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Three EZClaim Features that Save Time and Increase Accuracy

Three EZClaim Features that Save Time and Increase Accuracy

For over two decades, EZClaim’s foremost goal has been to make medical billing easier and more efficient. Let’s look at the features in EZClaim that h.

Templates

Templates are a great way to save time and ensure accuracy by pre-filling fields that will be consistent across patients or claims. EZClaim has two types of templates to choose from

Patient templates

Patient templates can be used to pre-fill patient demographic information. These templates are extremely useful and flexible across a range of scenarios where you know that patient demographic information will be the same.

For example, if your office has one doctor that only serves Medicare patients, you can easily create a template that will pre-fill Medicare as the payer for that doctor. Maybe you have a payer that requires a specific qualifier. This can be quickly loaded from a template with the necessary fields pre-filled.

Claim templates

Claim templates work much the same way that patient templates do. They make it easy to create claims around “standard” visits. In pediatrics, a common usage might be a claim template for a well-visit and immunizations. Standardizing these visits with a template not only saves you time but also helps ensure you are collecting all the applicable charges and that nothing gets left off.

Another common example that we see is using templates for modifiers for tele-health visits. The template gives you a standard foundation to make sure everything is in order.

A similar functionality that many find useful is using the “previous claim” pre-fill functionality. This copies the fields from the previous claim into a new one, which you can then alter as needed.

Both patient and claim templates serve as a flexible tool to standardize your process, reducing repetition and increasing accuracy.

Validation rules

Another great tool to ensure clean claims is by validating inputs. EZClaim comes with several default validation rules, for example, a billing provider must be set before the claim can be submitted. This tool can also be used to create custom rules. Rules can be set around how to validate:

  • Patient entries
  • Payer entries
  • Physician/Facility entries
  • Sending claims

Like the templating functionality, validation rules are extremely flexible and can be adapted to your individual needs. As an example, one custom validation rule revolves around Medicare member numbers—because we know that all Medicare member numbers are 11 characters, we can set a validation rule that enforces 11 characters for all claims where Medicare is set as the payer. Maybe for your use case certain CPT codes require extra documentation, or certain types of claims that should be flagged for extra review before being submitted. These rules can all be standardized and enforced with custom validation rules.

It might be the case that certain rules have exceptions. Validation rules can be set up to trigger with an error, so that the claim cannot be submitted, or with a warning, so that the user is made aware that a rule has been broken but it will not prevent the claim from being submitted. Custom rules are a powerful tool and must be used with caution—you don’t want to prevent clean claims from being sent out. However, if you find that you are continually running into a particular issue with a category of claims, it can be a great way to ensure accuracy.

Using Text Messaging to Increase Your Payment Rates

Using Text Messaging to Increase Your Payment Rates

There is one feature of EZClaimPay that has received universal acclaim from our clients, and that is the ability to send SMS text message-based payment reminders to patients. By reaching patients where they are—on their phones—we’ve seen that billers can increase their payment rates and get paid more quickly. This feature has increased patient satisfaction too, reducing payment friction, and allowing them to make a payment in the EZClaim portal with one tap. One client told us:

“We sent out the first SMS payment requests last week, and within several hours had generated 9 payments for a total of over $2,400 back from the patients! The provider is thrilled. After 2 days we had over 11 payments and more than $2,600! What a testament to how well this payment option is for providers and patients.”

With the average business owed $300,000 in late payments, utilizing a two-pronged payment reminder approach is critical to reducing late payments. EZClaimPay automatically generates a payment portal link which can then be sent out via email or SMS. On average, emails receive a 25% open rate, while SMS messages have an average open rate of 98%. Text messaging has proven very effective, with high open rates and engagement rates. However, email notifications are not going away. In fact, using both mediums is the best way to get paid, as each has pros and cons. With email notifications, you get deliverability to every device that your client has, whether it is their computer or the email app on their phone or tablet. With SMS text messaging, you are only getting deliverability to one device, but it is the device that is most likely to be in their pocket right now. When it comes to time sensitive requests like payment reminders, the ability to use SMS text messaging is critical.

Why choose SMS text message payment reminders for patients?

Invoices get paid faster and are more convenient for patients

Reduce payment friction by making invoice payments seamless for customers. EZClaimPay generates a direct link to include in the email or SMS communication that allows your client to make a payment instantly. Making payments easy for patients is a quick and low-cost way to increase patient satisfaction and results in greater engagement overall.

