Avisena Clients Protected From NPI Transition Complications By Proactive Approach

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Despite a healthcare industry forecast of quadrupled claims rejections due to the new National Provider Identifier requirement, revenue cycle management leader Avisena kept their claim rejections below industry standards, demonstrating excellent vision and quality customer service to their many clients.

Avisena, a revenue cycle management (RCM) company servicing the healthcare industry, announced the success of their pre-emptive measures in preparing for the National Provider Identifier (NPI) requirement. Although healthcare industry experts forecasted a quadruple increase in rejected physician billing claims after the NPI deadline, Avisena's proactive actions ensured claim rejections were kept below industry standards. More about Avisena can be learned at http://www.avisena.com

To guarantee their clients had an easy transition to the new requirement, the medical billing company began proactively informing their nationwide client-base of over 1,550 providers months in advance. The Avisena team created a step-by-step guide on how to register with each payer, and then used their practice management team to validate the payer setup and make corrections when needed. Finally, on NPI D-Day (May 23rd), they dutifully checked that claims were received for every provider/payer combination. Some carriers, not ready for the change, requested resubmission of claims with legacy numbers. The Avisena team was able to turn all these resubmissions around in 24-48 hours. Avisena supported its entire network of medical billing services recipients during the transition, and continues to monitor the situation very closely.

"At Avisena, we know that our clients are busy providing world-class patient care," confided Mike Maseda, Avisena's President and COO. "Our job is to insulate our clients from the ever-changing complexities of managing the physician revenue cycle."

Justin Gularek, Chief Operating Officer of South Florida Surgical Specialists, uses Avisena to manage physician billing and collections for over 12 different providers and five locations. According to Gularek, Avisena constantly kept them abreast on how the NPI transition would affect their multiple provider/multiple location group. Avisena was instrumental in identifying and rectifying NPI-related issues with all payers such as Florida Medicare, Florida Medicaid and Florida BCBS. Healthcare billing claims were electronically resubmitted without disturbing the large group's everyday functionality.

"Since we were properly trained, things went smoothly and gratefully, we did not see an increase in rejected claims," said Gularek. "The transition was transparent to our practices; we didn't notice any interruption in the functionality within the practices."

About Avisena:
Avisena is a revenue cycle management company that helps medical practices improve collections through the use of its Internet-based medical billing software technology and practice management expertise. By streamlining front and back office processes, Avisena helps medical practices Collect More, Spend Less and Live Better. Visit Avisena online at http://www.avisena.com


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Vanessa Doval
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