Bill Baylis, President of  Medical Account Solutions

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Well MAS is here to tell you that medical billing is so much more than just submitting codes to insurance companies and following up to receive payment checks. In fact, we’re more than just medical billers, we are profit recovery specialists. We work proactively as an extension of your team to manage your revenue and cash flow so that you can focus on what’s important–patient care.

MAS understands that while it’s important to get the codes right, it’s also very important to remember the human conditions behind the codes. With our team of talented medical billing experts, Medical Account Solutions (MAS) can help your health care organization identify and focus on your unique problem filling in  the void to keep your billing processes running smoothly.

We look at monthly trends to see if there are any areas that we can help you improve and streamline your processes to maintain good cash flow. Our problem solving approach means we work harder to make sure that your patient’s important procedures are reimbursed because we know that denied claims hurts them and you.

Why do we care so much?  It’s not just about the codes and the numbers. Simply medical billing is fun to us.(when was the last time you heard that). We enjoy fighting on your behalf with the insurance company”s to get claims paid. Going the extra mile to get rejections over turn and doing our part to take the pressure off a growing medical group.When MAS processes your medical billing, we know we’re boosting your productivity so you can see more patients. We know that when we get it right, it’s a win for you and a win for your patients.

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The post highlights a study by a team from Massachusetts General Hospital and its physician’s organization. They examined the time and costs associated with the third-party billing system used in the U.S and calculated that they could save billions by just  streamlining  typical administrative inefficiencies.

The analysis, published in Health Affairs and funded by the Commonwealth Fund and the Robert Wood Johnson Foundation, looked at a large, multi-specialty group of doctors that uses the typical fee-for-service model. They looked at what might reduce some of the administrative burden – specifically, the time spent by physicians and office staff doing paperwork and going back and forth with payers.

“Achieving these savings would not require restructuring the basic market-system tenets of our complex health care system through, for example, mandating a single-payer approach,” the researchers write.

Medical billing companies like MAS have been on the front line of streamlining costs since the 1970’s and is a major reason why our industry has taken off since. Over the years. many doctor groups and hospital have taken advantage of our expertise to increase cash flow, including niche billing skills delivered by MAS,  such as Workers’ Compensation and No-Fault or Ambulance / Emergency Transport Billing.

Another trend that MAS has seen is for clients to use our billing company on a project basis, as with our Third-Party Follow-Up and Trial Balance Cash Improvement programs.  Our team literally becomes an extension of the client’s back office, benefiting them by keeping their office focused on the day to day’s most pressing needs.

What also works well is a contingency billing scale in which healthcare organizations take advantage of a sliding pay schedule that adjusts with need and patient volume. This becomes a win-win when hospital and physician organizations protect bottom line costs while still having a trained staff  available when they need them the most.

There is no doubt the battle in streamlining costs in healthcare is a challenging one. When I read a report like this one I get energized and it reminds me that success can be ours!  By working together and relying on the various industry segments to do their part,  MAS believes that our healthcare industry can save billions. The model is there for us to follow. We look forward to doing our part to streamlining costs– one doctor office, one clinic, one doctor group and one hospital at a time.

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Nothing is perfect, but if you were to talk to a friend or family member overseas about their universal healthcare system, you realize that we have what people in other countries wish they had!

Of the various clients I have been blessed to have throughout the years, I particularly enjoy doing work for large, inner-city hospitals.   Often times, these clients have a large mental health, obstetrical and renal failure population, among others.  When I see this type of billing, I think of the lives behind it–the mentally ill patients who are able to lead a better life due to the help they receive, the babies who are born healthy because of pre-natal care and the dialysis patients who are buying more time with their families until a kidney becomes available.

Their lives literally depend upon the fiscal stability of their community hospital!  I feel a sense of accomplishment when I get their claims paid because I know that I am helping to keep these hospitals fiscally sound so they can be there for those patients who need them the most!

Recently, we witnessed the closing of a fine institution who served New York City for so many years, that they treated survivors of the Titanic!!  St. Vincent’s Hospital was a beloved fixture in the lower Manhattan community that serviced families from the cradle to the grave.  Its closing left a hole in the healthcare system of New York City that cannot be fixed.  It makes me terribly sad to think there have patients who have suffered, and perhaps even lost their lives, due to the shutdown of this hospital.  Would things have been different if they had properly utilized all available resources?

Numbers don’t lie.  According to a 2006 Newsweek article, there are approximately $60 billion in unpaid medical bills per year! Our work, of supplementing an over-burdened hospital staff, helps to keep hospitals functioning in our communities so they can continue to serve the patients who walk through their doors everyday!

I have watched the struggles of New York’s inner-city hospitals now for many years and have grown increasingly frustrated as they resist outsourcing their medical billing to an agency, such as MAS.  Surely they can do it themselves, why do they need to pay an outside company to do what their internal staff can?  Perhaps because, according to the CDC, in 2006 there were 119.2 million emergency department visits alone.

Yes, we want to be leaders in the medical billing industry but my company and I focus on the bigger picture. We know that our efforts and collections help to secure and  maintain our cutting-edge American healthcare system.  With this in mind, I believe our contributions at MAS could just be a “higher calling”!

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We need jobs here first!  I could never understand why so many of our jobs have been sent over seas, especially service sector jobs.  I have no doubt that we can get the job done better here at home, with more impact to the client’s bottomline, and, with greater customer satisfaction.  Cheaper does not always mean better!

We just feel its good policy to shop locally.  At MAS, we use our local pharmacist and food market.  The owners and workers of these businesses know us, they know our likes and dislikes and they do the little things that keep us coming back again and again.  It’s a great investment in our community to buy in our own backyard when it makes sense.  American’s know what they want when it comes to service and it makes sense to me to turn to our own backyard when hiring a service oriented company.

We at MAS welcome the challenge to prove why Long Island ”Rural Sourcing” is the way to go with your medical billing needs!

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“Outsourcing” your medical billing is like opening up an extension of your current business office with no increased overhead, think of it as “your other business office”.  Your in-house staff submits your facilities’ day one medical claims and gets the easy money in as quickly as possible.  Invariably there will be claims that either don’t get to the insurance company or deny for a myriad of reasons: patient’s date of birth is incorrect, patient’s name is spelled wrong, outdated coding, etc, etc.  Do you know that some facilities don’t even look at their denials because they don’t have the manpower to do so??  That’s like flushing money down the toilet!  And all because you don’t have the manpower to handle it?  To me it doesn’t make any sense!

This is precisely where an “outsourcing” company comes in.  As I mentioned before, look at it as an extension of your business office.  Your facility or office collects whatever is possible and “your other business office” deals with those claims that are not getting paid.  And, “your other business office” doesn’t get paid unless you get paid!

Medical Account Solutions, has been doing exactly this since 1986; we are “your other business office”.  We work in assisting your medical billing office to manage and collect on your accounts receivable.  There is no increased overhead, nobody gets laid off, no overtime is necessary.  We work together with your facility or office to increase your stream of revenue, thereby keeping your practice more financially viable in these turbulent times.

Let Medical Account Solutions help you discover how we can become “your other business office”.

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