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Category Archives: Revenue Cycle Management

Bristol Byte – Your Complete Workflow Management Software

Bristol prepares to launch its productivity and workflow management software “Bristol Byte”. Bristol Byte helps you streamline the workflow of complex projects and makes them simple for your team. Allows automation of routine processes and simplify internal operations with extended monitoring and reporting. Bristol Byte is our solution to continuous monitoring and accurate tracking requirements. Bristol Byte is your online tool to

* Bristol Byte tracks and maintains an audit trail of all your workflow processes
* Productivity and Quality Tracking
* Ticketing and Queries control
* Transparent Process Performance on a Dashboard
* Role-Based Access Control
* Responsibility Assignment and Analysis
* Set Data and AR Metrics for Clients, Staff and Vendors
* Increased Productivity and Revenues
* Tracks User Performance and Quality
* Visual Reports – Assisting to make informed Management Decisions
* Approvals, Reviews and Acceptance capabilities are enabled within projects
* Cloud Based Technology

Have you ever wondered how our Ancillary Services would address one of your business challenges?

Take a look at the Bristol Healthcare Services features, or request a demo of our Services. There is no one-size-fits all solution, so Bristol Healthcare Services developed a number of different ways for you to get the insights you need. We have the capability to add resources for you instantly on your demand. This helps you to scale up swiftly without losing any opportunities. We offer flexible pricing models suiting your requirements.

Ancillary healthcare services from Bristol Healthcare Services refers to the wide range of services to single / Group physicians, Healthcare Facilities, Diagnostic lab’s and other healthcare entities.Many a times, physicians have to deploy resources such as capital, equipment, software and administration staffs to deal with insurance reimbursement delays.

More often than not, some of these issues can be avoided if only the credentialing process had been carried out properly and thoroughly.

    o Credentialing services

    o Fee schedule negotiation

    o Medicare Revalidation

    o Clearing house / EDI and EFT setup

Be prepared for radiology coding changes in 2017

Get ahead the changes of radiology-specific in 2017. Mammography codes are overhauled and summarized.

Changes in Mammography Codes 2017

New Codes Description Deleted Code
77065 Diagnostic mammography, including CAD when Performed; unilateral 77055 / 77051
77066 Diagnostic mammography, including CAD when performed; bilateral 77056 / 77051
77067 Screening mammography, bilateral (2-view study of each breast), including CAD when performed 77057 / 77052

 

Determine what new evolving technologies may or may not be coded in 2016.

CPT Category III codes mostly do not have a customary payment amount per CPT guidelines, however, if a Category III code is available, you must report it instead of a Category I unlisted procedure code.

Find below Category III code changes for 2016.

0381T External heart rate and 3-axis accelerometer data recording up to 14 days

0382T review and interpretation only

0383T External heart rate and 3-axis accelerometer data recording from 15 to 30 days

0384T review and interpretation only

0385T External heart rate and 3-axis accelerometer data recording more than 30 days

0386T review and interpretation only

Leadless Pacemakers

There are five new codes to describe services related to permanent leadless pacemakers:

0387T Transcatheter insertion or replacement of permanent leadless pacemaker, ventricular

0388T Transcatheter removal of permanent leadless pacemaker, ventricular

0389T Programming device evaluation in person with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report, leadless pacemaker system

0390T Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure or test with analysis, review and report, leadless pacemaker system

0391T Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter, leadless pacemaker system

CPT® Changes 2016 advises, “Existing CPT codes only addressed procedures for traditional pacemaker systems and did not adequately describe the procedure of implanting a leadless pacemaker. Therefore, these codes have been established to report leadless and pocketless system procedures.”

Esophageal Sphincter Augmentation

Esophageal sphincter augmentation is performed for treatment of gastoesophageal reflux disease (GERD). The device employs magnets, placed around the gastroesophageal junction. The attraction of opposing magnets narrows the opening, but allows food to pass when the patient swallows.

0392T Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band)

0393T Removal of esophageal sphincter augmentation device

Experts LRN’s seamless effort Overturned denied claims for payment.

Bristol healthcare services partnered a FL Medical billing company this May 2016 to clear a huge backlog of +18,000 accounts to move for the next level.  We were able to identify most of the claims denied resulting insufficient medical notes, we know these denials are recoverable through the filing of effective appeals.  With experts in mind Bristol Healthcare Services partnered with remote registered nurse to navigate these complex appeals process for them to overturn denied claims for payment and to reduce unnecessary write-offs.  Our onsite licensed RN’s carefully review medical records to effectively prepared and sent appeals from the start to resolution.  We acted as an extension of the medical practice along with the RN’s using their working knowledge of various payer authorization requirements, medical criteria and protocols necessary to make the case for successful appeals.  In addition to clinical experience, our team offered follow-up and support during the adjudication process as needed to overturn even difficult denied claims paid.

Healthcare Ancillary services – Engage and identify the possibilities to overcome

Take a look at the Bristol Healthcare Services recommends feature, or request a demo of our Services.  There is no one-size-fits all solution, so Bristol Healthcare Services developed a number of different ways for you to get the insights you need.

Ancillary healthcare services refers to the wide range of services to single / Group physicians, Healthcare Facilities, Diagnostic lab’s and other healthcare entities.

Many a times, physicians have to deploy resources such as capital, equipment, software and admin staffs to deal with insurance reimbursement delays.  More often than not, some of these issues can be avoided if only the credentialing process had been carried out properly and thoroughly.

  • Credentialing services
  • Fee schedule negotiation
  • Medicare Revalidation
  • Clearing house / EDI and EFT setup