Reimbursement

For physicians, reimbursement is about getting paid for what they have already done. After providing services, prescriptions, or advice, they are entitled to payment. For this to occur, medical coders, billers and practice managers must intervene. They try to document the correct CPT codes, with the correct modifiers, in the correct magic formula so insurance company will pay the practice correctly the first time. Otherwise several things may lead to denials such as missed modifiers, insurance-specific codes, new rules, and lost charges.

We can help

If your goal is to decrease denials, White Plume Technologies can help. When the claim goes out correctly the first time, you only have to pay to file the claim once. The A/R employee then bypasses the easy mistakes and works on only legitimate denials. Would you rather your A/R staff work on a denied claim for $10,000 or an office visit for $85? The knowledge it takes to clean both of those claims fills up sticky notes, notebooks, and your best employees’ heads. A person retaining that amount of knowledge is going to go on vacation, get sick, take cold medicine, and may win the lottery and never return to the office. Why not depend on something that will never go away, automatically gets updated each quarter, and is customizable to build in all the special things your employees know?

Solutions we offer

AccelaSMART is a code scrubbing engine that increases reimbursement through clean claim submission. The ability of the editing software to be customized to the practice, physician, and specialty optimizes the reimbursement rate because each has different requirements. You can build AccelaSMART the way you need for your physician(s) to be properly reimbursed.

Using AccelaCAPTURE, you can design your electronic superbill to your advantage as well. For example, for every immunization you can charge an administration fee, but it requires an extra code. White Plume can build your form to automatically insert the administrative CPT code to ensure you never lose that revenue.

With White Plume solutions, the best employees can work legitimate denied claims (e.g., those coming from new rules or exceptions that are not yet been built into the system) and take vacation days, guilt-free.