M a n a ge me n t S olu t i on s S e r v i c e
D e s c r i p t i o n s
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s c h e d u l e New for 2008! FLAT FEE PRICING! M a r c h
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F e at ur e d P r o duc t s • Individualized Service Options allow you to build your own billing package. • Basic, Premium, and Super Duper Solutions Packages give you a variety of quality services at a huge discount! • CRP and CRM. Great tools to increase customer satisfaction.
Visit ManageMyDME.com Today!
O u r k e y t o s u c c e s s i s yo u ! Since 2003, through the Health Insurance Portability and Accountability Act of 1996, (HIPPA) the Federal Government has required the health care industry to submit insurance claims electronically. Statistics prove that electronic submission can save millions of dollars annually for the industry. With the influx of ‘Baby Boomers’ upon us, Congress has been forced to make some changes to the spending habits of federal health programs. The changes are frequently being made through cuts in reimbursement to many different kinds of providers, including Durable Medical Equipment Suppliers. The constant cuts in reimbursement have proven to be a burden to the cash flow and ultimately the net profit of Durable Medical Equipment store owners. In order to stay in business, suppliers are faced with finding ways to cut their overhead to compensate for the reimbursement cuts made by federal health programs. The sensible solution is to out-source the process to experts that are prepared to save the suppliers money, produce a much faster return from insurance carriers, and handle the claims with a high degree of accuracy. There aren’t many business that can say the Federal Government is behind them all the way!
Now there’s a STRESS FREE alternative for all of your reimbursement needs!
Management Solutions understands that each supplier’s needs are unique. Even suppliers in the same community will have different staff and offer different services. With our diversity of services, Management Solutions will evaluate the needs of each supplier and offer a membership level that will help the supplier to become more efficient in their business. Some suppliers may choose to purchase our SUPER DUPER service membership and let Management Solutions handle the majority of billing and compliance tasks, while others may choose our BASIC service membership with limited involvement from our staff. Whatever your level of need, Management Solutions will strive to provide our best service now at the most affordable price for your organization.
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Management Solutions S e r v i c e
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C L AI M S F I L I NG M a na g e m e nt Reduce Costs! Increase Productivity! Get Reimbursed Faster! Confirm claim submissions! By processing your claims electronically, you receive priority processing with insurance payers. Your electronically submitted claims go directly to the payer’s processing unit, ensuring faster turnaround. Forget about software, postage, forms, and envelopes and go electronic. Certain situations require a paper claim form to be filed. Management Solutions will prepare and mail all Primary claims that require the CMS-1500 form to be filed with or without attachments.* *Limited and Unlimited prices available. Monthly minimum applies.
Ac c ou nt s R ec e i v ab le M a n ag e m e nt Busy organizations often fail to give high priority to managing their accounts receivable. This can be a costly mistake, because overdue accounts deprive the organization of the funds needed to pay ongoing operating expenses. If not attended to, bad debt will rise and eventually need to be written off, which may seriously threaten the program’s success. Management Solutions posts all incoming payments to appropriate customer accounts and automatically sends secondary claims and/or customer invoices for any outstanding balances. Our team of Certified Billing Specialists will track outstanding claims to ensure highest reimbursement in the shortest amount of time.
M ed i c a l D oc um en t a t i o n M a n a g em e nt Concise medical record documentation is critical to providing patients with quality care as well as to receiving accurate and timely reimbursement for furnished services. Payers may require reasonable documentation that services are consistent with the insurance coverage provided. Management Solutions will work with you, your physicians, and the insurance companies to gather, review, and submit any documentation required for reimbursement of your claims.
D e ni a ls a nd Ap pe a ls M a n ag em en t Denied claims are one of the major problems facing today’s health care professionals. Getting a claim paid, and paid in a timely manner, can be a complicated process. The importance of managing claim denials is paramount in addressing cash flow, compliance and licensing, and regulatory requirement issues. Implementing an effective denial management program can improve financial performance more efficiently than generating additional revenue or controlling costs. By viewing a denial program as enhancing revenue, providers can significantly improve their financial performance, cash flow and profitability. Our staff of Certified Medical Billing Specialists and Certified Coders will monitor and manage your claims from the moment they are filed until the moment they are paid. Claims will be analyzed for denial reasons, then re-filed or appealed according to insurance guidelines. We will prepare and track all denials, reviews and appeals until your claim has been processed completely and accurately. Page 3
C ov er ag e & C o di ng S up p or t Get UNLIMITED coding & coverage support from our Certified Medical Coders and Billing Specialists. Prevent Overpayments and Underpayments! Get maximum reimbursement! Our experienced coders will assist you with current and past HCPCS, ICD-9, and CPT codes. With a quick phone call, email, or fax you can find out about code descriptions, valid usage dates, and even fee schedule information. If you’re unsure regarding coverage and policy requirements on specific codes, equipment, or procedures, you can speak directly to one of our Certified Billing Specialists for assistance and suggestions.
D i g i t al f i l e c a b i n et Did you know that it takes approximately 4 minutes of labor each time one of your personnel needs to access the file cabinets and/or make copies of medical records? This can easily add up to 15 or 20 minutes of each hour spent in the file room or at the copy machine. Make your employee’s time more productive with a digital file cabinet from Management Solutions! No scanning or uploading required! With your digital file cabinet, provided by Management Solutions, you simply fax your documents via our Toll-Free fax number and our in-house web department will “file” your documents in a password protected environment that you and your staff can access from any computer with Internet Access 24 hours per day 7 days per week. Now the 20 minutes spent at the copier or file cabinet can be used on tasks that increase your bottom dollar, like customer service and sales.
