BUSINESS PROCESS OUTSOURCING FOR PEDIATRICS

The right prescription of people, process, and practice software

DRIVEN BY RESULTS

REVENUE CYCLE MANAGEMENT – MARKETING – CLINICAL COMPLIANCE – VIRTUAL FRONT DESK

Pediatrics-Cloud’s Business Process Outsourcing (BPO) service uses a consultative approach. Together, we work with you and your staff to analyze and set specific KPIs for your practice. Our proven method guides you to achieve these goals and optimize your practice.

REVENUE CYCLE MANAGEMENT

Increase Your Revenue and Get Paid Faster

  • Optimizing Billing Workflow Optimize Billing Workflow
  • Reduce Claim Rejection Reduce Claim Rejection Rate
  • Lower Accounts Receivable Lower Account Receivable
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RETAIN YOUR HARD-EARNED REVENUE

Pediatrics-Cloud’s Business Process Outsourcing (BPO) service uses a consultative approach. Together, we work with you and your staff to analyze and set specific KPIs for your practice. Our proven method guides you to achieve these goals and optimize your practice.

  • Dedicated Billing Manager
    Dedicated Billing Manager

    You are matched with an experienced biller with vast Pediatrics experience to perform all billing functions as well as recommend areas of improvement within the practice.

  • 24/7 access all claims
    Full transparency

    24/7 access to view and monitor the status of all claims from within the Pediatrics-Cloud EHR.

  • Claims Management
    End-to-End Claims Management

    All claims are reviewed and scrubbed, if needed, to ensure they are complete and accurate. Your dedicated biller(s) handle all follow-ups and tasks required to rework rejections as well as denials and zero-pays.

  • Billing Analysis
    Billing Analysis Reporting

    On a monthly basis, your biller presents monthly performance reviews and practice improvement implementation updates. Every aspect of your practice's financial health is reviewed and indexed against performance benchmarks.

Since signing up, we have a better picture of how the company is doing. We are seeing money a lot quicker. Old claims are being worked so our historic aging has improved by 40% – much better than it has ever been.

Our billing managers are incredibly good at what they do. Whether there is a posting error or a possible credentialing issue, we trust that they will go above and beyond to resolve any issues and figure out where the gaps are. [Our billing services team] is willing to work with the practice to meet our individualized needs.

Tim Berglund

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Medical Compliance

REGULATORY COMPLIANCE & MIPS/MACRA SERVICES

Achieve Full Compliance with MIPS/MACRA Requirements with Confidence

  • MIPS/MACRA Compliance Achieve timely MIPS/MACRA compliance
  • Qualify for financial incentives Qualify for stimulus financial incentives
  • Mitigate Risks Reduce risk of audit
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ATTEST WITH CONFIDENCE

CMS rules are continually changing. Together with your staff, we work to ensure your practice has the correct process in place to meet all federal compliance regulations.

Our experts analyze your practice’s strengths and identify opportunities for improvement. Using a multi-tiered process, we perform monthly audits on your practice’s compliance and manage the steps necessary to achieve continual performance improvement.

This process includes:

Pediatric Practice Process
  • Individualized training to augment areas that need improvement
  • Defined attainable goals for your staff to achieve timely compliance
  • Monthly, customized reporting to track your progress
  • Assistance with MIPS Attestation
  • Audit support, if applicable
Before we signed up for MIPS Management Services, we tried to attest by ourselves. We are a small practice and it turned out to be too difficult. The MIPS team is so easy to work with and they help with handling all the required QPP paperwork. This service has been a timesaver, and I am very confident in how they are managing our measures. The team goes over and beyond in helping us, especially during attestation time.

Reta Ramirez

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MARKETING SERVICES

Increase the Visibility of Your Practice and Attract New Patients

  • Power of Pediatric reviews Harness the power of reviews
  • Standout from other Pediatric Practices Standout from the competition
  • Showcase your practice and services Showcase your practice and services
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ATTRACT NEW PATIENTS & PROTECT YOUR REPUTATION

Your online presence is something you cannot ignore. It is the first impression you make with most potential new families and referring providers. Our dedicated and fast-acting team will fully manage and monitor every aspect of your digital footprint from responding to low star reviews to making sure your website appears at the top of search results for Pediatrics in your area.

Reputation Management
Reputation Management

Through an automatic and integrated functionality that works directly with your provider’s schedule, your practice can proactively seek reviews from parents without increasing your workload. We perform monthly audits on your practice’s results as well as address any negative reviews in real time.

Website Design
Website Design & Development

Ensure your practice’s online presence is a professional, accurate and user-friendly experience for potential and established families.

Keyword
Search Engine Optimization

Customized to your practice, our SEO strategy works to increase your Search Engine Results Page rankings for various keyword combinations found on your website.

After 3 years of verbally asking patients to leave reviews on Google, only 5 people left reviews – one of which was negative… Because the integration was so seamless, we were able to receive our first new review within two hours of starting the service. Since then [two weeks], we have gained a total of 68 5-star reviews, bumping our rating from 4.4 to 4.9.

Kandy Jenks

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Virtual Front Desk

VIRTUAL FRONT DESK ASSISTANT

Ease the Stress of Everyday Tasks

  • Relieve Front Desk Bottleneck Relieve Front Desk Bottleneck
  • Reduce No Show Reduce No Show Rate
  • Claim Rejection Sources Remove Root Causes of Claim Rejections
More

ACCOMPLISH MORE, WITH LESS

As a pediatrician, you work hard to grow your practice. But there may come a time that you or your staff need help in juggling the many tasks of managing a practice. Pediatrics-Cloud can provide a virtual front desk assistant (VFDA) to help cover the growth of your practice or provide talent that is needed temporarily or on a full-time basis.

Our trained staff can help your practice with

  • Appointment Confirmation
    Appointment Confirmation

    Sometimes parents may not confirm their child’s appointment. Your VFDA can call on your behalf to ensure your schedule is up to date, safeguarding your provider’s time.

  • Eligibility Checks
    Eligibility Checks

    Prior to a child’s visit, an insurance eligibility check may come back as ineligible. We can verify up to 48 hours in advance of your current patient appointment list and follow up on any bad returns.

  • Patient Collections
    Patient Collections:

    To help you reduce patient aging, we call the insurance holder on your behalf to alert them of their monetary responsibility for their child’s upcoming visit, as well as request payments for any outstanding balances.

  • Chart Check
    Chart Check

    Before a patient comes in for an appointment, our VFDA can check the patient’s chart in advance to verify that any labs, authorizations, and referrals, including a patient photo, needed prior to the appointment are there.

  • Telehealth Visit
    Telehealth Visits

    Our VFDA can engage with parents prior to their child’s appointment to ensure they can properly access the online appointment.

Utilizing a virtual assistant has helped our practice tremendously. We have a busy medical office with a small front desk area that can only fit a limited number of support staff. With the help of a virtual assistant, we are able to accomplish more tasks at a timely fashion without the need of creating an extra space. She can be easily reached via email and is very responsive with any questions or tasks I have.

Mitchell Cabisudo, MD

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