TecLogicNY.com

For all of its marvelous and miraculous advances, the healthcare industry, is in someways, remarkably backward.

On one hand, using the latest technological advances available, a doctor can successfully transplant the kidney of one person into another, perform delicate cataract or laser surgery on an outpatient basis, and open clogged arteries around a person's heart and extend life for decades. The dental technology for crowns, periodontics and other procedures has grown to new proportions as well.

On the other hand the healthcare profession as a whole has not advanced in the methods it uses to collect money for services rendered. The vast majority of doctors, dentists and chiropractors stick with a 1950's style approach to collecting their bills. Research into the way doctors collect their money has shown that they face great difficulties in collecting payment from their patients, and often have financial problems of their own as a result.

This is where we come in.

To put it simply, we are a billing center sometimes referred to as a"Service Bureau."

We take care of all your billing needs in a shorter period of time, so you get paid faster with less cost to you, the provider.

Leave the old technology behind and receive your payments faster!

PAPER CLAIMS PROCESSING IS OUTMODED!

In principle, the medical billing process is a simple operation:

1. The doctor provides a service to the patient.

2. The doctor charges a fee for that service.

3. The patient is responsible for paying the doctor and has several payment options:

          a. The patient pays the bill himself.

          b. The patient's insurance company pays the bill.

          c. The insurance company pays a percentage; patient a pays a percentage 

(a co-payment)

The long paper process:

After a service is rendered to a patient, someone in the doctor's office usually completes the claim form provided by the patient or by the insurance company for payment. It is then put in the mail.

Several days later the insurance company receives the claim form. Someone in the mailroom sorts it. It is sent to claims processing where someone enters the information into a computer.

IF, and only IF all the information is correct, it moves on through the company payment system for approval or disapproval. If it is approved, a check is sent to the doctor and payment is received. This entire process usually takes three to six weeks to accomplish, depending upon the insurance company.  Medicare takes a minimum of 14 days, after approval, to process a payment check.

This is as smooth as the process can get when paper claims are used.

WHAT IF THE CLAIM FORM REJECTS?

The claim form rejects and is sent back to the doctor UNPAID!

The doctors office will now have to correct the mistake or omission and resubmit! How much time does a simple error add to the payment process? Days, weeks, it could be a month or more.

DO YOU REALLY WANT TO WAIT THAT LONG FOR YOUR MONEY?

ELECTRONIC CLAIMS PROCESSING IS THE BETTER WAY

Electronic claims greatly speed the process from bill submission to insurance company approval.

With our electronic submission software, information from the doctor's paperwork on the patient is entered into a computer. This takes just a few minutes to do. The information is cross checked within the software system for accuracy.  The information is then sent over communication lines from our billing center to a clearinghouse for additional edits, and if the data contains errors, we can correct them before they are actually distributed to the insurance carrier.  This ability to find and correct errors before final submission is, in itself, a very efficient service to the doctors or providers.

Our claims processing software that edits against standard formats can save you money. Our software system provides a direct link to a national clearinghouse, the doctor will now receive his or her payment very quickly, and in most cases within a matter of days.

WHY WOULD YOU WANT TO OPERATE ANY OTHER WAY?

CALL US TO SET UP AN APPOINTMENT AT YOUR OFFICE AT YOUR CONVENIENCE.

With our Healthcare Billing System We Can...

• Process and Record Transactions
• Print Patient Statements and Reports
• Submit Electronic Claims
• Process Commercial Insurance Claims
• Process Medicare/Medicaid Claims
• Follow-up on Insurance Payments
• Keep Detailed Records
• Reduce Claims Processing Costs and Time

The Flow Line of Medical Insurance Claims...

Until recently, billing centers were very rare, and doctors HAD to hire and supervise staff to process their patients' claims. More and more, however, doctors are begining to realize the many benefits of having claims processing done by an outside service. Among these various benefits are:

• No more problems with office software and hardware support and service
• Reduce rejected claims
• Greater income from increased efficiency of claims collections

We can move mountains of your insurance paperwork...

Insurance paperwork can be a headache! All those forms to fill out, and the problems created when they aren't completed properly. Plus, the delay in payment. Wouldn't it be nice if all that was automatic and you could get your money within days instead of months?

All TecLogicNY machines are now folding for the Motherboards.org Folding Team #33258.This is a distributed computing project of Stamford University and a friendly competition for a good cause. Check it out! learn more about this educational project.

CLICK HERE.

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