PAY ZERO COMMISSION
ON YOUR PRACTICE INCOME!
Time-based pay structures with a built-in reward
system for efficiently run practices.
Toll Free 1.844.324.5563
ervice Plan
S
d
e
s
a
B
e
Tim
ZERO-COMMISSION
Pay
onon
your
pracPay0%
0%commissions
commissions
your
practice
YouYou
pay per
ticeincome.
income.
payclaim
per claim
based
much
that
particular
basedononhow
how
much
that
particular
claim
used
out
of
our
resources
claim used out of our resourcesand
and
time.
time.
NO LENGTHY CONTRACT
01 02
Our
billing
service
Our revolutionary
revolutionary billing
service
model
model
provides
with
a fair
billing
provides
you withyou
a fair
billing
cost
evcost
every
month,
and
no
long
term
ery month, and no long term contract
contract
is required.
is required.
04 03
HOURLY BILLING SYSTEM
Built-in Reward System
Our
Our zero-commission
zero-commissionbilling
billingmethod
method
has
hasaabuilt-in
built-in reward
reward mechanism
mechanism that
that
provides
provides incentives
incentives for
for your
your business
business
whenever
whenever an
anerror-free
error-freepatient
patientencounenter
is processed.
counter
is processed.
This
Thisisisaatime-based
time-basedpay
paystructures,
strucyou
only
pay
for
the
service
tures, you only pay for the you
ser- require
at
any
given
time.
vice you require at any given
time.
MedicalbillingServices
247 focused on your practice affluence.
Maryam Billing Solutions, LLC , 8409 Dorsey Cir #201, Manassas, VA 20110
Copyright ©2015 Maryam Billing Solutions, LLC. All Rights Reserved.
1
PAY ZERO COMMISSION
ON YOUR PRACTICE INCOME!
Time-based pay structures with a built-in reward
system for efficiently run practices.
The Commission-Free Billing Plan
Pay
0% commissions on practice income!
A simple scenario to bring this closer:
Flat Rate, slide scale billing plan month to month.
Case Study A
Claim 1
Claim 2
Medicare
Blue Cross BlueShield
Charge Amount
$400
$250
Eligibility Check Done? (Yes/No)
Yes
No
Patients Demographic Accurate? (Yes/No)
Yes
Yes
Yes
No
Yes
NA
How
it works
Insurance
Most of the billing companies out there use a percentage commission model to charge medical proPayment Amount
$255
$140
viders for billing services. Here at MBS we decided to offer a new billing plan based on your practice
Billing Type (Paper/Electronic)
Electronic
Paperpatients to bring this
“performance”
in collecting data and the way you and
your staff interact with
Payment EOB Posting
Electronic
Manual
commission-free
modelType
into(Manual/Electronic)
reality.
EHR used? (Yes/No)
Sounds
too good to be true?
Pass clearinghouse? (Yes/No)
2
TollBilling
Free Solutions,
1.844.324.5563
email Cir
[email protected]
Maryam
LLC , 8409| Dorsey
#201, Manassas, VA 20110
Maryam
Billing
Solutions,
LLC
|
8409
Dorsey
#201
| Manassas,
VA 20110
Copyright ©2015 Maryam Billing Solutions,Cir
LLC.
All Rights
Reserved.
Copyright ©2015
Billing
companies
and giant
software providers charge
ranges from 2.9%
Paid from
first attempt?
(Yes/No)
Yesa percentage commissions
Yes
to 8% or more. That basically means one thing. No matter how good and accurate the initial claim
Appeal Needed? (Yes/No)
No
No
can be, you would end up paying that same amount from your gross income. The larger the account
Time Span
finalize
20
70 had happened into
usually
is the to
smaller
the(Days)
commission. However; in recent
years great changes
the
field.Cost
More(based
and more
are being submitted
electronically. There$7.00
is automatic posting for
Billing
on claims
5% commission
plan) $12.75
EOB
and auto eligibility for patients. So you might be
asking why that same
model is still being used
Billing Cost/Aging factor
0.6375
0.1
for decades now?
3
PAY ZERO COMMISSION
ON YOUR PRACTICE INCOME!