W eb Ar c h i t ec t Ser vi c es Today, every business should have a Web site—to provide locations, directions, credentials, and other general information and build credibility about your company to prospective partners, customers, and prospects. For small business as well as large organizations, the Web offers a wealth of opportunities. You can offer a higher quality of specialized, personal service to your customers by educating them about your company and communicating with them on the Web. With Management Solutions’ in-house web department you can be assured that your web site design and/or maintenance will be top priority. Our Web architects offer flexibility in design and maintenance and can provide top quality assistance in marketing your website to increase the amount of traffic to your site.
Tr a ns c r i pt i o n s er vi c es Transcription Services Coming Soon!
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Management Solutions S e r v i c e
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C us t om er R e l a t i o ns h i p M a n ag em e n t
C om p l ai nt r es o lut i o n pr ot oc o l (C R P H ot li n e)
Encourage repeat business and show your appreciation with a Customer Relationship Management Program.
New Supplier Quality Standards establish a requirement for a working Complaint Resolution Protocol with specific deadlines that must now be met.
Let customers know how much you appreciate their business by remembering their birthday. Management Solutions will monitor your customer list and send Birthday cards on your behalf each and every month. You can even choose to include a Birthday Coupon to encourage repeat business! Did you know that Medicare requires customer follow-up on certain pieces of medical equipment? Management Solutions will help ease the time burden of customer follow-up. Our friendly account representatives will make the necessary follow-up calls and document such follow-up calls in the customer’s billing file, thereby ensuring your continued compliance with government insurance regulations.
The CRP Hotline, offered by Management Solutions, is a sophisticated voice messaging system that was developed to streamline the complaint resolution process for all providers and suppliers. CRP Hotline is the most cost effective way to stay compliant in today’s healthcare industry. Your customers simply call a Toll-Free Complaint Hotline to leave the required information, and someone from our Compliance Team or yours will log the call and notify the caller that their complaint has been received and will be resolved in a timely, compliant manner.
Finally, Management Solutions knows how time consuming incoming customer calls can be. We can eliminate this task for your staff. Management Solutions will take your customer’s calls regarding their billing and insurance records. You customers will be able to call our toll-free number for all questions related to their account. Our certified billing specialists will even assist your customers with Medicare coverage questions. Page 5
B as i c s o l ut i o n pk g
P r em i um s o lu t i o n P k g
Su per - du per s o lu t i on pk g
Our Basic Solution Package was designed for Providers and Suppliers that need minimal assistance with their billing and reimbursement.
For Providers and Suppliers needing a little more expertise and follow-up, we have developed a Premium Solution Package.
This package includes the following:
This package includes the following:
For Provider and Suppliers wanting a quality, thorough solution, Management Solutions is pleased to offer our Super-Duper Solution Package. This package gives you a Full-Service billing and Reimbursement Solution that includes the following:
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On-line account access
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Unlimited Claims filing
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Unlimited On-line Eligibility Checks*
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Unlimited Coding & Coverage Support
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A/R & Soft Collections
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Digital Filing Cabinet—24/7 Access
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CRP Basic—Hotline Only
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On-line account access Unlimited Claims filing Unlimited On-line Eligibility Checks* Unlimited Coding & Coverage Support Unlimited A/R & Soft Collections Unlimited Denials & Appeals Mngmt. Unlimited Med. Document Mngmt. Digital Filing Cabinet—24/7 Access CRP Basic—Hotline Only
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* Not available with all payers
On-line account access Unlimited Claims Filing Unlimited On-line Eligibility Checks* Unlimited Coding & Coverage Support Unlimited A/R & Soft Collections Unlimited Denials & Appeals Mngmt Unlimited Med. Document Mngmt Digital Filing Cabinet—24/7 Access CRP Premium—Hotline + Compliance Assistant Customer Relationship Management
* Not available with all payers * Not available with all payers
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Management Solutions F e e
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How To Ord er Service
Price
Monthly Minimum—Up to 50 Claim lines—Electronic/Primary CMS-1500
$50.00/Month
Unlimited Claims Filing—Electronic/Primary CMS-1500
$150.00/Month
Coding & Coverage Support
$50.00/Month
Accounts Receivable Management
$150.00/Month
Medical Documentation Management
$150.00/Month
Denials & Appeals Management
$500.00/Month
Web Architect Services
Call for current $
Transcription Services
Coming Soon!
Customer Relationship Management
$500.00/Month
Complaint Resolution Protocol Basic— Hotline Only
$79.00/Month
Complaint Resolution Protocol Premium— Hotline + Compliance Assistant
$349.00/Month
Basic Solutions Package
$850.00/Month
Premium Solutions Package
$1,550.00/Month
Super-Duper Solutions Package
$2,550.00/Month
Additional On-line User Access Codes for Solutions Packages
$100.00/Month
On-line User Access Code without Solutions Package Purchase
$250.00/Month
For more information, frequently asked questions, or to order these valuable services, please visit:
www.ManageMyDME.com
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Management Solutions
PLACE STAMP
PO Box 98 Merit, TX 75458-0098
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Phone: 866.229.5587 Fax: 866.229.5587 E-mail: info@managemydme.com
Managemydme.com
M a na g e m e nt S o lut i o ns Increase your business today with services from Management Solutions. Individualized service options let you choose exactly what you need to operate a successful DME organization. Outsourcing generates more revenue, lowers expenses, and frees up staff, resources and office space for other use. Don’t delay visit www.ManageMyDME.com Today!