Billing and Collections Overview
Established in 1983, JJ&R Medical Data Systems, Inc. (“MDS”), takes a very intensive approach to the billing and collection process. The handling of professional component billing is, in general, a business with small profit margins and a relatively low collection ratio when compared to other practices. MDS utilizes a “systems” approach to the handling of these high volume, low dollar balance group of accounts. This approach is designed to systematically process the majority of accounts in a timely, organized, efficient and effective manner. Much effort is given to the “front end” coding process attempting to ensure that the demographic information provided is accurate.
MDS has considerable experience in providing a high level of support to clients, including the following:
- Unit fee determination
- Charging criteria and charge audit
- Bench marking and model building
- Reporting and consultation
In addition, MDS offers its clients:
- Electronic demographic transfer
- Electronic claims submission
- Direct deposit of payments by Medicare and Medicaid
- EOB auditing of third party payors to ensure compliance with contract obligations
- Review and resubmission of claims denied by third party payers
- Follow-up on inactive third party accounts to ensure timely payment
- A comprehensive approach for handling self-pay accounts
MDS is experienced in billing for various managed care contracts, including capitation and fee-discounted plans. MDS monitors the performance of each managed care contract with regards to patient utilization, charging patterns, payment per diems, and other special payment arrangements.
