Timely and accurate billing, insurance follow-up, collections, and courteous, on-the-spot customer service is essential to the financial strength of your practice. eHealthTech’s medical billing services are designed to improve realized revenues while simultaneously reducing administrative costs and effort. We achieve this goal through a complete integration of business process automation, billing and reimbursement management, information technology, and highly trained personnel, which helps the billing center effectively and efficiently communicate with your staff and third party payors. At the heart of our Center is the AdvancedMD™ physician practice management and electronic medical record system. A practice-specific claims “rules engine” from Ingenix™ is fully incorporated into the AdvancedMD™ system and will ensure clean claims and timely payments, increasing your bottom line.

Our services are individually tailored to suit the needs of each client:

Information Capture – Accountability

eHealthTech has a variety of options available to ensure that your billing information is captured by our systems as rapidly as possible. These options include overnight courier service, on-site document image scanning, or direct electronic download of patient demographic and charge sheet information. Any documents delivered to the Billing Center are scanned and archived on our secure server for future reference in electronic form, eliminating risk of losing or misfiling paper documents and the inefficiency of pulling paper to research claims. eHealthTech ensures that each patient chart contains all of the information necessary to produce an accurate and complete invoice. Missing chart data is reviewed with the physicians and/or medical records staff at the hospitals to retrieve additional documentation needed to support the coding used in billing.

Coding and Compliance

Certified CPT and ICD9 coders verify the procedures and diagnoses described and documented in the submitted charts, utilizing the most current ICD9 and CPT coding software. eHealthTech is familiar with various charting systems used in clinics and emergency departments. Our experience enables us to assist clinics and hospitals in the selection and implementation of the most appropriate system for their facility.

eHealthTech has implemented a strong program to ensure total compliance with CMS and HIPAA guidelines for procedure and diagnosis coding for all of our customers, including periodic training sessions with physicians to review documentation and coding problems.

Design of Electronic “Superbills”

eHealthTech will work with its physician clients and their staff to design effective patient data collection forms and/or dictation procedures to ensure appropriate documentation of all medical services rendered, in compliance with CMS, Medicare, Medicaid, hospital, or other agency requirements. For office-based practices, we offer an electronic “Superbill”, which is customized to your specific procedure, diagnoses and can incorporate your own logo.

Computer System Management

eHealthTech maintains state of the art software systems for ambulatory care practice management. We use the AdvancedMD practice management system, a leading web-based system, ranked in the top 3 systems on the market, according to KLAS Our systems are constantly updated and maintained to ensure eHealthTech has the latest changes to accommodate the ever-changing requirements in HealthCare Information Systems, including HIPAA compliance. Our hardware and software network “firewalls” prevent unauthorized access to our system. All work documents and computer reports with patient information are shredded after use. eHealthTech backs up all scanned documents loaded onto its system every night and archives the tapes securely off-site. AdvancedMD hosts your practice management database, under license through eHealthTech. Their services include on-going software updates, hourly backups, offsite archival of backup data, emergency backup site or “dual host sites”, on-site information technology experts and tech support services.

Client staff may access eHealthTech’s systems on an application service provider (ASP) basis via digital data communication lines, using standard Internet browsers, like Internet Explorer, offering state of the art software, fast processing, and high-capacity data storage without the capital investment required to purchase their own system. All you need is a relatively new Microsoft Windows computer and peripherals.

E-Health Solutions

eHealthTech offers Internet-enabled connectivity to your data using standard browsers to access their patient demographic, insurance, and financial transaction records. When possible, eHealthTech develops electronic data interfaces with hospitals and/or office based billing systems to allow electronic transfer of patient demographic and insurance coverage information into our computer system. This speeds up the billing process and eliminates errors inherent in re-keying the data.

Electronic Insurance Filing and Remittance

eHealthTech files your insurance claims electronically, directly, where available. eHealthTech uses the McKesson clearinghouse to electronically file most carriers, minimizing paper claims. Daily claims processing ensures minimum delays in adjudication. eHealthTech’s front-end “Correct Coding Initiative” (CCI) edits catch most obvious errors and our insurance follow-up staff checks all on-line and mailed insurance edit reports to correct and resubmit claims promptly.

eHealthTech receives electronic remittance advices (insurance payment registers) for certain carriers, saving time and reducing errors significantly.

Eligibility Verification and Electronic Claim Status Query

To check eligibility and confirm the status of claims for most of our clients, eHealthTech subscribes to Web-Based services at its own expense to use internally and to extend access to these services to its on-line clients. Eligibility verification produces an optional printout to document the coverage.

Electronic Statement and Mail Processing

To check eligibility and confirm the status of claims for most of our clients, eHealthTech subscribes to Web-Based services at its own expense to use internally and to extend access to these services to its on-line clients. Eligibility verification produces an optional printout to document the coverage.

Flexible Patient Payment Arrangements

eHealthTech sends professional itemized patient statements through the integrated McKesson statement processing service to validate every address before the statement is mailed. Undeliverable statements are returned before mailing for us to correct, saving valuable time and money. Carrier-route bar coding speeds mail delivery even more.

Bank Lockbox Operation

eHealthTech prefers all receipts go to a lockbox, where they are separated from any correspondence by the bank’s employees, and deposited immediately. Each day the bank sends deposit slips, copies of checks, and original attachments to eHealthTech. Occasionally, checks are sent directly to our office or to the Client. These are logged and sent on to the bank lockbox to provide a clear audit trail of all payments.

Collections

eHealthTech takes a “customer service” approach to collection of past due accounts. After the bills become the patients’ responsibility and no payment has been made after the agreed number of statements and pre-collection letter(s) has been sent, eHealthTech can automatically produce a collection report for the client’s review. Selected accounts may be removed from the collection list at the client’s request leaving others to be electronically sent to an outside collection agency.

Document Storage and Retrieval

eHealthTech will store electronic image copies of your patient demographic sheets, charge tickets, dictated reports needed for coding, and other source documents for the legal time limit or until you no longer use our service. Payment registers, checks from the bank lockbox, Medicare, Medicaid, and other insurance company payment registers, and customer correspondence will be stored for as long as legally required and/or necessary to conveniently access while working your accounts receivable.

Monthly Reports

AdvancedMD offers over 100 reports, plus a separate Access Database with built in query and reporting for your patient financial data.

From this eHealthTech generates a set of “standard” monthly reports are provided to show:

• Total receipts for the month by deposit date.
• Aged accounts receivable balances by payer.
• A summary of charges entered during the month by date of service.
• Year-to-date spreadsheet showing accounts receivable activity by month and the “collection ratio” for the month and year-to-date, average accounts receivable days, bad debt ratios, and other vital financial indicators.
• A report of accounts to be considered for turnover to outside collection agency for your review.
• Special reports on request such as procedure and diagnosis analysis, transaction activity report, and reimbursement analysis are yours for the asking at no additional charge.
• Graphs are available for certain types of practices, such as emergency physicians, showing the frequency of Evaluation and Management CPT codes for Level 1 through Level 5 emergency encounters.
• Provider Exception reports showing suspended claims by carrier that is waiting for provider numbers. Ad-hoc queries may be produced upon request.
• The standard monthly report “package” is delivered via a secure zip-file. Most reports may be run on demand by the client from their workstation at any time.

eHealthTech reviews these reports with you each month, in person if possible.