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  • Add You - Outsourced Chiropractic Billing Service Performance Index - August 2006

    Managing Client Relationships
    Managing Client Relationships: Even the best run organizations occasionally run into difficult situations with clients, consultants, and vendors. Often times it is not just a business process that has gone a-rye, it is the relationship of the people managing the situation. So how is it that we manage difficult problems and how is it that we coach all the members of our organization to manage crisis to their (and their company's) advantage. Here are some helpful tips:Treat everyone (clients,
    he index is defined by dynamically rules at the time of computation and not by a static listing of specific payers. Therefore, any specific payer may start or discontinue participation in the index, dependent on satisfaction of rule's conditions.

    Current selection of payers for participation in the BPI is based on fifty top-volume providers across all United States that have received Billing Precision services for more than six months and have more than two hundred claims in their current Accounts Receivable.

    Update Cycle

    BillingPrecision.com updates BPI on a monthly basis.

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    5 Tips to Ensure You are Well Received by Your New Employer.Although you're throwing off the cap and gown and heading off to a corporate environment it doesn't mean you will no longer have to impress the ‘instructor' – so to speak. Now it's your boss you'll need to impress…wait a minute, not just the boss, but also a whole plethora of people in your new company.Pretty soon you'll be dreaming about the days you used to crawl out of the sack, throw on a sack and slip in to class just as th
    August Billing Performance Index (BPI) underperformed July value by 8.7%, replacing six participants in the list of top ten performers and dropping the index from 15 down to 16.3. This article reports a third iteration of a prototype for a rule-based chiropractic billing index, including its coverage definition, update cycle, volume weighting, and provided information.

    BPI = 16.3 means that the average of ten top performing payers working with BillingPrecision.com clients have 16.3% of Accounts Receivable beyond 120 days. BPI is a key billing performance characteristic, as it is a proxy of the claims that are never paid. Obviously, the lower is the index the better is billing performance. The table below also lists the top ten performing payers and their relative index as recorded in Billing Precision's system.

    • Billing Precision Index 16.3
    • Blue Cross Blue Shield Texas 2.2
    • Horizon 5
    • CareFirst NCA 6.8
    • Liberty Mutual 11.6
    • United Health Care 11.6 (down from 5 in July)
    • Oxford 15.4 (down from 5.7 in July)
    • Medicare New Jersey 16.6 (down from 11.7 in July)
    • Cigna 18.3 (down from 12.4 in July)
    • Florida 1st 23.7
    • Medicare Wisconsin 42

    Dropped participants from July BPI:

    • Medicare West Virginia 1.1
    • Medicare Virginia 10.5
    • Medicare Alabama 11.9
    • Aetna 13
    • Blue Cross Blue Shield New Jersey 15.7
    • Blue Cross Blue Shield Alabama 23.9

    Improved participants with respect to July BPI: None.

    Underperforming participants with respect to July BPI:

    • United Health Care 11.6 (down from 5 in July)
    • Oxford 15.4 (down from 5.7 in July)
    • Medicare New Jersey 16.6 (down from 11.7 in July)
    • Cigna 18.3 (down from 12.4 in July)

    New participants with respect to July BPI:

    • Blue Cross Blue Shield Texas 2.2
    • Horizon 5
    • CareFirst NCA 6.8
    • Liberty Mutual 11.6
    • Florida 1st 23.7
    • Medicare Wisconsin 42

    Coverage

    BPI is rule-based, i.e., payer participation in the index is defined by dynamically rules at the time of computation and not by a static listing of specific payers. Therefore, any specific payer may start or discontinue participation in the index, dependent on satisfaction of rule's conditions.

    Current selection of payers for participation in the BPI is based on fifty top-volume providers across all United States that have received Billing Precision services for more than six months and have more than two hundred claims in their current Accounts Receivable.

    Update Cycle

    BillingPrecision.com updates BPI on a monthly basis.

    Growing Up On A Delaware Farm
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    that are never paid. Obviously, the lower is the index the better is billing performance. The table below also lists the top ten performing payers and their relative index as recorded in Billing Precision's system.

    • Billing Precision Index 16.3
    • Blue Cross Blue Shield Texas 2.2
    • Horizon 5
    • CareFirst NCA 6.8
    • Liberty Mutual 11.6
    • United Health Care 11.6 (down from 5 in July)
    • Oxford 15.4 (down from 5.7 in July)
    • Medicare New Jersey 16.6 (down from 11.7 in July)
    • Cigna 18.3 (down from 12.4 in July)
    • Florida 1st 23.7
    • Medicare Wisconsin 42

    Dropped participants from July BPI:

    • Medicare West Virginia 1.1
    • Medicare Virginia 10.5
    • Medicare Alabama 11.9
    • Aetna 13
    • Blue Cross Blue Shield New Jersey 15.7
    • Blue Cross Blue Shield Alabama 23.9

    Improved participants with respect to July BPI: None.

