Physician's Practices and Clinics

MediGain’s Physician Division focuses on helping Physician’s Practices and Clinics Preserve Profits. We understand that a great percentage of delinquent debt goes uncollected each year and nearly as much is written off as charity. Maintaining adequately staffed back-offices with the latest software packages, electronic claims processing capabilities and expertise in the latest FTC and HIPAA regulations is simply not economically viable for most practices. In an understaffed environment, loss of a key employee could temporarily cripple a clinic’s A/R management and cash flow.

We also understand that Physicians and Clinics are facing additional fiscal pressures for the following reasons:

• Escalating Medical Service Costs
• Lower and Increasingly delayed payments from Insurers and Federal Health Insurance Organizations (Medicare/Medicaid)
• Higher percentages of write offs
• Increasing regulatory paper work
• Increasing Pharmaceutical costs
• Declining margins since 1997

The MediGain Physician Practice and Clinics team focuses on preserving profits through operational excellence, significantly reduced billing rates (up to 40%), daily claims processing, best in class training, the highest levels of certification (CPAM), higher allocation of resources to work claims, and a dedicated account team to ensure premium customer service. This focus led by an experienced team using a sophisticated software package and a three-tiered QA system allows MediGain to process clean claims correctly the first time. Using only electronic processing allows real-time account status monitoring through a password protected website providing daily A/R activity enabling Physicians more effective management of their business.

MediGain’s Physician Practice and Clinics Division focuses on delivery of the following products:

• A/R Management
• Billing Services
• Delinquent Debt Collection
• Insurance Company Claim Management
• Medicare/Medicaid Claim Management
• Eligibility Verification
• Business Process Outsourcing Services
• Bill Coding
• Patient Record Transcription
• Consulting Services including:
• Healthcare Back-Office Staffing
• Upstream Root Cause Analysis
• Compliance Training

All client documentation is saved in our Health Information Portability and Accountability Act (HIPAA) compliant US based data center. Our Operations specialists and HIPAA compliance team have managed these activities at Children’s Hospital in Dallas, TX and developed a three tier QA process and a thorough HIPAA screen over every step in our IS processing.

Please visit our Products and Services page to learn more about our offerings.