Are you a new provider?
Why should you switch from legacy software?
Why does pay-per-claim make more sense?
What if I want someone to install software or train me?
Are you still sending in paper claims?
Would you like to accelerate your payments?
Are you getting consistently high number of rejections?
Do you suspect claims are falling through the crack?
Is your billing staff overloaded?

If you are a starting out on your own, you are often faced with many questions on how to fill out the claim forms. Payment rules are complex and constantly changing and you need a solution that will point out problems in your claim. Cost of simple billing software run into thousands of dollars. Even then, most of these legacy solutions still have numerous defects with NPI implementation. If your volume is low, then a per-claim fee solution fits your bill better. As your practice grows, you can move into a fixed monthly cost solution. Or you may choose to join an increasing number of professionals who are outsourcing their billing management?

You have been using a popular medical billing software for many years. Every few years, your assigned reseller tells you that you need to upgrade your software. Or a new regulation such as NPI implementation comes along and you are forced to upgrade. For each upgrade you pay out thousands of dollars. Compare Clinic Claims solution to this – all upgrades are automatically delivered to your desktop free of cost.

You discover a defect in your billing software. Your reseller tells you it is a known issue and the new version of the software will fix that. Release of new version is several months away and at best you are given a work around. There has been a never ending stream of such issues. In the mean time you are using up your reseller fees by the minute for answering these questions. Picture this scenario - you find an issue with Clinic Claims; you search the user forums to see if this has already been reported; most likely you find a post by another user and an answer from our customer support. Defects logged on user forum are fixed and usually released within a week. The update is automatically downloaded and installed on your desktop needing no intervention from you; no additional costs and no lost time.

You can outright purchase a billing software solution and never worry again, right? Not when you look at it from the software provider’s perspective. So out comes new releases with fixes for defects or new functionality; they systematically eliminate support for older version thus forcing you to upgrade. This gives them and their resellers a constant stream of cash. So does an outright purchase make sense? When you consider an outright purchase estimate annual maintenance fees, customer support fees and upgrade costs which occurs every few years and then compare to our monthly costs. By eliminating cost of each release, we are able to pass on the savings to give you a much lower total cost of ownership.

Installing the software or learning to use is very simple and there is documentation available on the knowledgebase. However if you prefer having a person help you with the installation or train you, then we recommend our network of resellers to help you. Our resellers are proficient in use of our solution and is an indispensable part providing the necessary to support our diverse set of customers across the country. Reseller will charge you a low per hour fee for their service.

You have been sending in paper claims because that is what you are used to? Or is it because going electronic means you have to pay a fixed monthly cost even though your claim volume is low? Or is it because it too much paper work? Or is it because your billing solution does not integrate with your clearinghouse? Iris uses Zirmed, ranked in Inc 500, as our clearinghouse to submit claims on your behalf. By going through Iris, you are able to avoid fixed monthly fees. There are no additional costs for electronic submission as it is included in our per-claim fee or monthly lease plan. You still think you are not sure? Read about the benefits of electronic submission here <electronic.htm>

Typically, a paper claim takes 6-8 weeks to get paid. In contrast, electronic claims are paid in 3 weeks. Submitting your claims electronically can cut short your days to collect payments by half. What if a claim is rejected because of incomplete or incorrect information? A paper claim can take 3 months to get paid. With electronic submission, the first level edits capture most errors within a day. Any payer rejections are known typically within a week. You still get paid within 1 month. Compare that 3 months of wait to get paid. You donot have to submit all claims electronically. You could still print and file paper claims for those payer that accept only paper claims.

Most billing software do not have the capability to tell you about errors. Our solution provides you with multiple levels of edits to minimize denials or rejections. Clinic Claims has built on error checks to prevent incomplete claims from being submitted. Clearing house edits provide additional levels of verification of data submitted. With electronic filing even payer rejections will be known in less than a week. Clinic Claims can dramatically reduce your overall rejections.

If you are still using superbills or facesheets they are likely to be misplaced or lost. Clinic Claims pulls records from Clinic Scheduler (a free component) and automatically creates a claim. No more lost claims. No more paper shuffling. Clinic Claims is the only tool you need to track your claims till payment.

Clinic Claims could save your billing staff time through productivity tools including One-Click electronic filing, easy management screens and automated claim checks. Clinic Claims has short ramp up time by reading through online manuals, forums or online chat.