    Underperforming participants with respect to July BPI:

    • United Health Care 11.6 (down from 5 in July)
    • Oxford 15.4 (down from 5.7 in July)
    • Medicare New Jersey 16.6 (down from 11.7 in July)
    • Cigna 18.3 (down from 12.4 in July)

    New participants with respect to July BPI:

    • Blue Cross Blue Shield Texas 2.2
    • Horizon 5
    • CareFirst NCA 6.8
    • Liberty Mutual 11.6
    • Florida 1st 23.7
    • Medicare Wisconsin 42

    Coverage

    BPI is rule-based, i.e., payer participation in the index is defined by dynamically rules at the time of computation and not by a static listing of specific payers. Therefore, any specific payer may start or discontinue participation in the index, dependent on satisfaction of rule's conditions.

    Current selection of payers for participation in the BPI is based on fifty top-volume providers across all United States that have received Billing Precision services for more than six months and have more than two hundred claims in their current Accounts Receivable.

    Update Cycle

    BillingPrecision.com updates BPI on a monthly basis.

    Company Brochures
    At some point, every small business creates a brochure. but it is often an exercise in futility. Whether you are creating the brochure yourself, or hiring someone to do it for you, be sure to ask the following questions before you get started!Get to the Point!How will the brochure be used?Is it sent as a follow-up to phone inquiries, left behind after a sales call or delivered with a formal proposal?Are you trying to get more repeat business from custome
    11.7 in July)
  • Cigna 18.3 (down from 12.4 in July)
  • Florida 1st 23.7
  • Medicare Wisconsin 42
  • Dropped participants from July BPI:

    • Medicare West Virginia 1.1
    • Medicare Virginia 10.5
    • Medicare Alabama 11.9
    • Aetna 13
    • Blue Cross Blue Shield New Jersey 15.7
    • Blue Cross Blue Shield Alabama 23.9

    Improved participants with respect to July BPI: None.

    Underperforming participants with respect to July BPI:

    • United Health Care 11.6 (down from 5 in July)
    • Oxford 15.4 (down from 5.7 in July)
    • Medicare New Jersey 16.6 (down from 11.7 in July)
    • Cigna 18.3 (down from 12.4 in July)

    New participants with respect to July BPI:

    • Blue Cross Blue Shield Texas 2.2
    • Horizon 5
    • CareFirst NCA 6.8
    • Liberty Mutual 11.6
    • Florida 1st 23.7
    • Medicare Wisconsin 42

    Coverage

    BPI is rule-based, i.e., payer participation in the index is defined by dynamically rules at the time of computation and not by a static listing of specific payers. Therefore, any specific payer may start or discontinue participation in the index, dependent on satisfaction of rule's conditions.

    Current selection of payers for participation in the BPI is based on fifty top-volume providers across all United States that have received Billing Precision services for more than six months and have more than two hundred claims in their current Accounts Receivable.

    Update Cycle

    BillingPrecision.com updates BPI on a monthly basis.

    There is More to Networking Than Meets the Eye
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    ed Health Care 11.6 (down from 5 in July)
  • Oxford 15.4 (down from 5.7 in July)
  • Medicare New Jersey 16.6 (down from 11.7 in July)
  • Cigna 18.3 (down from 12.4 in July)
  • New participants with respect to July BPI:

    • Blue Cross Blue Shield Texas 2.2
    • Horizon 5
    • CareFirst NCA 6.8
    • Liberty Mutual 11.6
    • Florida 1st 23.7
    • Medicare Wisconsin 42

    Coverage

    BPI is rule-based, i.e., payer participation in the index is defined by dynamically rules at the time of computation and not by a static listing of specific payers. Therefore, any specific payer may start or discontinue participation in the index, dependent on satisfaction of rule's conditions.

    Current selection of payers for participation in the BPI is based on fifty top-volume providers across all United States that have received Billing Precision services for more than six months and have more than two hundred claims in their current Accounts Receivable.

    Update Cycle

    BillingPrecision.com updates BPI on a monthly basis.

    China Goes Nuclear! U.S. to Engineer
    China, the worlds future super power, is slated to build four nuclear power plants with the help of the U.S. based Westinghouse Electric Company and the Shaw Group Inc. The value of this deal ranges from $5-8 billion dollars and will help the U.S. in their $202 billion dollar trade deficit with China.The U.S. Company won the contract over French and Russian bidders due to their higher technical quality and method of information sharing. While the French and Russians are building emergency back u
    he index is defined by dynamically rules at the time of computation and not by a static listing of specific payers. Therefore, any specific payer may start or discontinue participation in the index, dependent on satisfaction of rule's conditions.

    Current selection of payers for participation in the BPI is based on fifty top-volume providers across all United States that have received Billing Precision services for more than six months and have more than two hundred claims in their current Accounts Receivable.

    Update Cycle

    BillingPrecision.com updates BPI on a monthly basis.

    Volume Weighting

    BPI is volume weighted, which is important to accomodate future growth of provided information, index combinations, and sensitivity across multiple indices.

    Information Provided

    BPI computes the percent of Accounts Receivable beyond 120 days. Note that national average across all medical specialties of percent of accounts receivable beyond 120 days is 17.7%.

    Summary

    Medical Billing Performance Index helps the development of billing industry standards. Medical service providers can use the index to benchmark their billing performance and to guide its improvement over time. Rule-based index definition allows for automated inclusion and exclusion of payers in the index based on payer attributes, such as numbers of processed claims, accounts receivable distribution, certain mix of CPT codes, or patient demographics. Relative payer index provides billing process improvement direction.

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