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More Information
Technological
difficulties presented by the interface between
the professional billing office and the hospital
mainframe makes pathology billing one of the
most challenging types of medical billing.
Medi-Bill's programmers have over 15 years
experience linking our practice management software
with most hospital mainframes.
Recent HIPPA regulations have further compounded
this dilemma
Problem:
The separation of clinical pathology data from
anatomical billing data is crucial. Most pathology
billing services spend vast amounts of time
attempting to separate the massive amounts of
non payable clinical data, which is an inevitably
mixed together with anatomical data. Writing
off non payable clinical charges, making sure
patients are not inappropriately billed( which
many times places the practice itself at risk
with hospital administration) and making sure
anatomical data is properly accounted for is
a daunting task for any billing service. This
is also a major factor in the relativity high
cost billing services charge pathologists.
Solution:
Medi-Bill has the most advanced PHDI,"
Practice Hospital Data Interface" in the
industry. Our advanced programming allows us
to completely separate the anatomical billing
from the clinical billing and places the data
into separate relational databases. This process
gives us tremendous flexibility and control
which is customizable to your exact specifications.
Example:
1. This methodology will prevent patients from
ever receiving bills for clinical laboratory
charges which can be a major source of frustration
for pathologists, especially in Florida.
2. we can also create carrier carrier specific
modalities. For example, Blue Cross Blue Shield
of Florida, with the exception of a handful
of CPT codes does not pay for clinical laboratory
tests. Sending Blue Cross Blue Shield of Florida
clinical laboratory charges is an expensive
waste of time. Furthermore there is an increased
risk that you'll receive denials for the anatomical
charges which are inadvertently mixed together
with the clinical laboratory procedures.
Our system dramatically reduces patient complaints
to administration and allows us to focus our
attention on collecting your money!
Comprehensive
Heath-Care Managment
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