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Explanation of Benefits (EOB) payment posting is done as a service using two methods described below:
- Manual Posting – EOBs are sent to the posting team by scanning them in at the doctor office level, shipping them in pre-paid envelopes, or having them picked up directly at the provider’s location. Once they are retrieved posting is done only after creating batches of payments. This batch system allows for proper accounting making sure that the money deposited into the doctors’ checking accounts matches our posting “penny to penny”.
- Auto Posting – EOB payments come in the form of ERA (Electronic Remittance Advice) files which are downloaded directly into the provider’s Practice Management system. All posting is done directly in the system so the provider can audit at any time.
When necessary secondary claim submission, patients statements submission, and denials tagging can all happen at the time of payment posting.
The appointment scheduling service is offered to provide doctors a convenient way to book more patients on a consistent basis. Scheduling is done as per the requirements of the office which include working hours, total providers, procedure type, locations, etc…
The actual appointments are scheduled directly into the provider’s Practice Management system. For patients that are “no shows” or have missed their appointments a reminder call can be given on a routine basis to reschedule their appointment with the office. Also recall lists generated based on certain medical conditions can also be used to schedule patient visits.
Appointment reminders are done by calling patients at a set time before the scheduled visit.
Documents scanned in at the doctor’s office are categorically filed into the patient charts as per the requirements of the clinic. Clinical Reports will be given a time and date stamp to allow for more organized indexing. Other types of images which can be filed include Insurance card scans, inbound faxes, and hand written medical notes.
The Follow-Up process is divided into 3 methods:
Online Claims Follow-Up – Using various Insurance company websites and internet payer portals we check on the status of outstanding claims.
Automated Claims Follow-Up (IVR) – By calling Insurance companies directly an Interactive Voice response system will give the status of unpaid claims.
Insurance Company Representative – If necessary calling a “live” Insurance company representative will give us a more detailed reason for claim denials when such information is not available from either websites or Automated phone systems.
Highlights are below !
|Time Clock functionality.|
|Benchmarking and Compliance.|
|Self-Benchmarking and Performance Analysis.|
|Daily Reporting and comparison with Benchmark for performance.|
|Audit Tool for Employee Productivity and Desk Time Analysis with actual WORK TIME.|
|Source Configuration for avoiding nonproductive web browsing and social interaction time.|
|Web monitoring for productivity management and Skills enhancements.|
Its features are as below.
|Management of Credentialing and Re-credentialing activities and reminders.|
|Complete Cloud based Documents Management for Credentialing Documents.|
|Reminders on Expiration of various credentials such as CDS, DEA, License, CAQH, Board Certification, Mal Practice , Hospital Privileges.|
|Facility Credentialing Management.|
|Insurance Participation Agreements and/or Contract Management|
|Auto-fax, Auto-email and Secure Messaging Capability.|
|Extensive Report and/or analytics Module.|
All articles of Invoicespectrum will come under this category.
Some of the highlights are as below.
|An automated invoicing module for|
ORLANDO, Fla., Feb. 24, 2014 /PRNewswire/ — (HIMSS Booth #8244) – ClinicSpectrum, leaders in hybrid workflow solutions consisting of both an innovative software suite and back-office operations, today announced the introduction of its latest offering, AutoCollectSpectrum. The patent-pending solution is designed specifically to assist physician practices with the growing amount of deductible collection that will be necessary with the huge influx of eligible patients under the Affordable Care Act (ACA). AutoCollectSpectrum is being unveiled at the Healthcare Information and Management Systems Society (HIMSS) annual conference & exhibition in Orlando, Fla., February 24-27, and is expected to be widely available to physician offices in March.
“Our goal is to support physicians and their practices by enabling them to focus on medicine and maximize profitability while ClinicSpectrum’s solutions automate their billing and collection processes,” explained Vishal Gandhi, chief executive officer, ClinicSpectrum. “With AutoCollectSpectrum, we can readily help practices benefit from the changes brought on from healthcare reform.”
AutoCollectSpectrum is an automated program to expedite the collection of deductibles and other balances owed. The patent-pending and proprietary collection method uses automated secure text, patient portals and other messaging channels in place of traditional phone calls, and hard copy, mailed letters. By eliminating the representative involvement and automating the process, physicians reduce the cost and time involved with retrieving payments.
Other products in the ClinicSpectrum portfolio that also help enhance efficiency and maximize revenue include EligibilitySpectrum, as well as the patent-pending ProductivitySpectrum, InvoiceSpectrum and CredentiallySpectrum.
EligibilitySpectrum – With the enormous influx of patient deductibles in the health insurance market place, EligibilitySpectrum enables practices to readily manage the complete eligibility of all patients by combining software and back-office operations resources. The options include using a real-time connection with a clearing house, insurance companies’ websites, or live calls conducted by ClinicSpectrum’s eligibility team. This product interfaces via an API with any EHR / scheduling system.
ProductivitySpectrum – Focused on benchmarking on various tasks and instilling self-accountability through daily reporting, this product calculates employee desk time and reduces ideal time or non-productive time. It provides comparative analysis with respect to industry and / or office benchmarks, and expected weekly or monthly productivity.
InvoiceSpectrum – By using a unique payment and invoice processing rule setup for auto-fax, auto-email, auto-credit card processing and auto-paper statement processing, practices will benefit from saving time on template creation, follow-up and more. Additionally the product provides monthly forecast management, receivable management and sales force productivity examination for better cost/profit analysis.
CredentialingSpectrum – CredentialingSpectrum is an automated tool for the credentialing of providers’ profiles and insurance participation, as well as for contract management. It allows users to import CAQH summaries for faster data entry of a provider’s profile, and also auto populates participation application forms from most insurances. It also has a built in document management, task management, milestone management, and reminder functionality for expiration of various documents and credentials, as well as communication templates and messaging solutions for automated calls, secure email, secure text and fax. For more information about ClinicSpectrum or any of their physician practice products, please visitwww.ClinicSpectrum.com.
ClinicSpectrum is a healthcare services company providing outsourcing/back-office and technology solutions for 17+ medical billing companies, 600+ medical groups/healthcare facilities including hospitals, and hospital medical records departments.
The company is promoted by technical experts from diversified industries. In a span of 12 years, ClinicSpectrum has been able to transform several billing companies and healthcare facilities nationwide with unprecedented efficiency. The company’s strategy is to build productivity through the use of technology, highly trained personnel who deliver results in a timely fashion, and customized consulting services. ClinicSpectrum has created a solution for all the problems in running a medical billing company and medical practice resulting in better clinical records, revenue cycle, and administrative task management. For more information, e-mail Vishal@Clinicspectrum.com or visit www.ClinicSpectrum.com.
For media inquiries, contact:
Kate Ottavio, KNB Communications for ClinicSpectrum