Why Billers Limit Your Access — And What You Can Do About It

Now more than ever, it’s important to work with a biller that has the skill, experience, and data to deliver maximum billing and collections.

Partners don’t keep secrets.

At Coronis Health, we are 100% transparent. Our team offers complete access to our medical billing software. Our clients can view patient statements, reimbursement rates, monthly projections, and more whenever they please. To ensure our clients always have access to up-to-date insights, we publish a comprehensive report each week and a full monthly report every month. 

We even create custom reports for you at no charge — you can see your business from any angle, accurately. If your biller doesn’t offer that same level of transparency, you have reduced visibility into your financial health. Reporting is the lifeblood of your organization, and Coronis Health takes reporting to the next level.

What does your current biller have to hide?

Have you ever wondered why your current biller doesn’t provide weekly or monthly reports to you regarding the status of your billing and collection activity? 

• Are they hiding something? 
• Are they burying mistakes? 
• Are they just lazy? 
• Are they simply not equipped to collect and present accurate data to you on a regular basis? 
• And how about benchmarking? 
• Does your current biller give you detailed reports on authorized days and reimbursement levels that you’ll receive? 
• Do you know how you’re doing against your competitors and vs. the industry? 
• Does your current biller train your clinical staff, work to improve your cycle time, and provide insightful guidance on VOBs? 

If the answers are “no” or “I don’t know,” then it’s time to schedule a free financial health assessment with Coronis Health. We’re more than a vendor or billing service. — we become your partner. And partners don’t keep secrets.

Let Coronis Health Find Your TRUE Reimbursement Rate

While other billers may give you you anecdotal reports based on general information, Coronis Health delivers specific, detailed reports that actually help you manage your day-to-day operations. 

Experience + Persistence + Documentation+Reporting

Those words may sound simple, but they’re words out team lives by. We have extensive relationships with insurers because we are staffed with seasoned licensed clinical and medical professionals with years of experience to facilitate approvals. Moreover, we are on the phone with insurers representing our treatment center clients daily, developing personal contacts with insurance company decision-makers. 

We know better than to accept their first offer as the final answer, and also transition this persuasive but firm approach to collections from patients. Finally, our documentation is bullet-proof, especially if you use Kipu®, since we are a Certified Gold Biller. There’s no better way to keep insurers in check than by quickly providing them with full and undeniable backup support. This improves both collection times and collection rates. It’s what we do every day.

Schedule a Free Financial Health Checkup with Coronis Health Today

There are billers, and then there’s Coronis Health. Our team helps managers make better decisions by providing the industry’s most advanced data analytics tools to gather, analyze and utilize huge amounts of information. We’ve built the right technology to not just organize and report data, but understand its deeper meaning and help our clients navigate the convulsive waters of the current billing environment. 

Is your biller full of myths? Maybe it’s time for a better biller.

Contact us today to schedule a free financial health assessment and see how Coronis Health can maximize your revenue.

from
https://www.coronishealth.com/blog/why-billers-limit-your-access-and-what-you-can-do-about-it/

What is the difference between a CHC and FQHC?

Healthcare is constantly changing to remain beneficial and effective for patients, and for hospitals and facilities to provide excellent care. The cost of healthcare is also a factor for patients who are uninsured or underinsured, so coordination and continuity of care is a challenge.

Community health centers (CHC), which are under the umbrella of federally qualified health centers (FQHC), move beyond the barriers for these patients to provide care at a lower cost by operating with funding from the government. The differences between the two are minimal, but the access and benefits they provide mean the world to their patients.

What Is a CHC and What Services Do They Offer?

CHCs are designed to provide primary care services to patients who live in underserved communities, and serve patients who have little or no health insurance. While CHCs provide affordable care, they are not free clinics. Care is provided to each patient based on his or her income, or the income of a household that is below 200% of the poverty limit, and is structured with a sliding fee schedule for affordability.

The primary care services patients receive focus on chronic disease, preventive care, and management of health screenings to promote a healthy lifestyle. Additional services include pharmacy, mental health, substance abuse counseling, and dental services.

To remain accredited as a CHC, quality metrics are measured to ensure that a center is meeting the standards set in place to improve population, create excellent patient experiences, and lower the cost of healthcare.  

The Health Resources and Services Administration (HRSA) also requires CHCs to report the performance data compiled by the center to ensure that performance improvement initiatives are consistent with clinical and operational objectives. 

CHCs fall into the category of a federally qualified health center as they receive government funding to facilitate the programs offered to patients in underserved areas, which include the 340B drug pricing discounts and free vaccines for children. Other benefits for CHCs include recruiting assistance for primary care physicians with the National Health Service Corps, and the potential to receive grant funding, which can aid with malpractice coverage for employed providers. 

What Is a FQHC and What Services Do They Offer?

Federally qualified health centers (FQHC) were first established in 1965 as primary care clinics. All centers that fall under the FQHC umbrella, which include community health centers, migrant health centers, centers for the homeless, or health centers for residents of public housing, are required to maintain a high standard of services by meeting the requirements of services that are based on a sliding fee scale. All FQHCs receive funding from the HRSA, and all centers must operate with a board of directors that includes members who are also patients and actively use the services at the center.

All FQHCs provide primary care services to patients regardless of their ability to pay. The mission of FQHCs is to provide affordable, quality care that is accessible to those who are underinsured or uninsured.

Most people recognize community health centers, which also fall under the overall category of a federally qualified health center.

How Are the Two Types of Clinics Different From Each Other?

CHCs and FQHCs may differ based on local demographics or the type of clinic, such as a migrant health center, or a community health center, but for the most part, the two are the same as CHCs are an FQHC. There are centers, however, that are called “look-alikes”, which provide the same types of services and are eligible for Medicare and Medicaid reimbursement, but they are not eligible for receiving federal grants. Overall, the mission of a CHC and FQHC are the same. 

