Outsourced Chiropractic Billing Service Performance Benchmark - December 2006

Yuval Lirov
 


Visitors: 188

December Billing Performance Index (BPI) outperformed November value by 4%, replacing two participants in the list of top ten performers and raising the index from 13.7 up to 13.1. This article describes a 7-th iteration of a prototype for a rule-based chiropractic billing index, including its coverage definition, update cycle, volume weighting, and provided information.

BPI = 13.1 means that the average of ten top performing payers working with BillingPrecision.com clients have 13.1% of Accounts Receivable beyond 120 days. BPI is a key billing performance characteristic, as it is a proxy of the claims that are never paid. Obviously, the lower is the index the better is billing performance. The table below also lists the top ten performing payers and their relative index as recorded in Billing Precision's system.

  • Billing Precision Index 13.1
  • Triad 3.5
  • Blue Cross Blue Shield Wisconsin 4.4 (down from 2.9 in November)
  • Medicare Florida 5.6
  • United Health Care 7.1 (up from 12.1 in November)
  • Blue Cross Blue Shield Illinois 10.6 (down from 5.4 in November)
  • Health EOS 11.9 (up from 19.5 in November)
  • Cigna 12 (same as November )
  • Medicare New Jersey 16.3 (down from 12.1 in November)
  • Blue Cross Blue Shield New Jersey 18.5 (up from 20.2 in November)
  • Medicare Wisconsin 18.5 (down from 16.1 in November)

Dropped participants from November BPI:

  • Horizon 6.5
  • Aetna 17.2

Improved participants with respect to November BPI:

  • United Health Care 7.1 (up from 12.1 in November)
  • Health EOS 11.9 (up from 19.5 in November)
  • Blue Cross Blue Shield New Jersey 18.5 (up from 20.2 in November)

Underperforming participants with respect to November BPI:

  • Blue Cross Blue Shield Wisconsin 4.4 (down from 2.9 in November)
  • Blue Cross Blue Shield Illinois 10.6 (down from 5.4 in November)
  • Medicare New Jersey 16.3 (down from 12.1 in November)
  • Medicare Wisconsin 18.5 (down from 16.1 in November)

New participants with respect to November BPI:

  • Triad 3.5
  • Medicare Florida 5.6

Coverage

BPI is rule-based, i. e. , payer participation in the index is defined by dynamically rules at the time of computation and not by a static listing of specific payers. Therefore, any specific payer may start or discontinue participation in the index, dependent on satisfaction of rule's conditions.

Current selection of payers for participation in the BPI is based on fifty top-volume providers across all United States that have received Billing Precision services for more than six months and have more than two hundred claims in their current Accounts Receivable.

Update Cycle

BillingPrecision.com updates BPI on a monthly basis.

Volume Weighting

BPI is volume weighted, which is important to accommodate future growth of provided information, index combinations, and sensitivity across multiple indices.

Information Provided

BPI computes the percent of Accounts Receivable beyond 120 days. Note that national average across all medical specialties of percent of accounts receivable beyond 120 days is 17.7%.

Summary

Medical Billing Performance Index helps the development of billing industry standards. Medical service providers can use the index to benchmark their billing performance and to guide its improvement over time. Rule-based index definition allows for automated inclusion and exclusion of payers in the index based on payer attributes, such as numbers of processed claims, accounts receivable distribution, certain mix of CPT codes, or patient demographics. Relative payer index provides billing process improvement direction.

Yuval Lirov, PhD, author of "Mission Critical Systems Management" (Prentice Hall), inventor of multiple patents in artificial intelligence and computer security, co-author of ChiroAudit.com, and CEO of Vericle.com Billing Technologies. Vericle® delivers comprehensive practice workflow engine that integrates patient scheduling, SOAP notes, billing, transcription, and compliance management. Chiropractic Audit webinar, prepared by BillingPrecision.com, teaches how to improve billing performance and reduce audit risk. Yuval invites you to register to the next webinar at ChiroAudit.com.

(701)

Article Source:


 
Rate this Article: 
 
Chiropractic Office Workflow In 2025 - Scheduling, Clinical Service, Notes, And .
Rated 4 / 5
based on 5 votes
ArticleSlash

Related Articles:

Outsourced Chiropractic Billing Service Performance Benchmark - September 2006

by: Yuval Lirov (October 15, 2006) 
(Business)

Outsourced Chiropractic Billing Service Performance Benchmark - October 2006

by: Yuval Lirov (November 17, 2006) 
(Business)

3 Best-Paying Insurance Companies in 2006-Annual Chiropractic Billing ..

by: Yuval Lirov (February 13, 2007) 
(Insurance)

Outsourced Debt Collections for Medical Practice - Top 5 Criteria to Better ..

by: Yuval Lirov (November 19, 2006) 
(Business)

How To Get Paid in Full and On Time - Top Five Measures of Chiropractic Billing .

by: Yuval Lirov (September 22, 2006) 
(Business)

Integrated Best-Of-Breed Outsourced Billing Service and SaaS EMR - Eight ..

by: Yuval Lirov (October 04, 2006) 
(Business)

#1 State in Chiropractic Billing Performance Index in June is Illinois - The ..

by: Yuval Lirov (July 02, 2008) 
(Insurance/Medical Billing)

Best-Of-Breed Outsourced Medical Billing Service and SaaS EMR - Eight-Step ..

by: Yuval Lirov (October 05, 2006) 
(Business)

Nine Criteria for Best Software-as-a-Service (SaaS) of Chiropractic Billing and .

by: Yuval Lirov (September 25, 2006) 
(Business)

Chiropractic Office Workflow In 2025 - Scheduling, Clinical Service, Notes, And .

by: Yuval Lirov (January 22, 2007) 
(Business)