified billing team has expertise over 25 Professional and 4 institutional Practices.
With our intellectual SOP design we ensure faster claims processing, fewer rejections, efficient denial management and reduced Ar. by outsourcing your billing with Medcare you have complete control over your practice and financial reporting 24/7. Our goal is to provide the highest return on your claims without sacrificing service or patient support. We successfully convert medical services into cash reimbursements by • • • • • • • • Accurate and professional claim preparation. Same day electronic claim submission. Persistent follow-up. Prompt electronic payment posting. effective problem list resolution. Patient statement processing, mailing and follow up. Appeals and collections management. Practice performance analysis and improvement.
How you benefit
• • • • • • • Higher and faster reimbursements dedicated billing Manager benefit from the most up-to-date payer rules Get the most time-consuming work done for you Acquire full visibility to make better decisions Substantially reduced denial Appeal management
Medcare MSO realizes that physicians and physician groups time is more profitably spent seeing patients than trying to micro-manage their practices. in addition, physician practice management continues to become more difficult and challenging every year and the necessary practice management systems are increasingly more expensive. For those physicians who want the luxury of focusing on the clinical aspects of their practice and leaving the management to the experts. Medcare MSO offers a complete practice management service.
Medcare can process payroll (out of the client’s account), coordinate benefits administration and provide human resource services. Medcare MSO also can process accounts payable (out of the client’s account) and provide full accounting services. the client has full control over the practice at all times including approval of all payments through payroll or accounts payable.
How you benefit
• • • • • Accounting Service PPO Contracting billing Service dedicated Project Manager billing/Coding Updates
Model for Small
At Medcare MSO we help billing companies in streamlining their operations and let them focus on customer relations and getting new business by taking care of their back office work. Medcare MSO can help your firm transition to a state of the art physician practice management company with virtually no upfront cost, and provide support during and after the conversion.
Medcare can also help significantly lower the cost structure through business Process Outsourcing and efficient technologies. in addition, Medcare MSO can help diversify and build client loyalty through value added physician practice management services.
How you benefit
• • • • • • Significant reduction in cost HiPAA compliance and PHi security You keep complete control of your business improved accountability and reporting State of the art it infrastructure dedicated team to deliver measurable results
through in depth analysis and implementation, our goal is to raise the effectiveness and profitability of medical organizations.
Medcare MSO is an excellent choice as a partner when starting a practice. With an experienced team behind you, the start-up process is much easier and less costly than hiring your own personnel. Let Medcare MSO help you achieve your goals in becoming an independent practitioner or group. Our development plans follow a specific set of targets and time lines. We will help you become a successful participating provider by setting your contracts and credentials with almost all insurance companies, health plans and iPAs.
How you benefit
• • • • • • Cost Segregation and Analysis SOP design Contract Negotiations Compliance design for your Practice Payer enrollments Participation/Non-Participation Agreements
cre d e ntialing an d co ntrac ti ng ser vices
do you have credentialing issues that have gone unresolved for too long? We have the in-house expertise to resolve these issues quickly. don’t let this problem keep the practice from realizing its potential revenue sources. Our certified credentialing experts have state of the art techniques and methods to get your applications fast tracked either as a new provider or an extension to your existing business. Major Service listings are as follow;
How you benefit
• • • • Fast track processing. Our value added services expert Project Manager advice Practice development reports and Analysis
if your patient Ar is increasing, then Medcare MSO is the solution that you need. We have a dedicated team of professionals that ensure you receive the maximum collections from you patient Ar. Medcare’s patient services team will send out the statements on a monthly basis after verifying that all balances are legitimate. We will make friendly follow up calls after two months billing cycle and will provide you with the list of all outstanding accounts for suitable advice.
Why lose co-pay deductibles and other out of pocket bills? Let us take the responsibility for these accounts.
How you benefit
• • • • • • increased Collections No extra rate on collections Monthly billing Friendly Follow Up Collection Agency Contact Patient Support Centre
Please select the plan that best meet the needs of your practice
Happy with your present billing software and eMr and interested to outsource billing ONLY
Happy with the billing software, not using an eMr and interested in outsourcing billing ONLY.
Have billing software/eMr but would like to upgrade to a better software and eMr
New provider and looking for a billing software, eMr and billing Service
where do physician practices usually lose money
According to research on average most physicians practices lose revenue because of an inefficient practice management application and lack of operational transparency
50 % 45 % 40 % 35 % 30 % 25 % 20 % 15 % 10 % 5%
Poor denial management inappropriate & under & claim appeals process coding Missing encounters & late filing inefficient low reimbursement tracking Not working the rejects timely
Free PMS Cloud
Solution • • • • • • • • • • • • integrated Appointment Scheduler. real time eligibility verification. Customized e-Super bill. Appointment Module. Claims Module. edi & Paper Claims (CMS1500 & Ub04). 24/7 Financial reporting. erA and eOb Processing integrated Credit Card Processing. Multiple Site Handling. Patient, insurance and Appt. data base. document Manager.
Solution • • • • • • • • • • • •
Customizable design Fast implementation Customizable for all Specialties Pay-for-Performance Monies real time results reporting Patient Follow-up Alerts dictation and Scanning electronic Prescribing Order and receive Lab results Online Seamless integration with PMS Auto Store Common Phrases Customizable SOAP notes guideline
Free Patient Portal
• • • • • electronic visits Schedule/Cancel/Change Appt. Patient-Provider secure communication. electronic Medical refills receive/Share Lab results
Free Clearing House
• • • • • • • • • edi submission to over 5000 claims 24/7 Customer Support Online Claim History detailed Summary report electronic Prescribing Available Order Labs Online HiPAA Compliant transmission Free iCd-9, Modifier and Place of Service Code look-up Online
iNNOvAtive SOLUtiONS tO YOUr PrACtiCe
1000 Cordova Place 206 Santa Fe New Mexico 87505
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