Hospitals
Macro Doctor will enable you to reduce your administrative expenses for
coding insurance claims by 60% or more. The demands and the importance of accurately submitting medical insurance
claims currently require a ratio of at least 1 coder for every 4 providers.
The efficiencies of Macro Doctor enable a single coder to support 10 providers.
(See Claims Tutorial for a demonstration.)
The key is Macro Doctors’ 3-step process:
1) Admissions office schedules appointments and enters patient demographics:
insurance information (primary and secondary coverage, policy numbers, primary
policyholder, date of birth, full name, address, etc.) [Appointment- Add
Edit Delete]
2) Macro Doctor automatically provides all provider demographics (provider
numbers for all carriers, different places of service with addresses, and
all other information required on claims.) This automate approach ensures
accuracy of data entry.
3) Claims are generated at the time the appointment is scheduled, including
time, place, date of service, along with pertinent provider information.
The prepared form can be submitted at any time you choose; coders can "click
and pick" the appropriative field on the UB-92 interface to complete
the electronic claim.
Resource Management
Effective staff utilization is an increasingly important part of running
a successful practice. Macro Doctor’s staff audition tools and patient
scheduling services are invaluable in accomplish this complex objectives.
The inherently measurable nature of Internet applications (all transactions
are automatically logged and tracked) enables you to audit the time use
and productivity of individual staff members. Performance metrics that can
easily be implemented include:
• Claims submitted
• Data entry errors
• Claims rejected
• Overall performance
By identifying strengths and weaknesses you can take appropriate action
to improve productivity. If an employee leaves, Macro Doctor’s ease
of use (requiring less than 2 hours of training) lets you replace them quickly.
Revenue Cycle Management
Revenue Cycle Management Solutions from Macro Doctor provides the tools
you need to streamline the entire revenue information management process.
From claims processing to performance and profitability analysis, our Revenue
Cycle Management streamlines the collection, utilization and delivery of
critical patient and claims information.
By collecting quality information from the first patient encounter to the
final invoice, your hospital can improve profitability, increase productivity
and reduce administrative costs. Macro Doctor guarantees much faster collections
than you are currently receiving, even if you are sending electronic claims.
In addition, Macro Doctor provides capabilities that help you better manage,
coordinate and monitor each step of the receivables process: payer contract
management, claims processing, patient billing and communications.
Automated Error/Denial/Pending Management and Cash Posting
Macro Doctor's Virtual Processing solution automates posting of electronic
remittance information and patient financial management, included integrated
ACH recurring payments and check-by-phone capabilities.
Recurring issues are identified and resolved through in-depth analysis,
including full data warehousing capabilities for “denial of claims”
events.
Accelerated Medicare Claim Reports and Payments.
Macro Doctor's accelerated Medicare system increases the efficiency of State/Federal
reimbursement A/R process. This includes:
• Confirmation of claims acceptance, usually within 24 hours of
submission
• Detailed reports on returned, denied, suspended claims and the
reason code explaining the problem and solution.
• Follow up on claims can be done within 48 hours, instead of after
the usual 30+ day A/R cycle
• Identifies accepted claims that have not been paid over a given
time parameter