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access to data and looking at data the right way. If you are still putting it in Excel line item by line item, it’s not going to work.“
If you’re running business software you’re happy with, your software provider is a good place to start looking for billing services. Companies like Brightree, Bonafide and WellSky offer billing services as well as soft- ware, and their account reps are likely to be most knowledgeable on their softwares’ capabilities. The system you have may do analytical tricks you don’t even know about or know how to use.
If you’re looking for new software, that’s also a good time to consider contracting billing assistance. Many software providers unapologetically offer business services only to clients running their software.
“We exclusively work within the Brightree system. We believe we bring a level of expertise in the Brightree system that is difficult to compete with,” Krishnan says.
Likewise, “We prefer to work with our software, because there is no other method that makes it so easy for DME providers to see inside the billing process and understand exactly what is going on,” says Tohill. Bonafide provides its software with a minimum level of monthly billed revenue services, a setup that might be attractive for a DME who’s still using paper records or is looking for a change in business software. “We work with new clients to ensure the transition (if necessary) is smooth and minimally disruptive,” Tohill adds.
There are exceptions, but the billing software providers’ ultimate goal often is to get you on board with their software. “We feel strongly that there should be a number of doors where people come into our prod-
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ucts and services, that another way that we can demonstrate value to the marketplace is by helping them with the revenue cycle,” says Tim Ashe, WellSky Chief Clinical Officer and Fazzi president. “Over time we strongly believe our software applications and solutions are best-in-class, so there is an opportunity to benefit from services and technology.”
That said, WellSky tries to accommodate as much or as little as a client needs: “There is some real benefit to having an outside set of eyes looking at the revenue cycle picture,” Ashe says. “Even if they don’t want to outsource or aren’t in need of outsourcing, there’s a lot of opportunity to create efficiencies and improve cash flow by seeking some expertise from someone like WellSky.”
Whether independent or software-aligned, billing services also range from full-service shops that manage all of your revenue from authorizations to payments, to more specialized niche providers that focus exclusively
on third-party payers, overdue accounts or patient collections. For large clients, some even offer call center services.
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“There is some real benefit to having an outside set of eyes looking at the revenue cycle picture”
– Tim Ashe, WellSky
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