Get Medicare billing on track and under control
Hospice billing staff can spend hours of their day going in and out of DDE/FISS, trying to keep track of each claim’s pay status and checking for eligibility changes. Fixing and re-submitting claims is another convoluted process.
Get on track with ABILITY | EASE™, which automates the Medicare billing process, and gives staff the access and information they need. Our customers say they save 30-40% of the time they used to spend on complicated process.
What can we do for you?
ISSUE: Our biller has to manually search for and identify claims problems ...
All the steps needed to find problem claims is crazy. It also takes a lot of effort to correct them – our biller walked me through the process and it’s a nightmare! All of that can cause delays in getting our reimbursement, because claims needing to be fixed are missed or aren’t identified right away.
ABILITY ANSWER: With ABILITY | EASE your billing staff gets automated alerts, reports, and inquiries for ALL claims submitted to Medicare, sent right to their desktops. They’ll see whether the claims are paid, suspended, RTP’d, rejected, denied, or need modifications. Pop-ups on the reports explain the problem in detail so the corrective action is clearly identified – no need to refer to external resources.
Your staff then uses a simple “click to fix” option from a “Windows-style” interface to correct claims – all without having to access the multiple, complex “green screens” of the DDE/FISS system.
ISSUE: We can’t seem to properly verify eligibility at intake time ...
We can’t seem to properly verify eligibility at intake. Sometimes it doesn’t get done at all, because of workload and the complexity of the verification process.
ABILITY ANSWER: With ABILITY | EASE your intake staff sees a single, user-friendly, comprehensive view of the patient’s eligibility (including Medicare Supplement Plans, benefit periods, and more). No more navigating the DDE/FISS “green screens.” They get a customizable view of all the pertinent information needed to verify eligibility at the time of admission to your program. From their desktops staff can easily identify overlaps in hospice coverage or whether or not a patient requires a face to face encounter.
ISSUE: Right now our business is outgrowing our staff capacity ...
Due to the complexity of the CMS DDE/FISS billing process, bringing on new personnel not already trained in Medicare billing and FISS navigation and jargon is expensive and lengthy. It’s a huge headache when a staff member goes on vacation. Plus, I’m worried that our business is outgrowing our staff capacity. I wish I could give our current staff more time in their day!
ABILITY ANSWER: With ABILITY | EASE, your staff accesses an easy-to-use, comprehensive view of Medicare patient eligibility and claims status information that does not require complex “green screens” navigation from within the DDE/FISS system. The user-friendly interface minimizes manual processes and reports, and provides drill-down research with easy- to-understand explanations about Medicare issues. Even if your organization has multiple locations, you can build efficiencies, increase billing capacity, and potentially delay hiring additional staff. You can work smarter, not harder, as your patient population increases.