Time-based pay structures with a built-in reward
system for efficiently run practices.
A simple scenario to bring this closer:
Case Study A
Insurance
Medicare
Claim 1
Charge
Amount
Insurance
$400
Medicare
$250BlueShield
Blue Cross
Charge Amount
Payment
Amount
$400
$250
$255
$255
Billing Type (Paper/Electronic)
Electronic
Paper
Payment
PaymentEOB
EOBPosting
PostingType
Type (Manual/Electronic)
(Manual/Electronic)
Electronic
Electronic
Manual
Manual
Eligibility Check
Check Done?
Done? (Yes/No)
Eligibility
(Yes/No)
Yes
No
Electronic
Patients Demographic Accurate? (Yes/No)
Yes
EHR used? (Yes/No)
Yes
Patients Demographic Accurate? (Yes/No)
Yes
Yes
$140
$140
Payment Amount
Billing Type (Paper/Electronic)
Paper
No
Yes
Yes
No
EHR
used?
Pass
clearinghouse? (Yes/No)
Yes
Yes
NA
No
Paidclearinghouse?
from first attempt?
(Yes/No)
Pass
(Yes/No)
Yes
Yes
Yes
NA
Appeal Needed? (Yes/No)
No
Paid from first attempt? (Yes/No)
Yes
Time Span to finalize (Days)
20
Appeal Needed? (Yes/No)
No
Billing Cost (based on 5% commission plan) $12.75
Time
Span
to finalize
(Days)
Billing
Cost/Aging
factor
0.6375 20
Copyright ©2015
BlueClaim
Cross
BlueShield
2
No
Yes
70
$7.00
0.1
No
70
Billing Cost (based on 5% commission plan)
$12.75
$7.00
Billing Cost/Aging factor
0.6375
0.1
TollBilling
Free Solutions,
1.844.324.5563
email Cir
[email protected]
Maryam
LLC , 8409| Dorsey
#201, Manassas, VA 20110
Maryam
Billing
Solutions,
LLC
|
8409
Dorsey
#201
| Manassas,
VA 20110
Copyright ©2015 Maryam Billing Solutions,Cir
LLC.
All Rights
Reserved.
33
PAY ZERO COMMISSION
ON YOUR PRACTICE INCOME!
Time-based pay structures with a built-in reward
system for efficiently run practices.
Conclusions:
ing error, no rejection and no denial- however, the first Medicare claim is “efficient” and the
second
claimA]isinnot.
The
provider
about six
times moreerrors,
on theno“efficient
claim”
Based
onBCBS
[case study
page
3 both
claimpays
are clean-no
demographic
coding error,
compared
thenoother
“inefficient
that
had taken
more
effort from
the
to finalize!
no
rejectionto
and
denialhowever,claim”
the first
Medicare
claim
is “efficient”
and
thebiller
second
BCBS
The
ONLY
way
for
a
billing
company
to
make
profit
under
the
standard
model
is
to
average
claim is not. The provider pays about six times more on the “efficient claims” compared to the
both scenarios
quote.
other
“inefficientabove
claim”into
thatone
hadsimple
taken more
effort from the biller to finalize!
The ONLY way for a billing company to make profit under the standard model is to average
In other
words;
the billing
cost
under
the commission model charge providers same comboth
scenarios
above
into one
simple
quote.
mission regardless of how good or bad of the front desk performance, payer trouble factor,
orother
underline
technology
In
words;
the billingused.
cost under the commission model charge providers same commission
regardless of how good or bad of the front desk performance, payer trouble factor, or underline
But in the new
word of high performance EHR and Practice Management Systems; shouldn’t
technology
used.
you (the provider of service) be recognized with a flexible billing charging model that gives
youinanthe
incentive
to of
get
claims
paid quickly
on first
attempt
rather than
depending
on your
But
new word
high
performance
EHR and
Practice
Management
Systems;
shouldn’t
biller
(in
house
or
outsourced)
to
fix
the
problems?
you (the provider of service) be recognized with a flexible billing charging model that gives you
an incentive to get claims paid quickly on first attempt rather than depending on your biller (in
At MBS
took it upon
to think outside the box and introduce a revolutionary billhouse
or we
outsourced)
to fixourselves
the problems?
