American Academy of Professional Coders
Below are answers to questions we often receive from physicians considering MedValent for their practices. If your question is not on the list, please contact us.
To provide physicians personalized, professional, and cost-effective practice management services which optimize their practice's performance.
The MedValent system and procedures are based on years of experience and knowledge of medical practices in both the front-office and back-office. Our system ensures that practice staff capture all the necessary data when scheduling appointments and collect the required co-payments during the patients' visits.
Once a set coding [paradigm] is in place, our team periodically audits practice charts to ensure consistently correct coding. For all claims, this includes:The MedValent process also tracks outstanding claims until they are paid in full. When posting EOBs, if the payment does not correspond to your payer contract, and if your selected Practice Solution Plan™ covers the appeals service, MedValent will automatically engage in an appeal process on your behalf.
80% of claims are typically collected within 30 days, and less than 3% go beyond 90 days.
We save cash cycle time for your practice and increase your rate of receiving payment when it is due from third-party payers. Our claims rejection rates are low, and our system does not require a practice to make large upfront expenditures.
As a result, your total cost of collection can be captured in one simple relationship with MedValent – and cost you less than the national average expenditure for collections.
Typical paper-based collection systems average 60 days for payments from provider checks. MedValent's electronic submissions take an average 15 days for payment, with 80% of claims paid in 30 days. Clients utilizing MedValent's system and EFT can receive payments in as little as 3 days with some payers.
MedValent reduces its cash cycle time and rejection rates by:
Rejection rates for MedValent processed claims typically run less than 5%.
Many commercial software packages require a financial outlay ranging from $3,500 (typical for an Application Service Provider/ASP-based system) to $35,000 (typical for a client-server system), plus seat licenses, plus training hours, plus expensive computer hardware, plus annual maintenance fees.
MedValent has three different Practice Solution Plans™, each with a progressive fee structure based on the level of service desired. In all cases, the fees are significantly less than the AMA-reported national average physicians spend to collect fees.
According to a June 2008 report issued by the AMA, a typical practice can expect to incur approximately 14% of its fees in costs related to collecting their fees. These costs include:
MedValent's all-inclusive PLATINUM Practice Solution Plan™ includes all software, processing, collection, and consulting costs for significantly less cost than the national average. The Client's practice requires no additional staff, and floor space required for collections and files is eliminated.
A certified medical coder – referred to professionally as a Certified Professional Coder, or CPC – has taken coursework in medical coding from an accredited institution with specific focus on CPT and ICD-9 coding. To receive certification, coders must pass a national exam. To maintain a CPC license, they must submit annual continuing education units. Certified Professional Coders are registered with the AAPC (American Academy of Professional Coders).
A medical biller primarily performs data entry and follow-up with patients. He/she may have some training in medical billing.
When posting EOBs, if the payer adjudication of a claim is questionable, and if your selected Practice Solution Plan™ includes the appeals service, MedValent will automatically engage in an appeal process on your behalf.
Many service providers are billing companies established by laypeople based in home offices. MedValent was established by degreed professionals who designed Company processes and systems from both a medical and financial systems point of view. Our professional management team understands the time value of money and the process steps required to ensure optimized cash-flow cycles for medical practices dependent on third-party payers for revenue flows.
We serve single-physician practices, multi-doctor practices, and national providers with thousands of claims per month. MedValent has the service capacity to handle most mid-sized practices and can ramp up quickly to accommodate larger Clients.
MedValent requires only a small initial fee of $500 for Client start-up. Clients who select PLATINUM or GOLD Practice Solution Plans™ will also need to have a computer and high-speed Internet access available.
We will work with you to determine the best method for your practice. The available methods of information transfer include:
Our Web-based 24/7 ASP system is transparent to Client management. Every claim-related activity is recorded in the Optimized Practice Performance™ system. Our Clients have 24/7 access to the same information and reports our managers use to ensure that your claims are progressing through the MedValent system as planned.
Yes. All of MedValent processes and services are documented and HIPAA compliant. Our HIPAA compliance policy is available for review at our offices upon written request.
All patient statements instruct Client patients to call MedValent directly with any billing questions, using either a local or toll-free phone number listed on the statement. Our customer service representatives are all US based and ready to assist patients with their billing questions.
Our standard, state-of-the-art Practice Management System comes with a number of financial management reports. These include practice analysis reports by time period (monthly, yearly, custom dates), procedure and dignosis code analysis, aging reports by payer, patient, or physician, and many other useful reports. Your MedValent Practice Relationship Manager is always available assist you with them.
Yes. Today's Information Technology options provide a very secure and effective way for MedValent to work with medical practices around the country. Our secure and transparent Web-based 24/7 ASP system has no geographic boundaries and can provide Clients full visibility into billing and claims status from wherever they are located.
To expedite cash-flow cycle time for our Clients, claims are primarily submitted electronically. When a third-party payer accepts only paper claims, MedValent submits paper claims.
In accordance with the terms of the Client's selected Practice Solution Plan™, MedValent mails out patient statements at regular intervals using our patient billing process.
MedValent office hours are Monday to Friday, 9:00AM to 5:00PM, Pacific Time.
MedValent Clients are responsible only for their practices' computer, printers, and high-speed Internet connection. MedValent is responsible for the practice management software application, data storage, and payer connectivity. Our Application Service Providers (ASPs) maintain servers in secured, professionally managed remote facilities that have redundant power and network connectivity, and the data is regularly backed up to a remote data-storage facility.
Please contact us and we will be happy to assist you.
"MedValent's software platform was very easy to learn and is efficient in helping us schedule and run our front office day to day. Their practice relationship manager is very accessible and watches out for our best interests. Their system is a great solution for what we needed."
"MedValent was quick and easy to integrate into my new practice. They are very knowledgeable about the latest codes and practices of payers. They facilitate a very impressive cash flow cycle from patient to payment."
"What I liked was that I came out of a managed care organization and did not have the know-how to get set up. They handled all the details and I was practicing, seeing patients, and realizing cash flow in a relatively short period of time."