primary-care-physician-banner

Value Management

Adopt Value Mangement

Free Assessment For Enhancing Your Practice Value

Building Value in your practice involves end-to-end focus on patients, services, revenue streams, workflow and earnings. Get a free practice assessment on how to add value through security and workflow improvement, increased and new revenue.

Patient Engagement and Patient Financial Satisfaction Key to Value

As deductibles, co-insurance, co-payments and other forms of patient payment increase towards 50% of practice revenue, managing the patient payment process is becoming increasingly important. Your front office collaboration with the back office is more important than ever. We work with you to implement key steps to increase revenue and reduce non-payment.

  • Scheduling, Pre-registration, Registration
  • Insurance Verification: Authorizations, Medical Necessity, Estimates, Charity
  • Automated Insurance Estimation
  • Self Pay Rates
  • Financial Counseling
  • Charity Program Participation

Enhanced or New Revenue Streams

Providing a broader package of services targeted to your patient needs can strengthen patient loyalty, build net income and enhance the long term value of your practice. MDCommerce combines services, technology and new business models to enable you to implement value building strategies.

Hybrid Business Model Can add $50,000 to $80,000 in Net Annual EarningsPer Doctor

Small numbers can make a big difference. For example a family medicine practice using a hybrid membership/insurance business model converted over 4,000 patients to a member services model charging an average $150 per patient per year. The gross revenue of $150,000 per doctor enabled the practice to materially add staff and services while enabling the doctors to add $80,000 to their take home income.

Chronic Care Management can add both personalized services for your elderly patients and net new income for you. A membership model with enhanced services that incorporate CCM services can add value through 99490 team care revenue

Mobile Care Assisted Living Center Seniors

Primary care delivered at home has proven to save $7,000 per patient in annual healthcare costs for home bound seniors. It can also be a profitable expansion of primary care using a team of nurse practitioners. MDCommerce has the experience and central services to assist a medical home practice set up an auxiliary mobile care unit. Our 24X7 communications, EMR, billing and other services provide the infrastructure to enable launch and operations within reasonable risk.

We have teams experienced in your specialty dedicated to perform all end-to-end billing tasks on the system of your choice.

Value Cycle Management Staff Support

Get experiencedadministrative staffing at $12 an hour or less support. MDCommerce staff work in 18 specialties ranging from anesthesia and radiology to oncology, surgery, orthopedics and primary care. Our team can support time consuming functions like securing pre-authorizations, coding, support of Medical Assistants to process drug refill requests, index documents and attach to the patient medical record.

  • Certified ICD-10 Coders MDCommerce certified coders have been processing millions of radiology and anesthesia reports with over 99% accuracy for hospitals and outpatient services for several years. Our coders are now fully ICD-10 Certified. MDCommerce increases total performance, increases accuracy and lowers cost.
  • Pre-Authorizations
  • 24X7 communications (online, phone, fax, e-mail) for patients and ancillary services
  • Call Center that resolves 98% of questions on the first call with a reliable escalation process to ensure all patient concerns are resolved timely
  • Patient Collections with friendly statements so your patients can easily understand their bill. We include mailing costs and bad address follow up
  • Online Payments Phone based and online patient credit card payment systems to make it easy for your patients to pay their bill
  • Online Payments Phone based and online patient credit card payment systems to make it easy for your patients to pay their bill
  • Patient collections follow up so all amounts due are collected or resolved within 120 days
  • Systems Experts Your choice. (Aprima, Amazing Charts, Epic, GE Centricity, Kareo, Practice Suite, AdvancedMD and many EMRs)
  • Secure Data Mangement online document exchange that meets HIPAA security standards and compliance with regulatory requirements
  • RCM Services: MDCommerce Expert Teams link with customer staff to provide one or more functions as part of the overall customer RCM process. We range from specialties like Anesthesia and radiology to hospitalist and oncology. Whether focusing on managing patient registration face sheet and charge processing for 250 mobile geriatric home care providers or gastroenterology billing for a specialty clinic MDCommerce brings the same exacting accuracy to achieving 95%+ first pass payment for Gold Standard results for our customers.
  • Reporting and Performance Analytics You don’t have to guess with MDCommerce. We report on the productivity and accuracy of all our staff every day. Customers have full access to our daily performance reports.

Get Started with Value Cycle Management

captcha