ing service pricing model - one that measures your front desk performance and other business
processes
order
to provide
you with
a fair
monthly
billing cost.billing
As we
At
MBS
we took itinupon
ourselves
to think
outside
theand
boxamenable
and introduce
a revolutionary
work
with
you
on
a
month-to-month
basis,
you’re
not
tied
into
a
long
term
contract.
service pricing model - one that measures your front desk performance and other business processes in order to provide you with a fair and amenable monthly billing cost. As we work with
Under
MBS pay-for-claim-performance
you per claim- based on the
you
on aour
month-to-month
basis, you’re not tiedplan,
into awe
longcharge
term contract.
resources and time used to complete that claim. Paying only for what you need (and NOT a
commission…simply
makes sense!
Under
our MBS pay-for-claim-performance
plan, we charge you per claim- based on the resources and time used to complete that claim. Paying only for what you need NOT a commission…
Referring
again
to our previous case study, the total billing cost for the above two claims was
simply
makes
sense!
approximately $0.74, but it could have been far less if both claims had been submitted electronically and the charges had been based on our MBS billing structure. Let’s assume that
90% of your claims are electronic with only 10% being billed by paper (including secondary
claims).
44
TollBilling
Free Solutions,
1.844.324.5563
email Cir
[email protected]
Maryam
LLC , 8409| Dorsey
#201, Manassas, VA 20110
Maryam
Billing
Solutions,
LLC
|
8409
Dorsey
#201
| Manassas,
VA 20110
Copyright ©2015 Maryam Billing Solutions,Cir
LLC.
All Rights
Reserved.
Copyright ©2015
Based on [case study A] in page 3 both claim are clean-no demographic errors, no codConclusions:
PAY ZERO COMMISSION
ON YOUR PRACTICE INCOME!
Time-based pay structures with a built-in reward
system for efficiently run practices.
Time-Based
Pay
Structures
If you pay $0.60 per
claim
for “clean” claims and you submit 400 claims each month, then
your billing cost would amount to only $240! A “clean” claim means that you have entered
Core
to ourcharges
new Zero-Commission
plan exact
is to offer
a scalable, and
per-claim
service
billing model.
error-free
on your EHR, with
demographic
coding
information,
and the
We’re
happy
to
charge
you
a
fair
hourly
rate
for
every
clean
claim
that
follows
the
intended
claim has been submitted and posted electronically with minimum human supervision. In
path
of revenue
withouttoissue.
But, this
we do
need
to charge
you ifone
we of
have
to
the real
world itmanagement
will often becycle
impossible
achieve
with
each
and every
your
spend
time
correcting
a
date
of
birth,
contacting
your
office
for
additional
info,
or
taking
the
patients.
time to appeal or follow up on the unpaid (black hole!) claims.
We therefore offer a scalable, per-claim service billing model. We’re happy to charge you
At
thefor
endevery
of theclean
day our
model
be a valuable
money-saving
tool for any
practice thatcycle
$.60
claim
thatcan
follows
the intended
path of revenue
management
takes
theissue.
time to
verify
eligibility,
communicate
efficiently
with time
the billing
office aand
without
But,
wepatient
do need
to charge
you if we have
to spend
correcting
date
staff,
and
minimize
common
errors.
of birth, contacting your office for additional info, or taking the time to appeal or follow up
on the unpaid (black hole!) claims.
On the other hand; a practice that takes little caution looking into eligibility at date of service,
does
always
co-pays
orcan
deductible
(resulting
in statementstool
submission),
and enter
At thenot
end
of thecollect
day our
model
be a valuable
money-saving
for any practice
that
patients
with
high error
rate,eligibility,
can onlycommunicate
expect a higherefficiently
billing charge.
For billing
them; office
the comtakes thedata
time
to verify
patient
with the
and
mission-based
model
may
work
better.
staff, and minimize common errors.
Copyright ©2015
On the
othermuch
hand; ait
practice
thatcost?
takes little caution looking into eligibility at date of serSo
how
would
vice, does not always collect co-pays or deductible (resulting in statements submission),
and
enter
data
with
high error
can
only we’ll
expect
a higher
billing
charge.
