We take care of the business – You take care of the patient!

In today’s demanding medical environment, you are faced with ever increasing regulatory, governmental, financial and administrative challenges.  We help alleviate many of those concerns, thus allowing you to focus on your patients, while we focus on the business.  Our service-oriented philosophy combined with technical savvy, tenacious claim follow-up and a high level of professional interaction makes us the premier choice for your billing and practice management needs.

The GR Information Management System (GRIMS):

• Internet-Based Workflow Technology
• Track and Monitor Information
• Skills-Based Routing
• Process Based Rules Built In
• Workflow Monitoring
• Live Reports
• Improved Documentation

Basic Outsourcing Objectives

• Optimize Revenues That the Practice is Legally and Ethically Entitled to;
• Optimize Cash Flow and Revenue Cycle Timing;
• Simplify Administrative Processes & Free-Up Internal Staff Time to Focus on Core Functions;
• Reduce Administrative Costs;
• Reduce Regulatory & Legal Liability and Exposure;
• State-of-the-Art Technology at a Reduced Cost;
• Allow Client to Focus on Enhanced Patient Care

Workers’ Compensation Billing / Collections

GR Medical Management Value Proposition

• Optimize Reimbursement
  • Training Physician / Staff to Optimize Reimbursement / Proper Documentation
  • Training Client Staff on Workers’ Compensation Procedures
• Extensive Knowledge of Workers' Compensation Claims
• Fast Processing and Payment Resolution
• Aggressive Follow-up / Collections
• Negotiation of Balances Above Fee Schedule
• Obtaining Penalties and Interest on Payments Over 45 Days
• Concurrent Implementation of Billing Requirements
  • Updates
  • In-House Seminars
• Review Office Paper Work Flow Process
  • Design / Customize Office Flow Process
  • Streamline System

Key Strategies

To Optimize Reimbursement:

• Perform EOB Analysis
• Feedback to Providers
• Training and Education 
• Coding Updates
• Contract Management
• Tracking Reimbursement by Payor

Fast Processing & Payment Resolution:

• Guarantee 48-Hour Turn-Around Charge Posting
• Guarantee 48-Hour Turn-Around Payment Posting

Aggressive Follow-Up & Collections:

• Request P & I on Unpaid Claims
• Automated Work Flow & Collections Tracking
• Denial Management / Appeal Process
• Negotiations on Balances Above OMFS

Auditing & Monitoring

• E/M Accuracy
• Consultation Criteria
• Procedural Coding Accuracy
• Modifier Usage
• Ancillary Personnel Guidelines
• Coding & Auditing Services

Management Reporting

• Standard & Customized Management Reporting
• Access to System
• Trend Analysis (Diagnosis / Procedure Distribution, Payor Reimbursement)
• Exception Reporting

Internal Productivity & Revenue Management

• Days in Accounts Receivable (DAR)
• Percentage of A/R > 90 Days
• Collection Ratio
• Employee Accuracy Rate

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