 |
| BILLING & COLLECTION SERVICES |
MMS SILVER |
MMS GOLD |
YOUR PRACTICE? |
 |
PHYSICIAN - DIRECTED (Training) |
| On-site training of the physicians in E & M coding |
INITIAL |
CONTINUOUS |
|
| On-site training of the physicians in office & hospital procedures coding |
INITIAL |
CONTINUOUS |
|
| On-site chart documentation training to support proper coding |
INITIAL |
CONTINUOUS |
|
| On-site review of actual patient visits documentation to support training |
INITIAL |
INITIAL & PERIODIC |
|
| Annual updates of CPT & ICD-9 codes with the doctors |
YES |
YES |
|
 |
| (Client Services) |
| Open invitation to visit our office |
YES |
YES |
|
| Cell phone & email access to key personnel |
YES |
YES |
|
| Monthly reviews : On-site or at our office |
YES |
YES |
|
 |
| (Information : Customized Reports) |
| Office Revenue Analysis |
QUARTERLY |
MONTHLY |
|
| Analysis of Physician Activity & Productivity |
QUARTERLY |
MONTHLY |
|
| Fee Analysis by Insurance Company |
OPTIONAL |
SEMI-ANNUAL |
|
| Fee Analysis by Procedure |
OPTIONAL |
QUARTERLY |
|
| Collection Status Analysis |
OPTIONAL |
MONTHLY |
|
| Additional analyses as requested by the practice |
OPTIONAL |
YES |
|
 |
| (Information : System-Generated Reports) |
| Production by Office |
MONTHLY |
MONTHLY |
|
| Production by Provider |
MONTHLY |
MONTHLY |
|
| Aged Accounts Receivable |
MONTHLY |
MONTHLY |
|
| Patient Recall Report |
MONTHLY |
MONTHLY |
|
 |
BILLING (Forms) |
| Customized patient encounter forms |
YES |
YES |
|
| Customized patient responsibility forms |
YES |
YES |
|
| HIPAA compliance forms |
YES |
YES |
|
 |
| (Billing System) |
| Installation of computers with flat screens at no additional charge |
YES |
YES |
|
| Installation of MMS billing software at no additional charge |
YES |
YES |
|
| Complete on-site training at no additional charge |
YES |
YES |
|
 |
| (Input & Review) |
| Courier service pickup of daily work |
N/A |
YES |
|
| Assignment of specific team with supervision to handle your account |
YES |
YES |
|
| Availability of certified coders |
YES |
YES |
|
| Pre-billing manual review of patient encounter form for "acceptability" |
BY THE PRACTICE |
YES |
|
| Pre-billing manual review of patient encounter form for "maximizing billing" |
BY THE PRACTICE |
YES |
|
| Input of claims to the MMS system |
BY THE PRACTICE |
YES |
|
| Electronic billing of claims within 24-48 hours |
YES |
YES |
|
| Web submission of claims directly to payors when available |
N/A |
YES |
|
 |
| COLLECTION |
| Assignment of specific team with supervision to handle your account |
YES |
YES |
|
| For web-submitted claims direct to payors, immediate claim status checking |
N/A |
YES |
|
| For claims submitted to clearinghouse, systematic claim status checking |
YES |
YES |
|
| Posting of payments |
YES |
YES |
|
| Enforcement of payor contract compliance |
YES |
YES |
|
| Appeal of all denials & reduced reimbursements |
YES |
YES |
|
| Monthly statements to patients |
PER ITEM |
INCLUDED |
|
| Audit trail for practice review of pursuit of collectible dollars |
YES |
YES |
|
| Dedicated customer service line to handle patient inquiries |
YES |
YES |
|
 |
 |
| PRACTICE SERVICES |
MMS SILVER |
MMS GOLD |
YOUR PRACTICE? |
 |
| CENTRAL PURCHASING |
INCLUDED |
INCLUDED |
|
| Analysis of current purchasing |
| Comparison to MMS discounted group purchasing prices |
| Centralized expense control |
| Customized ordering forms |
| Monthly report of all purchases |
 |
| REIMBURSEMENT NEGOTIATION |
OPTIONAL |
INCLUDED |
|
| Analysis of your payor contracts & contracted rates |
| Presentation of rate increases to payors |
 |
| HUMAN RESOURCES |
OPTIONAL |
OPTIONAL |
|
| Analysis of current system & protocols |
| Development of new systems & protocols where necessary |
| Administration by MMS |
| Employee Handbook review and/or preparation |
| Supplying of all standard personnel forms |
 |
INFORMATION TECHNOLOGY (Billing System) |
INCLUDED |
INCLUDED |
|
| Installation of computers with flat screens |
| Installation of MMS billing software |
| Complete on-site training for: |
| prompt collection of copays & deductibles |
| scheduling patients |
| scanning of patient insurance cards for accuracy |
| patient responsibility report |
| alerts for patient collections |
| alerts for pre-certs & insurance restrictions |
| patient demographics |
| Other services, as needed |
OPTIONAL |
OPTIONAL |
|
 |
| OFFICE MANAGEMENT |
OPTIONAL |
OPTIONAL |
|
| Analysis of current system & protocols |
| Analysis & refinement of personnel needs, job descriptions and costs |
| Analysis & refinement of business systems & procedures |
 |
| CENTRAL DICTATION |
OPTIONAL |
OPTIONAL |
|
| ACCOUNTS PAYABLE |
OPTIONAL |
OPTIONAL |
|
| GROUP INTEGRATION |
OPTIONAL |
OPTIONAL |
|
| PAYROLL & CENTRAL TIME CLOCKS |
OPTIONAL |
OPTIONAL |
|
| CUSTOM EMR |
OPTIONAL |
OPTIONAL |
|