|
In addition to processing and submitting your Medicare Part A and B claims, Medi-Bills Systems is your one-stop shop for all of your Medicare needs. Services include Medicare team development, staff orientation, claims management, ongoing support, compliance assurance, facility support, standard reporting, Medicare Part A SNF consultation, and Medicare Part B DMERC claims administration.
Medi-Bill Systems provides more than just comprehensive services – we present our clients with peace of mind that their Medicare systems are efficient and up-to-date at all times.
Medicare Team Development
We’ll help you put together a qualified team to stay on top of new regulations and compliance issues.
Back to top ^
Staff Orientation to Medicare Regulations/Guidelines
The MBS team will provide a comprehensive training session, including coverage of:
- Medicare regulations
- MDS training
- Rug III system
- PPS and reimbursement issues
- In-depth case studies
- Any questions that come up during or after the session
Back to top ^
Claims Management
This service includes processing, submitting, and following up on non-payment of your Medicare claims.
Back to top ^
Ongoing Support
Our ongoing support includes:
- Phone support for billing questions or regulatory interpretation
- Nurse consultation visits and phone support
- MDS review/training
- Documentation/chart audits
- Annual Medicare workshops
Back to top ^
Compliance Assurance
Because of our commitment to complying with all federal and state laws and preventing fraud and abuse of the system, we have strict policies in place to ensure Medicare compliance. These procedures include educating key personnel on current regulations; identify the risk areas for fraud, waste and abuse; ensuring the integrity of the Medi-Bill Systems’ information system; resolving ambiguities in client paperwork; and ensuring duplicate bills are not submitted.
Back to top ^
Facility Support
Medi-Bill Systems monitors the billing activities of all clients on a quarterly basis. If a problem is identified in our office, we will contact your facility to start working toward a speedy resolution. Because of our active involvement, you can rest assured that you will stay in compliance even though we aren’t there monitoring your paperwork on a daily basis.
Back to top ^
Standard reporting
The monthly management summary reporting package includes the following reports:
- Active resident listing to identify all active beneficiaries in the MBS system
- Insurance filed summary to illustrate the claims filed for each beneficiary and the dollar amount of the claims
- Net income report to show the net income produced by the claim payment, factoring in the billing fee and an estimated cost of goods
- Financial log to track claims submission and the amounts of payments and co-payments
- Unsigned CMN listing to list active beneficiaries for which MBS has not received the signed CMN
- 20% insurance co-pay to report each beneficiary’s applied payment and indicate the co-payment amount that is due from which payer
Back to top ^
Medicare Part A SNF Consultation
Our Part A services can help you increase your revenues by:
- Guiding your facility through the Medicare Part A certification process
- Establishing a “Medicare team” at your facility to manage key operational issues
- Electronically submitting your edited Part A claims
- Billing all co-insurance amounts to the supplemental insurance
- Sending Medicare financial logs to SNF
- Providing comprehensive consultative support to address proper admission criteria and length-of-stay concerns
Back to top ^
Medicare Part B DMERC Claims Administration
Medi-Bill Systems can help you increase revenues by:
- Processing Part B claims for all supplies and devices covered under the Medicare prosthetic and orthotic benefit
- Providing access to competitive contracts with key manufacturers of the supplies we bill to Medicare on your behalf
- Creating a reporting system that causes little, if any, administrative burden for you
- Creating an electronic filing system that minimizes the turnaround time on your claim payments, thereby eliminating cash flow concerns
- Furnishing comprehensive consultative support, as you need it, to resolve all matters related to your Part B program
Back to top ^
|