Reach patients with ease

Patients are used to providing their phone numbers to providers, and it is the one piece of contact information that is most likely to be on file. Stop getting stuck in spam and go straight to notifications.

Time savings & reduced operational costs

It gets expensive having patient statements printed and mailed out multiple times. Don’t waste any more time following up with customers manually and making repeated phone calls they may not answer. Give patients a notification right in their pocket and let them pay in one tap with EZClaimPay.

There are so many benefits to using EZClaimPay, and specifically the SMS text messaging functionality for payment reminders. EZClaimPay allows patients to pay online, increase revenue, and a simplify the payment process. For more information contact us or call directly at 877.650.0904.

Three Benefits of Switching to Electronic Claim Attachments

Three Benefits of Switching to Electronic Claim Attachments

Switching to Electronic Claim Attachments

One of the biggest strains on the healthcare industry remains its reliance on paper and manual processes. The combination often adds up to human errors and costly denials, which require exponentially more time and resources to resolve, if left unchecked.

Among the manual processes most challenging to manage is claim attachments, which demand considerable time for teams to review requirements, collect and send necessary documentation, and complete follow-up procedures. According to the CAQH Index, the medical industry spent $590M annually exchanging attachments, with some providers spending anywhere between 10-30 minutes manually submitting an attachment to a payer.

An electronic claim attachments solution bolsters efficiency, strengthens cash flow, and significantly reduces AR days. If you’re considering how such a solution could benefit your healthcare organization, read on to learn about three key areas it can improve.

  1. Simplify document + data exchange with payers

Despite technological advancements, providers still face a complex, manual environment for payer document and data exchange. Electronic claim attachments can help ease long-standing friction points between providers and payers by automating supporting documentation submission. It’s a win-win for providers and payers as workflow efficiency can be maximized and claims adjudicated more swiftly and correctly.

  1. Support frictionless and remote workflow

Processing claim attachments becomes exponentially more time-consuming and expensive because of its paper-based nature and the need to keep up with ever-changing payer rules and requirements. Shifting to electronic claim attachments can provide flexibility to ensure your billing team can continue to operate effectively even in disruptive times. It not only saves time and money each day but it’s also proved critical during events like Covid-19, allowing a divided workforce to still get the job done.

  1. Reduce cost to collect

Not all clearinghouses are created equal—the right partner fervently seeks opportunities for staff to work smarter, not harder. Automation and scale are key elements to not only maximize efficiency and accuracy but also reduce a provider’s cost to collect.

Although electronic attachment adoption remains low, there’s considerable benefit to implementation. While electronic transaction for claim attachments has not yet been federally mandated, the 2020 CAQH Index found the medical industry could save over $377M per year, helping organizations protect their bottom lines and provide more affordable care to their patients and communities.

Wrapping it up: taking the smarter approach to submitting attachments

Providers are all under cost and reimbursement pressure and the need for smarter, purpose-built automation is the secret ingredient for remaining in the black. Electronic claim attachments are a simple way to take the administrative waste out of your processes, prevent costly denials and accelerate cash flow, all the while supporting a remote workforce.

Looking for a smarter, simpler way to manage claim attachments and streamline workflows? Find out how Waystar can help automate the process, reduce denials and accelerate reimbursement. Visit Waystar.com.


ABOUT EZCLAIM:
As a medical billing expert, EZClaim can help the medical practice improve its revenues since it is a medical billing and scheduling software company. EZClaim provides a best-in-class product, with correspondingly exceptional service and support. Combined, EZClaim helps improve medical billing revenues. To learn more, visit EZClaim’s website, email them, or call them today at 877.650.0904.

EZClaim Support

EZClaim Support

From year to year, EZClaim’s Support Team has one thing in mind—to improve continuously—and 2021 has been no different. EZClaim’s Support Team has implemented a new Service Desk—powered by Hubspot—which includes enhanced automation, automated surveys, a comprehensive Knowledge Base, and more.  In 2022, we will launch an interactive online chat and more.

Hubspot has allowed EZClaim to go to another level in supporting customers, and with our customer’s help, we can get even better!  EZClaim launched an updated ticket website (www.ezclaim.com/ticket) that provides categories to choose from when creating a ticket.  These categories are linked to a group of team members that are experts in those categories.  That means, if you select the category ‘Importing from EMR,’ your question will go directly to the importing experts.  For more tips to help get your answers quickly, please view this support tickets tip page!

