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Physician and Hospital Services: HIPAA - Compliant Electronic Claims

Question: Is the RN-Coder Network HIPAA compliant?

Answer: Yes -- the RN-Coder Network upholds the highest standards and complies with HIPAA privacy and security regulations.

Advantages of Outsourcing Your Coding and Electronic Claims Processing

Human Resource Management

In considering outsourcing, its important to think with a long-term vision in mind. The single biggest reason why Physicians eventually decide to outsource the MEDICAL CODING AND ELECTRONIC CLAIMS PROCESSING functions is difficulty in managing the human resource cycle. Human resource management problems arise from employee turnover and practice growth. Mistakes can be avoided by utilizing the talents of one or two Certified RN-Coders.

Employee Turnover

Many medical practices go through high turnover periods, while others find loyal people who dedicate many years to working for the same Physician. The human resource management cycle can be very difficult for a physician to maintain, since once the biller leaves, the physician is left with no other option and is usually forced to hire someone who has very little experience. Ask yourself this question, when would you be the most worried; when your receptionist quits or when your biller leaves? Do you really have the time to find someone who is experienced and reliable and can do the right job with the amount of attention your coding and electronic claims processing deserves?

Your Practice’s Growth

Growth is a normal part of any business. As a practice grows, revenues grow and ultimately, the workload grows. It becomes important to hire new people to meet the new workload demands. If a Physician has kept his/her coding and electronic claims processing in-house and, when it comes time to hire another biller, the physician is increasing his/her fixed cost substantially, and all at one time. Not only is finding the right person for the job difficult, but hiring an extra person can be a heavy cost-burden.

With a coding and electronic claims processing service, such as The RN-Coder Network, the human resource management problems are eliminated on the part of the physician. By definition, the RN-Coder Network is a “network” of Certfied RN-Coders who work nationwide with physicians from all medical specialties and from all parts of the US.  In addition, as you grow your practice, your cost/revenue percent remains the same without any large increases.

Cost-Effective Solution

When you use the RN-Coder Network , you save money and resources in many areas such as:

  • Computer hardware
  • Maintenance fees/support contracts
  • Software and upgrades costs
  • Delay in claim research
  • Delay in claim resubmission
  • Time spent on phone with insurance companies
  • Training seminars/education
  • Human resource recruiting
  • Holiday, vacation and sick pay
  • Wages, taxes and benefits
  • Office space dedicated to coding and electronic claims processing functions

Ability to Demand Accountability from a Coding and Electronic Claims Processing Service

When you outsource to a coding and electronic claims processing service, the coding and electronic claims processing service is typically collecting a percent of whatever is collected; therefore, the incentive and the headache to collect falls on the coding and electronic claims processing service. In addition, you can demand accountability from a coding and electronic claims processing service as compared to an employee – where too much pressure can lead to the inevitable – “I Quit!”

The misconception is that by outsourcing to a coding and electronic claims processing service, the physician loses control of his/her coding and electronic claims processing. However, we maintain that outsourcing actually gives you full control of your coding and electronic claims processing, since the ease at which you can switch between coding and electronic claims processing companies is much simpler than switching between employees.

 


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