By: Health Insurance
Submitted: 2009-11-03 12:24:51 | Word Count: 581
Benchmark performance management helps to establish, Aetna Health care providers
, industry standards objective. Providers of medical services can use benchmarking to evaluate the performance of their billing service and measure their improvement over time. This article presents a prototype for a rule-based index of chiropractic, including its coverage definition,, Aetna Health care providers
, update cycle, weight volume, and the information provided.
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Current (June 2006) Billing Precision Index (BPI) is 18, which means that the average top ten taxpayers benefits of working with clients BPI have 18% of claims exceeding 120 days. This is a key feature of the performance of billing, since it is a proxy of claims that are never paid. Obviously, the lower the index the better the performance of billing. The following table also lists the top ten results of the taxpayers and their relative index as recorded in the billing system Precision (BillingPrecision.
com). Billing Precision Index 18 Benesight 5 Blue Cross Blue Shield Florida 5 Florida 7 Medicare United Health Care 8 Oxford 11 Cigna Medicare 13 New Jersey 17 Horizon 18 Aetna 21 Texas 33 Blue Cross Blue Shield Insurance BPI is based on rules, or participation in agency the second index, Aetna Health care providers
, is defined by rules dynamically at the time of calculation and not a static list of specific taxpayers.
Therefore, any specific agency may start or discontinue participation index, dependent on satisfaction of the conditions of rule. Current selection of payers for participation in the BPI is based on Top Fifty-volume, Aetna Health care providers
, providers in the United States that have received Billing Precision services for more than six months and are more than two hundred claims in their current accounts receivables.
Update billing cycle accurate updates its index on a monthly basis. Volume weighted BPI is volume weighted, which is important to manage the future growth of the information provided, the combinations of index and sensitivity among the indices. The information provided BPI calculates the percentage of claims exceeding 120 days. Note that the national average in all medical specialties of percent of claims beyond 120 days is equal to 17.
7%. Summary Medical Billing Performance Index helps the development of industry standards for billing. Providers of medical services can use the index to evaluate its performance billing and guide its improvement over time. Rule-based index definition allows for the inclusion and the automatic exclusion of payers in the index based on payer attributes, such as the number of claims processed, the accounts receivables of the distribution, mix of some CPT codes, or patient demographics.
Index payer provides billing for management process improvement. Yuval Lirov, PhD, author of "Mission Critical Systems Management" (Prentice Hall, 1997), inventor of multiple patents in artificial intelligence and computer security, billing and CEO Vericle.com Technologies. Vericle, Aetna Health care providers
, offers comprehensive practice workflow engine that integrates patient scheduling, electronic medical records (EMR), billing, transcription and compliance management.
Improve billing performance and reduce the risk of audit.
