. RW Shephard Consulting .
Hospitals - Medical Centers - Clinics

Every day more and more medical providers are discovering drastic losses pertaining to medical reimbursement for services. Last year alone, millions of dollars were lost due to the inability to recover such reimbursements. Whether you’re above the line or below ..when you add it all up, it is astounding. Due to legislative policies, most medical providers have been forced to close, merge or change their course of action often without the aid of an effective plan to assist in the reversal of such losses.

"The hassles of this problem are either on the horizonor currently affecting your receivables profile."  We can assist in resolving this problem with the implementation of R.W. Shephard Consulting: Medical Provider Financial Recovery System [MPFRS]. With the MPFRSyou are remanded to a worry free environment. Imagine all of your current and delinquent accounts managed by highly trained specialists who’s only focus is your successful recovery for retroactive and current billing disbursements, at the most earliest point possible. Imaginea recovery system that tracks your patients (without primitive collection methods) and recovers reimbursements years after discharge or closing of the accounts). Imaginea recovery system specifically on-line with state Medicaid and Social Security Disability Programs singularly or collectively in any state. Most importantly, imagine a recovery system that does not require additional staffing and or cost as a start–up.

"If your accounts receivables are not affected by current managed care trends, then you are sure to hear of or expect some changes in the near future." The benefit of the MPFRS program enables a worry free accounts receivable system that is patterned to provide intense concentration on recovery. Graphical data enables the medical provider to measure positive and negative trends in an effort to get a jump-start on critical management decisions.

The uniformity of the process generates specific accounting information necessary to achieve and promote operating profit windows for some of the most complex of operations.

Because of numerous changes in the Social Security and Medicaid program, the benefits of an independent recovery system focused and linked directly to your bottom line needs is considered smart and agreeable.

ANSWERS TO SOME OF THE MOST COMMONLY ASKED QUESTIONS

HOW CAN DAC BENEFIT MY BOTTOM LINE? The creation of an efficient, independent, and mechanized system directly focuses on your at risk portfolios. You are able to reevaluate staff utilization processes thereby relieving and or redirecting staff for other essential duties.

HOW DOES THE MPFRS PROGRAM EFFECTIVELY WORK? A representative specialist is assigned to your facility. A thorough and specific review of your current and delinquent accounts through admissions, social services and or accounts receivable are identified and prioritized. The representative would proceed in the analysis to:

  • Identify self-pay, co-pay accounts and or where 100% reimbursement for services are unlikely to be forthcoming.
  • Immediately apply to the medical entities and or Social Security Disability in an in-patient, out -patient or discharge status.
  • Strictly manage the applications to the various entities until successful resolution of the application.
  • Provide real-time resolution data, thereby enabling medical provider to bill for retroactive or current services provided.

HOW MUCH DOES THIS COST TO IMPLEMENT?  Very little to none, all of the forms are standard forms currently in use. There is no hiring of additional staff, payroll or insurance to consider. The Representative is paid by Social Security for his or her work. [There may be a small administrative fee for cases that require out of pocket expenses by the Rep].

HOW DO YOU TRACK PATIENTS? Patients would be encouraged or prompted to sign Medicaid, Medicare and or Social Security disability applications at the point of admissions, outpatient or at home. Those patients that are not sure of their status will be queried to insure that all applications are completed. Patients are tracked through a variety of elaborate monitoring systems to include the SSA-Death Master Index to insure that all elements of the application process are adhered to including the insured arrival of patients to all medical appointments. "Though many inpatient/outpatient Social Workers attempt to assist in benefit identification, very few have time for or are very skilled in the follow-up mechanisms critical to the success of the recovery process. Once a patient has been discharged or no longer receives services from a medical provider, these accounts are then turned over to primitive collection agencies and methods to where little or no recovery is made."

Due to Federal and State privacy mandates (HIPAA), all paperwork on behalf of patients are kept and managed in strict confidence.

WHAT IS YOUR RATE OF SUCCESS? With over 18 years of experience working directly with Social Security and State Medicaid agencies, we currently average an 86% success rate in getting cases approved.  Because programs and paperwork are identical and or similar in most states, The DAC can handle interstate claims for their clientele.

I’M INTERESTED, HOW DO I GET STARTED? A representative would set up a time to meet you and or your management team to identify and coordinate your bottom line recovery needs. Through consensus and policy development a Medical Provider Financial Recovery System is designed for your specific needs, effectively implemented and strictly monitored. 

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(888) 378-2842 USA

You can contact me directly at disability_1999@Yahoo.com

 

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