Marybeth McGowan of MedicsRCM, said, “We produce enhanced results because it’s just diﬃcult for a practice to do what MedicsRCM does. We have certiﬁed coders and a team of experts deeply rooted every nuance of medical billing.”
Ms. McGowan continued by saying, “MedicsRCM has mechanisms in place to triple check our clients’ claims to ensure they’re clean. And, that actually still includes a ‘human eyeballing’ as the third check. Claims are audited to determine how they can be submitted at higher values to those same payers the next time. Most practices can’t do that with thousands of possible combinations of ICD-10 codes and payers.”
On that, Dr. Fischler noted, “MedicsRCM constantly suggests how to better code the next time. Up-coding without over-coding returns revenue we wouldn’t have known about.”
MedicsRCM performs pre-appointment eligibility veriﬁcations via appointments PICSNJ puts on MedicsRCM’s scheduler. EOBs / ERAs are handled by MedicsRCM as is PICSNJ’s claims tracking. Editing and resubmitting of denied claims are done within three business days.
MedicsRCM processes all of PICSNJ’s patient statements. “We like how patients are directed to call MedicsRCM if they have statement questions. That alone removes a signiﬁcant amount staﬀ time in having to take those calls.
MedicsRCM compiles, processes, and reviews reports and KPIs with PICSNJ. As with all MedicsRCM clients, PICSNJ has 24 x 7 x 365 secure cloud access to their data and can view anything at any time, on-demand. They use the scheduler and can produce their own reports whenever they want, if they want.
Dr. Fischler noted, “That’s another great MedicsRCM advantage. We have full access to our data. We can view at any time how collections are going, the status of our claims, how denials are doing, the EOB postings that have been completed, A/R…really everything. Nothing is hidden and in fact, MedicsRCM encourages us to stay engaged with our data, which we do.”
PICSNJ uses the Medics EHR with MedicsRCM, but practices can use their existing EHRs interfaced to MedicsRCM, or not use any EHR at all and just do quick data entry with an e-superbill provided by MedicsRCM.
Dr. Fischler summed up by saying, “We were performing well with our own system but MedicsRCM tremendously improved things ﬁnancially and operationally for us. Our only regret is not having gone with MedicsRCM sooner!”