services

BACK OFFICE SOLUTIONS

 

quick, accurate claim submission

We will work with your practice to establish the most efficient and HIPPA-compliant way of transferring data from your office to ours. Once we receive your fee slips, our highly-qualified and knowledgeable staff will enter the charges with an attention to detail, code edits, and insurance-specific guidelines. After the charges have been entered, our practice management system scrubs the claims for any stray errors, and then over 90% of our claims are sent electronically to the insurance carriers, via secure Electronic Data Interchange (EDI). The accuracy and speed with which we enter your charges and file your claims ensures fast and consistent reimbursement.

aggressive claim follow-up

Our goal at Healthcare Data Management, Inc. is to stop your revenue leakage. If a claim is rejected or denied, our staff is trained to appeal insurance carrier decisions diligently and relentlessly until you receive the payment you deserve. Our sophisticated denial-management system allows us to track all claims with a mindful eye for timely receipt of insurance payment. By partnering with our service we guarantee a decrease in your practice’s overdue claims and outstanding A/R.

patient statements

When a patient owes a balance, we will send a comprehensive patient statement that clearly explains the patient responsibility and the payment options available. We understand that the statement is one of the largest ways we interact with the patients, and we take that responsibility seriously by carefully reviewing patient statements before they go in the mail, and then providing exceptional customer service for all patient questions and concerns once the statements are received.

monthly performance reports

We provide monthly practice reports that summarize and detail your charges, earnings, outstanding A/R, payments by insurance carrier, procedure analysis, monthly and yearly comparison reports, and breakout provider performance reports. You will receive a succinct highlight of the most important information that you need to know each month, as well as a copy of detailed practice analysis for your files. We pride ourselves on the accuracy and wealth of data that we track: if you need any piece of information, we will be able to provide it.

   

FRONT OFFICE SOLUTIONS

 

remote access

We give you the ability to connect directly to our software and server from your own computer system, enabling you and your staff to view real-time data anytime. We assure a reliable, secure connection so that your office will have faithful access to the scheduler, fee slips, past due balances, demographics, and all other on-the-spot front office needs.

patient scheduler

We can provide your office access to a state-of-the-art patient scheduler that connects directly to our practice management system. This means that your front office and our billing office will have live access to patient co-pays and balances, demographics and insurance information. Our easy-to-use patient scheduler provides an efficient way for your staff to schedule, maintain, and track patient appointments and arrivals, front-desk collections, and any desired notes and patient reminders.

personalized superbills

By connection to our software, we will help you design a fee slip/encounter form that meets the specific needs of your practice, and automatically populates with pertinent patient information. Additionally, your staff will have the ability to print superbills on demand or in advance directly from the patient scheduler.

instant eligiblity checks

We can provide your office with a solution for checking a patient’s insurance eligibility on spot – verifying benefits and potential cost-share before the patient even reaches the exam room.

ability to integrate with the latest technology

Our practice management system is fully capable of integrating with any of the latest trends in healthcare technology: from online patient payments to automated phone appointment reminders; you tell us your need, we offer a solution. Our goal is to help you constantly improve the efficiency and accuracy of all administrative functions.