Improve Medicare revenue, reduce staffing pressure
Your organization is probably already operating at its budget and staffing capacity. Yet the need for services grows every day. You have to keep a close eye on your revenue stream and staff productivity (including billing staff). How do you gain more efficiency and still keep costs down?
ABILITY | EASE™ provides the comprehensive information that you need to manage staff time and revenue. Automated daily reports, accessible from your desktop, keep you on top of Medicare dollars, claims status, and eligibility issues. With ABILITY | EASE, you’ll work smarter, not harder.
What can we do for you?
ISSUE: It’s so hard for billing staff to create a meaningful management report ...
Billing staff take a lot of time to create a report for me regarding claims paid, claims rejected, reimbursement projections, and RAP/Final billing situations. Staff is taken away from all the other time-sensitive work they need to get done, but I do need the data to keep the organization on track.
ABILITY ANSWER: ABILITY | EASE gives you access to ALL of the claims for your organization in a repository, available 24×7. On a daily basis, the system automatically creates a comprehensive report of claims paid, cash flow to be received, claims needing corrections, ADRs – all without any manual effort from your billing staff. A face-to-face benefit period tracking even manages the requirement for a physician face-to-face visit.
ISSUE: I’d love to get a better handle on cash flow ...
I’d love to get a better handle on reimbursement cash flow projection for our Medicare claims, but it seems almost impossible with our current setup.
ABILITY ANSWER: With ABILITY | EASE, your staff has access to comprehensive Medicare claim reimbursement information daily, with reports that provide a comprehensive picture of all paid and ADR’d claims, claims requiring corrections, and sequential billing issues. You’ll also get a view of reimbursements expected (for up to 14 days in the future) and claims in process. You can more easily understand the revenue to be received and how you can cover operational costs.
ISSUE: I don‘t see how we’ll meet growth projections without adding staff ...
I wish there were some magical way to do more eligibility and billing with the same number of staff. I don’t see how we’ll meet our growth projections without adding more people. There’s so much involved in these processes that billers will work evenings and weekends to catch up with their other tasks that also need to get done.
ABILITY ANSWER: ABILITY | EASE uses an automated “software robot” to delve into the CMS (Medicare) system every morning, pull down all pertinent information for patients and outstanding claims, and present it in a comprehensive format with one or two screens or online reports to your staff. Using the easy-to-use screens and reports, billers can then quickly diagnose eligibility information, find billing errors, perform drill-down searches, and get critical information about patients with minimal manual processes, even if you have multiple locations. You can improve Medicare revenue and associated cash flow without using overtime or extra staff.