Which Type of Clinic Is Right for You and Your Family’s Needs?

A CHC or FQHC is beneficial for patients who meet the income requirements to receive primary care services. The guidelines for receiving services are based on income, and considering the demographics of a community or county, certain clinics will be available to provide care for patients and families who seek quality healthcare. For instance, rural areas may have centers that focus on services that differ from the inner city, so researching your community will give you a foundation of knowledge to make the right decision about healthcare for you and your family. 

How Can You Find Out More About CHCs and FQHCs?

The best way to find out about CHCs or FQHCs is to research the centers located in your community. Locate a center by searching in your state and city, and visit the website for each center. You will find out about services, hours, providers, and the mission of the center. Your search will give you the information you are seeking to make an educated decision about the care you receive for you and your family. 

How Coronis Health Supports CHCs and FQHCs

Coronis Health offers medical billing and other services to help CHCs and FQHCs function more efficiently. With scalable solutions, our team of experts is ready to assist these facilities by easing their administrative burden and free staff to care for patients. Contact us today to learn more about our services.

from
https://www.coronishealth.com/blog/what-is-the-difference-between-a-chc-and-fqhc/

How Upgrading From An Amateur Biller Can Improve Behavioral Health Collections

Traditional third-party billing is dead. It’s the data-driven era. 

The stakes are high for inpatient and outpatient treatment facilities as the very nature of treatment undergoes some degree of change. As personal and professional lives shift under Covid-19, many facilities are reporting three- and four-fold increases in admissions. 

Working side-by-side with our clients during this pandemic, Coronis Health has maintained unprecedented levels of billing and collections to THE LAST PENNY.

We’re in it — to win it — together.

We go to battle every day. The tussle that has always existed between insurance carriers and treatment facilities have now become a battle royal: Insurance companies, of course, want to minimize payouts, while clinicians strive to deliver better care and improve outcomes. Coronis Health always wins.

We’re on your side. And we will win.

We’re aggressive, smart, armed with data and we never, ever relent. We negotiate from a position of strength. We aggressively and expertly negotiate recoupment requests. Our goal is to dismiss the carrier’s attempts to claw back funds or significantly reduce them in many cases.

Facilities rely on Coronis Health to help them strategize with the insurance carrier to create workable, effective action plans aimed at removing any and all penalties that result in lost revenue as a result of “over-treating.” Industry expertise makes the difference. And that means more dollars for our partners. Our staff of seasoned professionals is ready to assist you.

Put Coronis Health To the Test: See How We Collected on A
$50K+ Claim

It’s been said that “Energy and persistence conquer all things.” In this case, it’s so true. 

I was not shocked that, after two full years, we were able to collect for our client. It’s our mission statement and our culture. In this case, a client simply was not getting paid on legitimate claims. Over $50,000 hung in the balance. Repeated communication simply was — well, ignored.  

We won’t be ignored. We brought in our attorneys to write demand letters, made calls at least twice weekly — for two full years! While others would have given up and dropped this claim into their cold case files, we simply wouldn’t stop. 

To be honest, we never imagined that the claim would stand unpaid for two years, but as with all claims, we’re in every battle for the long haul and for every penny owed, no matter how long it takes to collect. While we strive to settle all claims quickly, if it takes two days, two weeks, or two years — we’ll get your money. We’ll blast through the confusing changes and labyrinth of regulations. We don’t take “no,” “low” or “slow” for an answer.

So after two years, our client received their hard-earned payment. We closed the book on a claim that was first entered in 2018, one of the longest collections we’ve ever been involved with.

Our determination to bill and collect with accuracy and integrity, along with our technology and experienced staff has made the difference for our clients. Collecting every penny and doing it quickly and efficiently.

Why Coronis Health?

We are insurance industry insiders armed with data and in your corner. The tussle that has always existed between insurance carriers and treatment facilities has now become a battle royal. 

Insurance companies, of course, want to minimize payouts, while clinicians strive to deliver better care and improve outcomes.

We’re Aggressive. That’s what it takes. We negotiate from a position of strength. We aggressively and expertly negotiate recoupment requests. Our goal is to dismiss the carrier’s attempts to claw back funds or significantly reduce them.

We Collaborate with facilities to help them strategize with the insurance carrier to create workable, effective action plans aimed at removing any and all penalties that result in lost revenue as a result of “over-treating.” 

We’re Experts. Industry expertise makes a difference. And that means more dollars for our clients. Our staff of seasoned professionals is ready to assist you.

VOB MANAGERS

Available daily to advise your intake team on policies with vast knowledge and experience gained from years in the industry.

UR TEAM

Providing daily insight and training to insure authorizations for the highest levels and most days.

CODING MANAGER

Weekly audits and directions ensure clean code submissions.

BILLING MANAGERS

Experience handling even the little nuances, whether it is billing admit to discharge or HCPC vs Rev codes.

Coronis Health’s FINANCIAL ANALYSTS

Running your business with comprehensive reporting and deep data. We’ll provide analysis and individualized recommendations.

And of course, reporting. The lifeblood.

Good, solid reports that can assist managers in making better decisions. But it all starts with the data — along with the right tools to gather, analyze and utilize it. Do you have the expertise and technology required to run a billing and collections unit? For many managers, the answer is “no.”

That’s where we come in. Coronis Health can not only improve collection rates (we guarantee it!), but we can help you navigate the convulsive waters of the current billing environment. Good reporting means better decisions.

Schedule a free financial health assessment to find out how Coronis Health can find missing revenue and improve collections for your facility.

from
https://www.coronishealth.com/blog/how-upgrading-from-an-amateur-biller-can-improve-behavioral-health-collections/