Physician Practice Revenue Cycle Management

Balancing the business side of physician practices with patient care is no easy task. Today’s physicians face a myriad of challenges related to physician billing requirements, administrative tasks, and more.

The good news is that the right technology solution can make a difference. ZirMed’s powerful data-driven technology integrates with your existing practice management system, helping you do more with less by automating some of the tasks that can drain your staff members’ productivity. Take your physician practice revenue cycle management (RCM) to the next level to gain the revenue you have earned.

Want to learn more? Take a tour of ZirMed’s comprehensive physician practice RCM solutions to help optimize revenue:

Real-time insurance verification and the ability to identify coverage in self-pay.

The complexity and variety of today’s health plans can easily overwhelm your busy practice. In addition, lapses in coverage occur frequently as patients change jobs or lose their employment. Other patients may have coverage under multiple plans, only one of which is the primary insurer for billing purposes. It’s a lot to track and validate, yet it’s also a critical part of your reimbursement. Practices that don’t take the time to verify eligibility often find themselves facing denials due to lack of coverage. You need physician practice RCM solutions that not only provide real-time eligibility information and patient estimations so you can educate patients about their financial responsibility—all before services are rendered – but also coverage detection solutions to identify coverage in self-pay after services are rendered.

Here’s how ZirMed can help:

Capture revenue with point-of-service and self-pay patient collections.

The proliferation of high deductible health plans continues to shine a spotlight on a new payer type: the patient. You must increasingly collect entire balances directly from patients—not insurers. And most physicians know that with the rise in healthcare consumerism, patients want easy-to-understand statements as well as a variety of payment options, including online payment or establishing a payment plan. You need physican practice RCM solutions that improve collection rates, cater to patient preferences and satisfaction, and improve your overall bottom line.

Here’s how ZirMed can help:

Accelerate cash-flow by managing claim reimbursement.

Physician reimbursement relies on timely and well-orchestrated claims management. You need solutions that streamline various workflows around claims and remit management, making it easy to process and track claims all while boasting a best practice standard of a 98%+ clean claims rate.

It doesn’t stop there. When denials occur, you don’t always have enough staff members to devise a strategy for appeals. You need physician practice RCM solutions that alert you to potential denials before claims are submitted so you can correct problems on the front-end without affecting precious cash flow and tying up administrative resources unnecessarily. These solutions also enable you to pinpoint the root causes of denials when they occur, and they help you appeal those denials with ease.

Here’s how ZirMed can help:

Integration Capabilities

By design, ZirMed’s revenue cycle management platform enables creators of healthcare technology solutions to seamlessly and easily incorporate our HIPAA and PCI-compliant applications and transactions into your software solutions. Using ZirMed’s integration capabilities, organizations seeking a traditional approach of exchanging EDI transactions may transmit and receive a variety of claims, payments, eligibility inquiries, and other healthcare transactions using established technologies and methods such as X12 files, APIs, Flat Files, FTP, Encryption (i.e. PGP), and more. You’ll have confidence knowing that your exchanges are occurring securely, in compliance with all regulatory guidelines, and utilizing existing technological capabilities.