Billing services focus on creating claims and posting payments, plain and simple. Sure, some billing services might tout an auditing mechanism or another fancy way to say they will help you maximize your revenue. But the truth is, billing services use the exact same billing systems that a practice uses.

It's not enough to audit payments if you never work an appeal. It's not enough to do the same thing day in and day out and expect better results each day. And it's not enough to shuffle papers and expect a practice to grow strong and profitable.

Our technology partner, Nobelus, Inc . has worked with numerous billing companies and asked questions such as:

 
  • Where is your money?
  • How many dollars are in appeal right now?
  • Which payers are performing well? Which are not?
  • Can this performance be substantiated with facts?
  • How many dollars are in appeals right now?
  • What codes are being denied today and why?
  • Are you tracking payment behavior by payers?
  • Are you tracking coding/bundling behavior by payers?
  • What have you done about predatory business practices you've encountered by payers?
  • How do you report these results to the physician, and are the reports useful?
 

What they found was that billing services just can't answer these questions. In many cases, not only were billing services unable to answer these questions, the services didn't even know these questions were important in the first place.

How can a physician trust their practice, their income, and their livelihood to an organization that doesn't understand these concepts? These aren't buzzwords about maximizing revenue, they are the facts about what needs to be done in today's healthcare system in order to maintain and grow a practice.

The golden age of healthcare is over, but it's still possible to operate a healthy practice. It's time to recognize the complexity of the system and address it head-on. It's time for a billing solution; it's time for Articella.