Solutions

TAKE CONTROL OF YOUR FINANCIAL HEALTH

Revenue Cycle Management

Physician Billing Services

Coding

Fee Schedule Consultation

Reporting

Training

Supported Systems

Revenue Cycle Management

We are a seamless extension of your practice

speroMD provides comprehensive revenue cycle management services for ambulatory medical practices. We serve as a trusted billing advisor and seamless extension of your practice, giving you the freedom to focus on patient care.

Coding

Complete and accurate charge capture

One of our most unique offerings for our physician clients is 100% charge review by certified medical coders. All of our coders have earned their certifications through the AAPC or AHIMA, the gold standards in the world of medical coding.

Our coding team is entirely in-house, as we believe our clients deserve the highest quality charge capture and review possible.

Our team of certified coders will review all encounters to ensure complete and accurate charge capture. Charges are correctly and completely prepared to go out to the insurance company, including the addition of modifiers.

ICD-10

ICD-10 presents the potential for higher rates of claim denials and lower payments. We can help. Our expert team of coders is able to guide your practice through the nuances of ICD-10, and ensure accurate coding of the appropriate diagnosis.

We work diligently to collect every dollar physicians are owed for the services they provide. Our coders reach out to providers to amend prior to claim submissions if they determine from their review of documentation that greater specificity may be warranted.

SperoMD_Coding
SperoMD_RevenueCycleIconC

Physician Billing Services

CLAIM SUBMISSION

One of the best ways to ensure a healthy revenue cycle is to submit complete, accurate claims the first time around. Our expert claims workers employ procedures to accomplish this goal and boost key performance indicators.

INSURANCE FOLLOW-UP

Monitoring open claims and performing follow-ups with insurance companies is critical to collecting all payments due to physicians. With speroMD, time periods are determined for each payer. If we do not hear back from insurance companies we will troubleshoot and collect your payment. We do not have a dollar threshold used for write-offs.

DENIAL MANAGEMENT

Denied claims threaten the cash flow of any office. speroMD works diligently to eliminate denials, and works fast to turn them to into payments when they occur. Thorough reviews of the original submission are conducted and necessary corrections, if any, are made. We vigorously work the appeals process for denied claims.

Denied claims are more than just refusals to pay a bill – any incorrect contractual reimbursement will be treated by us as a partial denial of payment. speroMD reviews payer payment to ensure they are consistent with the fee schedule and contractual agreement.

PAYMENT POSTING

Your practice runs smoother when payments are processed and posted in a timely manner. With speroMD you payments will be out of A/R in 20 days and posted by us within 24 hours.

PATIENT BALANCE FOLLOW-UP

speroMD handles patient statements and patient balance follow-up. The collection processes will be developed with practice leadership. We will provide template letters and financial policies for your consideration, and work with your staff to determine the best approach in collecting balances from your patients. Oftentimes patients do not understand why they have a balance or expect their insurance to pay. We review their benefits with them and explain why part, or all, of the service they received is not covered by their insurance.

Fee Schedule Consultation

Fee Schedule Assessment

Optimizing a practice’s fee schedule is crucial to the financial health of an independent practice; therefore, we include fee schedule assessment within our revenue cycle management solution.

SperoMD_FeeSchedulingB
SperoMD_Reporting

Reporting

We are committed to transparency

A catalogue of financial reports is an essential tool to have in order to manage your business. A member of our leadership team will meet with you regularly to review the reports produced from your practice management system data and the key performance billing indicators for your group. We will work with you to analyze areas for improvement and will use these reports to assist you in the management of your revenue cycle. We are committed to complete transparency with regard to the content of your practice management reports.

Training

We create a seamless working relationship between our offices

We understand that your revenue cycle does not begin at our door – it begins when your patient is scheduled for a visit. There are many front-end elements of the revenue cycle that are critical for the overall financial health and success of your practice. We provide training for your front-end staff at the beginning of our engagement and continue to provide regular feedback and further training as necessary. Our goal is to fortify all elements of your revenue cycle and to create a seamless working relationship between our offices.

SperoMD_TrainingB
SperoMD_SupportedSystemsB

Supported Systems

We support a variety of practice management and software systems including:

p16h40le0a110d8dmktb76614u37

Epic is an electronic health record leader that provides a shared electronic record system to independent physician practices and hospitals through the Community Connect platform.

speroMD’s founding practice was recognized nationally for its revenue cycle expertise at Epic’s 2015 Connect Council for maximizing the Epic’s EHR system for billing success.

eClinicalWorks-logo

eClinicalWorks is a leader in ambulatory health care IT solutions for physician practices, out-patient departments of hospitals, health centers, departments of health and convenient care clinics.

allscripts

Allscripts is a leader in health care information technology solutions that advance clinical, financial and operational results by empowering caregivers to deliver better health care.

greenway

Greenway Health’s electronic health record solutions integrates practice management, clinical, financial and analytics technology into one software with customizable features for billing and reporting.