Abstract:
Medical practice information (e.g., insurance claim information) is received from a plurality of medical practices (e.g., 80% of the medical practices in Massachusetts). The medical practice information is combined together so that inter-practice statistics can be determined based on the aggregated practice information. The aggregated practice information is analyzed to remove all individual medical practice identifying information (e.g., the Winston Cardiologist Group address which associated with its patients). The inter-practice statistics includes, for example, payment time for a particular procedure for a particular medical specialty in a geographic region (e.g., cardiologists in Massachusetts urban areas receive insurance payments for an angioplasty in 14.5 days) and/or any other type of statistic associated with a medical practice (e.g., insurance claim hold time). The inter-practice statistics can be utilized to allow a medical practice to improve its insurance claim submissions based on successful submissions of other medical practices (e.g., emulating the submissions of successful medical practices).
Abstract:
Methods and apparatus for detection of remittance issues associated with multiple medical billing claims. Exemplary methods and apparatus involve comparing an expected open rate to an actual open rate for at least one payer to identify at least one bump as a timepoint during the predetermined time range when the actual open rate exceeds the expected open rate. Identified bumps are categorized as a particular category of remittance issue based, at least in part, on a pattern of remittance during the predetermined time range. A user interface displays the pattern of remittance to a user to enable the user to determine an appropriate action to correct an underlying cause of the detected remittance issues.
Abstract:
Methods and apparatus for generating a list of likely payers for a medical practice based on historical data stored on a practice management system and practice-specific information. Information about the claim volumes for payers during a predetermined time range in a geographical region are used to estimate a subset of likely payer that a medical practice may like to enroll with. User-selectable billing frequency indicators for each of the payers identified in the subset facilitate claim billing management and enrollment strategies for billing personnel at the medical practice resulting in fewer disruptions in claim processing and cash flow as the medical practice is implemented on the practice management system.
Abstract:
An escutcheon for use with a clamping assembly to mounting a device to a surface. The escutcheon is placed over an exposed fastener for connecting the two clamping members once connected on opposite sides of the surface. The cover member is an escutcheon for covering direct sight of the fastening member from that side.