Revenue Cycle Consultation

No one cares more about your practice’s revenue than you do!

We are the consultant’s consultant. Whether you are outsourcing your billing or performing billing in-house, Billingology will ensure your revenue cycle  is operating at peak performance and your team is collecting the maximum reimbursement your practice is due. Our difference is our deep knowledge of dominant billing systems and the ability to inject leading edge, custom technology and solutions into our analysis of your RCM operations. We don’t just tell you, we actually show you how to do it!

The Claims Doctor

Significantly Reduce Denials

The Claims Doctor checks your coding and claims through a comprehensive set of codified, experiential, and machine learning based edits BEFORE a claim is sent to a payer (or even a clearinghouse where corrections are a “one-time” fix and more difficult complete than in the PMS) to prevent denials. This pliable system adapts to your unique practice challenges and goes far beyond coding edits, by looking for errors in the data transmitted by the facility

Comprehensive Compliance

Specialized Radiology Compliance Services

Our comprehensive radiology compliance technology platform will assist you in demonstrating compliance with False Claims, HIPAA and Stark/Anti-kickback regulations. Modules include: (1) Policies and Procedures, (2) Staff and Physician Training, (3) Incident Management, (4) Coding and Internal Auditing, (5) Exclusions Checking, (6) Risk Assessments, and (7) Conflict of Interest Reporting. Too busy to handle all this? Our Virtual Compliance Officer Services, offered through certified compliance experts and a 24/7 manned hotline, can become your entire compliance department or support your existing compliance efforts, allowing you to focus on your clinical and business operations.

The Patient Communicator

Collecting from Patients is Mission Critical

Patient portion(s) of healthcare receivables, especially the insured, is at an all-time high.  The cost of paper based communications (statements and letters, etc) is typically the second highest cost after staff.  Employee time spent answering simple questions or taking payments can be a waste of valuable resources.  Billingology’s patient communication service line will increase collections while saving you money.  Services include: (1) Patient friendly calls for information (bad address, missing insurance, etc) or account collection, (2) texting services with click to payment ability via mobile phone, and (3) a voice response system (integrated with your phone system) that takes payments over the phone without staff time.

Quality Controlled Coding

Value Based Radiology Coding Services

Coders are one of the most costly resources in the revenue cycle operation. As operations grow, and practices have difficulty maintaining adequate staffing,  or encounter temporary backlogs, outsourcing is a viable option. Billingology’s advantage comes from a hybrid approach to radiology coding, utilizing on and offshore certified coding experts, combined with leading edge quality assurance technology, to keep coding costs down and compliance at the forefront of the services provided.

Payer Contracting and Negotiation

Payer Contracting for the New Era

Whether you are looking at a new payer contract or a renegotiation, Billingology’s payer contract consultants can help. Seasoned former managed care executives, with years of radiology contracting experience (both payer and provider, will utilize their knowledge of the intricacies of the process to assist your practice in getting a good outcome (rate and language). As the industry moves towards “value based” payment models, where rates are paid for a collection of services (bundled) or prospectively (capitation), there is increased risk of revenue loss without the experience of how to analyze the proposal and protect against taking unnecessary risk. Billingology provides a multi-feature contracting and credentialing tracking software to ensure no deadlines or opportunities fall through the cracks.

Provider and Patient Relationship Management

Relationships control your business