In
order
to patients
provide you
with
a practical
andrate,
viable
quote,
need
to analyze
your
billing For
opthem; the
model
better.
eration
andcommission-based
history. By determining
themay
areaswork
in which
you spend the most time, we can assess
any problems or concerns and make suggestions that will, in turn, provide you with an optimized
monthly
invoice.itOur
analysiscost?
and services are customized to your needs, and the most
So how
much
would
accurate
quote
will be
once we’ve
able
to seewe’ll
the full
scope
of your your
practice.
In order to
provide
youprovided
with a practical
andbeen
viable
quote,
need
to analyze
billing
operation and history. By determining the areas in which you spend the most time, we can
assess any problems or concerns and make suggestions that will, in turn, provide you with
an optimized monthly invoice. Our analysis and services are customized to your needs,
and the most accurate quote will be provided once we’ve been able to see the full scope
of your practice.
TollBilling
Free Solutions,
1.844.324.5563
email Cir
[email protected]
Maryam
LLC , 8409| Dorsey
#201, Manassas, VA 20110
Maryam
Billing
Solutions,
LLC
|
8409
Dorsey
#201
| Manassas,
VA 20110
Copyright ©2015 Maryam Billing Solutions,Cir
LLC.
All Rights
Reserved.
55
PAY ZERO COMMISSION
ON YOUR PRACTICE INCOME!
Time-based pay structures with a built-in reward
system for efficiently run practices.
In general, we prefer not to enter charges for our clients (even if they do not have an EHR system).
This is we
a 2 prefer
to 3% not
below
usually.
Weclients
can offer
ourif own
system
at
In general,
to competition
enter charges
for our
(even
they preferred
do not have
an EHR
little
or no This
charge
butbelow
our work
on your preferred
system
come
an additional
cost.
system).
is ato2you,
to 3%
competition
usually. We
canwill
offer
our at
own
preferred system
at little or no charge to you, but our work on your preferred system will come at an additional
cost.Service All EHR Platforms
We
Weunderstand
understandthat
that
you
may
have
already
invested
a sizable
amount
into office
your office
EHR
We
you
may
have
already
invested
a sizable
amount
into your
EHR and
and practice
management
lastyou
thing
youtowant
is that
youtoneed
to your
switch
practice
management
system.system.
The lastThe
thing
want
hear to
is hear
that you
need
switch
your system
over. Therefore;
wework
would
work
you to
allow
that flexibility
for you
system
over. Therefore;
we would
with
youwith
to allow
that
flexibility
for you and
yourand
staff.your
staff.
No
Need
to Switch
The MBS
system
allows youSystems
to select the services most relevant to your practice and needs.
66
TollBilling
Free Solutions,
1.844.324.5563
email Cir
[email protected]
Maryam
LLC , 8409| Dorsey
#201, Manassas, VA 20110
Maryam
Billing
Solutions,
LLC
|
8409
Dorsey
#201
| Manassas,
VA 20110
Copyright ©2015 Maryam Billing Solutions,Cir
LLC.
All Rights
Reserved.
Copyright ©2015
You may prefer to keep your existing system, enter charges through your preferred EHR,
The
system
allows
select
the services
relevant
to yourinpractice
needs.
andMBS
deposit
money
in you
the to
bank
or take
care of most
patient
statements
house. and
In that
case you
You
may
prefer
to
keep
your
existing
system,
enter
charges
through
your
preferred
EHR,
and
may need us solely to handle your appeals. Conversely you may want us to set you
updewith
posit
money
in
the
bank
or
take
care
of
patient
statements
in
house.
In
that
case
you
may
need
a package of AR follow-up, appeals and business intelligence, while your staff can deal with
us
solely toentry
handle
yourposting)
appeals. and
Conversely
you may
want us to of
setyour
you up
withand
a package
of AR
payment
(EOB
statements.
Regardless
needs
budget,
we’ll
follow-up,
appeals
and
business
intelligence,
while
your
staff
can
deal
with
payment
entry
(EOB
work with you to refine a system that elevates your business.
posting) and statements. Regardless of your needs and budget, we’ll work with you to refine a
system
that elevates your business.
.