EZClaim can also use your help by providing feedback from your support ticket experiences and how easy EZClaim’s Support Team makes it to get your issues resolved.  After a ticket, you submit is closed, you will receive a survey in your email.  The survey asks you to rate the experience on a scale from 1-7 and provide any comments that you may have from your experience.  These survey responses help tremendously by giving us feedback for things we’re doing right and things we need to improve.  EZClaim’s mission is to improve continuously, and the best way to improve is to get feedback!

EZClaim is excited to continue to improve the customer experience and we look forward to implementing new and better things in 2022!  We would like to thank each and every one of you for your continued support and patronage throughout each and every year.

We hope everyone is safe and healthy going into the holiday season!

All the best,

EZClaim Support


ABOUT EZCLAIM:
As a medical billing expert, EZClaim can help the medical practice improve its revenues since it is a medical billing and scheduling software company. EZClaim provides a best-in-class product, with correspondingly exceptional service and support. Combined, EZClaim helps improve medical billing revenues. To learn more, visit EZClaim’s website, email them, or call them today at 877.650.0904.

How to Choose the Right Reporting Partner

How to Choose the Right Reporting Partner

MIPS Strategic Guide – How to Choose the Right Reporting Partner

Given the way the MIPS program has evolved, all healthcare practices regardless of size or specialty must evolve their approach to MIPS reporting to assure their success with the program. However, most clinicians do not understand or don’t have awareness of, the different reporting methods available to them and the impact the reporting method can have on their success with MIPS. With what is at stake financially, it is critical that you understand and select the right methodology and partner to maximize your MIPS points and protect your bottom line.

Many clinicians erroneously think that a registry is the only reporting option available to them or that they are required to use a registry. Or, they think that their EHR handles reporting for them. These misperceptions and general lack of awareness of the other reporting methodology will be detrimental to your ability to be successful with MIPS. And, given that 50% of all clinicians will be penalized annually by next year, the legacy reporting methods (registry or EHR) will not be able to fulfill enough of the reporting criteria to earn the minimum MIPS points needed to avoid the 9% reduction in Medicare reimbursements.

To help you determine if you are choosing the right reporting method and partner, we’ve identified the five most important factors to consider in order to increase your probability of avoiding the 9% penalty.

  1. Reporting Classification – is the reporting partner a CEHRT?
  2. Service Approach — Does the reporting partner use ONC certified software to do all the work with no IT resources, administrative support, or workflow changes?
  3. Quality Measures — Is the reporting partner certified by CMS to calculate all eCQMs, which earn significantly more points than registry measures?
  4. Benchmarking — Are proprietary algorithms used to assess the 9 million possible combinations of Quality measures to maximize earning MIPS points?
  5. Submission Method — Does the reporting partner submit a comprehensive electronic file directly to CMS to comply with reporting for all MIPS categories?

If you answer “no” to any of these questions, then the reporting partner you are working with will not be able to maximize the MIPS points you can earn. Given every MIPS point matters, because MIPS points determine your reimbursements and impact your bottom line, it’s time to consider a new strategy with a new reporting partner.

Health eFilings, a CEHRT, is the national leader in automated MIPS reporting.  They utilize ONC-certified software to handle 100% of the tracking and reporting of the required data to CMS.  And because their service is classified as an end-to-end electronic solution, you’ll also earn additional bonus points toward your MIPS score even though they are doing all the work.  Health eFilings as your partner is the more effective and efficient reporting method so you will earn more points and, ultimately, receive higher reimbursements.

Learn more about how Health eFilings can help your practice here: https://healthefilings.com/ezclaim.  Contact Sarah Reiter, sreiter@healthefilings.com, or 608.841.1866 to find out how to maximize your Medicare reimbursements and protect your bottom line.

About Health eFilings:

Health eFilings, a CEHRT, is the national leader in automated MIPS compliance and quality data analytics.  Its services drive improved patient outcomes, optimized quality measures, and stronger financial results for healthcare practices. Their proprietary cloud-based ONC certified software is significantly more efficient and effective than any registry as it does all the work to extract, calculate, benchmark, format, and electronically submit MIPS data to CMS so clients avoid significant penalties and earn maximum reimbursements. And, you can have peace of mind knowing you are working with the best partner because CMS has accepted 100% of Health eFilings’ submissions. Learn more here: https://healthefilings.com/ezclaim


ABOUT EZCLAIM:
As a medical billing expert, EZClaim can help the medical practice improve its revenues since it is a medical billing and scheduling software company. EZClaim provides a best-in-class product, with correspondingly exceptional service and support. Combined, EZClaim helps improve medical billing revenues. To learn more, visit EZClaim’s website, email them, or call them today at 877.650.0904.