The PracticeForces Billing solution encompasses:

Software: Highly intuitive, Web-based practice management software, including a full set of tools to streamline patient processing and practice workflow

Team Knowledge: 200 knowledge professionals having payer and Physicians knowledge, including the real-time database of payer rules and regulations in the industry (for payers, procedures, diagnosis, appointment types, and more), updated constantly and shared by all clients.

Work: Comprehensive business services that include claim submission, insurance package management, electronic eligibility verification, payment posting, claim follow-up, denial management, and more – all executed on your behalf by PracticeForces.

Increase Cash Flow

Working in close partnership with you, the PracticeForces service can improve cash flow and reduce Days in Accounts Receivables, driven by the following:

1.   Decrease denials and increase collection rates with the PracticeForces rules engine, which monitors your front-desk workflow in real time, identifies billing errors, and allows you to make corrections before claim submission

2.   Increase charges by tracking practice activity in real time, ensuring that every claim that should be created is created

3.   Maximize realized revenue and minimize Days in Accounts Receivable through PracticeForces denial management, in which highly effective specialists perform claim-by-claim denial review, pursue payment, and execute appeals on your behalf

4.   Recover lost revenue through PracticeForces’s proactive identification and appeal of “zero-pay” charges misadjudicated by payers

5.   Prevent coding denials through proprietary claim inspector module which scrubs each and every claims for codlings.

Increase Control

6.   Streamline patient processing, practice workflow, and report generation using our industry-leading practice management software.

7.   Track practice activity and claims in real time through our Workflow Dashboard, which allows you to see, understand, and manage your operations–up to the minute, from anywhere you have access to the Web

8.   Bring control, consistency, and clarity to daily activities by relying on PracticeForces to execute eligibility verification, insurance package management, claims submission, and remittance posting

9.   Benefit from having the expert eyes of PracticeForces Client Service Managers on your operations–identifying potential issues on your behalf

10. Benefit from full HIPAA compliance–privacy, security, and transactions

11. Eliminate all payer-facing work and its headaches through PracticeForces AR Control Center being used by the team of more than 200 professionals for claim tracking, denial management, payment pursuit, and appeals, with every action rigorously tracked in AR Control Center.  The result: greater predictability, transparency, and peace of mind

12. Call on PracticeForces for advice on individual claims that require patient-facing or chart-facing work

13. Incorporate your practice-specific Coding rules into our rules engine, with programming provided by PracticeForces

Enhance Strategic Decision Making

14. Gain a strategic view of your practice by accessing operational and financial performance data via powerful, real-time reporting wizards

15. Compare and optimize the financial performance of individual areas of your practice and benchmark your performance against that of similar practices with MGMA www.mgma.com data.

16. Run aggregate reports on billing performance to determine which payers need monitoring, which lines of business are most successful, and more

17. Receive PracticeForces generated Practice Performance Reviews and Clinician Performance Reviews to better evaluate your practice and its individual contributors

18. Free your practice from the 100% routine billing and collection tasks to focus on higher-value contributions, such as caring for patients, managing the office more efficiently, and making smarter decisions based upon greater insight.

19.  Significantly reduce business burdens and enable practice leaders to optimize today’s opportunities while planning strategically for tomorrow’s.