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MANAGEMENT AND WIND-DOWN OF A PRE-CONVERSION RECEIVABLE (SAFETY NET)

 

  Q. What criteria should be considered when evaluating if this service is beneficial to my operation?
  A. MBR will be happy to assist you in determining how it's services could be of greatest benefit to your organization. Completion of the “Contact Us” section with-in this web-site will begin the process. Generally, our services will benefit any organization that needs to automate processes, ensure regulatory compliance, optimize cash flow, enhance receivable management efforts, or need to support growth without making a significant investment in equipment, space and staff.
   
  Q. What is needed in order to implement one of the MBR programs?
  A. In order to implement one of our programs MBR requires only the assistance of a key contact person with-in your organization. This individual will provide any data or insight required for MBR to establish the system profiles and back-office structure needed to maximize it's efforts. If hardware is required on-site for appointment scheduling, patient registration, or system inquiry/ report generation, MBR will assist in evaluating the equipment you presently have and determine what if anything additional is required.
   
  Q. How are the fees for these programs structured? What is required in order for MBR to propose the fees related to the service chosen?
  A. Other than certain exclusions that are specific to the particular program, MBR services are provided in a manner that provides incentive for it to perform, thereby limiting it's client's risk and creating a true incentive based and mutually rewarding partnership.  Upon making contact with us, we will discuss what information is needed in order for us to propose fees.  The information will depend upon the type of assistance requested.
   
  Q. How is data exchanged?
  A. In order to maximize productivity and efficiency, data is exchanged in electronic fashion. This is done through state-of-the-art systems with the security of patient information, and regulatory compliance as primary issues.
   
  Q. What is the estimated timeline for the implementation of a program?
  A. The estimated timeframe for install of any of our programs is approximately four to six weeks. This is based upon a number of factors including, readily available information for system set-up, the complexity of interfaces that may be required, and special requirements of the client. MBR attempts to begin production in as timely a manner as possible without jeopardizing the long term benefits to be derived from a project that is well structured and thought out.
   
  Q. What effort is routinely required from the client?
  A. On a routine basis the MBR client is asked to be available for status meetings, review of executive management reporting, and assist with any issues that MBR feels requires the input of the healthcare provider.
   
  Q. How often if billing generated?
  A. Billing is generated on a daily basis, or as often as third party carrier requirements permit.
   
  Q. How is account follow-up performed?
  A. Follow-up is an intense and highly focused function of our overall back-office processes. Specific follow-up criteria has been developed, tailored to the medical specialty, hospital service, patient type, and the insurance status and age of the account. This is all based upon the significant experience that MBR possesses. An automated “Worklist” environment is employed using telephone and letter series routines. All follow-up efforts are noted on the system. Classifications of problem accounts are reported to the client in order to assist in addressing front-end issues affecting revenue generation and cash collection.
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  Q. How is the self-pay population handled?
  A. Self-pay, including the uninsured and the partially insured individuals, is handled by MBR in accordance with policy and procedure established by the client. MBR will provide recommendations based upon our experience. A dunning cycle, with tailored letters and patient statements, is utilized. Both the letters and the statements provide toll free telephone access to the patient, directly into the MBR customer service area. As new information is obtained from the patient/guarantor, the system is updated generating an immediate re-bill as may be appropriate. At the conclusion of the dunning cycle, delinquent accounts are listed as pre-collection to be handled in accordance with the client's instructions governing write-off, return, or collection agency referral.
   
  Q. How is correspondence with the patients handled?
  A. All correspondence is handled in a supportive manner. MBR presents itself to the patient as an advocate offering it's assistance in getting their claim appropriately recognized by their carrier.
   
  Q. What receivable management services are included with-in the program?
  A. When a comprehensive outsourcing program is chosen, MBR provides all aspects of receivable management. These services include cash and adjustment posting, classification transfers, analysis and feedback to the client, audit letters, dunning, intense follow-up processes, management report maintenance and review, and the preparation of delinquent accounts for final disposition.
   
  Q. How are payments handled when received directly by MBR?
  A. When payments are received directly at MBR, if related to an aged receivable project, they are recorded and forwarded to the client. MBR will not deposit the cash. With aged receivable projects, MBR depends on the periodic reporting from the client for cash posting to its system. If related to a total outsourcing project, again cash is directed to the client, or the preferred approach is to establish a lockbox for directing the cash payments. In this way the cash is deposited immediately to the client's bank account, and the back-up is forwarded to MBR for posting. Either way, it is a better approach for both MBR and the client, that MBR does not take possession of the cash.
   
  Q. How are accounts updated as payments are received at the client?
  A. All cash is directed to the client (either through a lockbox or other preferred method). If related to an aged receivable project, the client posts the cash received to the patient's account through their routine processes. An electronic file is provided to MBR, on a regular basis, for use in updating the MBR system. The frequency and accuracy of these files is very important in order for MBR to maximize the effectiveness of follow-up efforts. If related to a total outsourcing arrangement, the backup to the cash received by the client is forwarded to MBR for posting.
   
  Q. How flexible is MBR reporting?
  A. MBR reporting is extremely flexible. The standard reporting is very comprehensive, and typically sufficient. However, for total outsourcing projects, there is a “report writing” module available. For aged receivable projects, special reporting requirements can be accommodated. Reports can be provided to the client electronically, or the client can be given the ability to generate reports at their sites. In addition to the reporting generated through the billing system, MBR provides Executive Summary Reporting. This reporting provides a management summary concerning areas of concern that MBR has identified through their efforts, as well as analyses of the status of cash and receivable levels.
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