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Medorizon Increases Reveune 30% Within 3 Months
Date:11/26/2013

ppen for a number of different reasons timely filing, precertification, non covered service or medical necessity. If your practice is not appealing these nonpayment reasons with specific and custom appeals you could be losing even more revenue. “We have received better reimbursement on the appeal than we when the claim was originally processed” Dana B., Accounts Receivable Specialist.

When the backend processes are in place Medorizon turns its attention to front end or point of contact where the claim starts:
1.    Registration
2.    Precertification
3.    Patient interaction

Like mentioned above Medorizon believes that rather than focusing on billing claims in revenue cycle management it is important to work together for a common goal. When the office is the main point of patient contact it only makes sense to direct attention how information is collected and updated. One study showed that incorrect or missing information that was not collected during front end registration extended the life of the claim by 90 days. Tim Tobin, CEO explains “we help with workshops and annual visits to help our clients stay current on intake methods and changes. Not every patient has the same coverage so it is especially important to pre-certify that your services will be covered”. If your staff is not calling to verify benefits you could lose up to 50% due to denial for no “pre-authorization”. When a precertification is documented it increases the appeal potency and could bring you more revenue because of documentation. The final focus is the patient interaction, with larger deductable and copay’s the patient portion is a very important way to increase cash flow. “The way you can increase your patient collections is with ongoing staff training along with solid company policies posted in you
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