Kunal Kathuria, VP, Mid Michigan Medical Billing Service, Inc.
There is a shift in physician reimbursement from traditional insurance fee for service to Value-Based programs and higher portions of the service being shifted to the patients. These changes have created a larger overhead for the physicians requiring additional clinical staff to handle day to day functions. It has become increasingly important for a revenue cycle management (RCM) company to offer customized solutions to providers to ensure the maximum reimbursement on services. Mid Michigan Medical Billing Service takes a unique posture compared to others in the industry as it truly is a full spectrum RCM company, including features of consulting, full credentialing in its pricing platform, coding in all specialties, and aggressive collections of insurance and patient balances. The company’s clients enjoy the entire package in one competitive rate, unlike others who may consider services, such as credentialing, to be an additional cost. Physicians in this ever-changing healthcare industry are already incurring extra costs every day. Mid Michigan Medical Billing Service follows a three-step proven process which starts with a comprehensive consultation and discovery process, customization and tailored services specific to the unique practice needs, and analysis-driven solutions for reimbursement maximization.
During the discovery process, the company reviews the current practices of the office, including, but not limited to, coding, billing, front-end collections, and credentialing. Mid Michigan Medical Billing Service also reviews the current programs each practice participates in, such as Value Based Reimbursements, MACRA/MIPS, and others. Additionally, the current front desk practices, such as eligibility checks and patient collection at the time of service or on previous balances, are also taken into account. The practice is then presented with details of their current successes or deficits in each area. From here, the RCM company begins to customize services tailored to the specific needs of the practice to improve efficiency and, ultimately, increase the practice revenue. Upon analysis, solutions are implemented into the day to day functions of the practice which assist the clinical side and translate into a healthier billing process, including timeliness and consistent follow up.
Take the example of a large healthcare practice that was struggling with large amounts of account receivables, low reimbursements, and a high attrition rate. To improve their worsening situation, the practice called upon the services of Mid Michigan Medical Billing Service, Inc. After conducting a thorough practice performance assessment, they identified trends and potential issues before designing a tailor-made solution for the practice. “We maximized the billing process for faster turnaround times and alleviated several billing bottlenecks found during our discovery process. With great execution and re-designing of the processes, this client enjoyed faster reimbursements, increased revenues, lower overhead costs, and a newly structured checks-and-balance system to avoid missed billing from their different service locations,” explains Kunal Kathuria, VP of Mid Michigan Medical Billing Service, Inc.
Our years of experience in problemsolving
industry challenges combined
with the diverse skill sets of our
staff allows us to assist our clients by
formulating a custom-tailored, best-fit
solution for their practice
With new healthcare challenges being introduced daily, Mid Michigan Medical Billing Service works with providers to limit their risks and keep their revenue from being impacted. Credentialing has become a challenge in recent years with the addition of many new plans on the marketplace. The company works diligently to review physicians’ ever-changing demographic and keep them abreast of any new opportunities in the credentialing space. “We also educate our providers on the new rules involved in the VBR world to make sure they do not suffer penalties and always receive their maximum reimbursement,” says Kathuria. The company works with its clients as an extension of their office and act as a business partner in providing backend support functions to healthcare practices, which includes keeping pace with industry changes such as CPT/ICD-10, healthcare.gov, MIPS, changes in fee schedules and APM incentive enhancements. “Our unique selling proposition is our flexibility, customer-centric approach, and our belief in going the extra mile for the clients.”
As a full spectrum RCM company offering medical billing, credentialing, records management, and consultation services, Mid Michigan Medical Billing Service work starts from the very first step of checking patient eligibility, scheduling patients and the expertise it takes to get even the most difficult of claims paid. “Our years of experience in problem-solving industry challenges combined with the diverse skill sets of our staff allows us to assist our clients by formulating a custom-tailored, best-fit solution for their practice,” adds Kathuria. By leveraging its knowledge of HIT systems and expertise in working on multiple billing software such as Allscripts, eClinicalWorks, Open PM and Epic—the technology experts at Mid Michigan Medical Billing Service design customized solutions and deploy them on the clients’ chosen platforms. This platform-agnostic capability allows the client to save costs and time during data migration. Given the competence and extensive knowledge of their personnel, the company can handle multi-specialty coding, across many specialties, in any setting, and all nuisance of that specialty. Mid Michigan Medical Billing Service, through its third party relationships, also offers collection services to its clients to assist in delinquencies. “All of which assists our customers in overcoming the overwhelming challenges of the industry, allowing us to achieve and maintain a 97.8 percent reimbursement rate on submitted insurance claims for all of our clients.”
Looking into the future, Mid Michigan Medical Billing Service plans on expanding in terms of its’ geographical presence and human resources. “We will continue investing in our people and proprietary technology to offer the best solutions, add value, and deliver a better experience for our customers. Mid Michigan Medical Billing Service is a 100 percent performer, delivering quality, timeliness, and cost-effective service; mitigating risk through industry SOPs and best practices,” says Kathuria. Mid Michigan Medical Billing Service’s motto is ‘Big Enough to Serve You, Small Enough to Know You’ which resonates with clients, as the company works one on one with them to establish best practices and achieve success together in this industry. “We know the difference between RCM and a full spectrum RCM company. We continue to strive to be our best for all of our current and future customers,” he adds.