Medical Biller's Blog
Here are the five things you should know about sequestration: 1. What is sequestration? It is the mandatory 2% payment reduction in the Medicare fee-for-service (FFS) program required by the Budget Control Act of 2011. 2. Who does it ...0
An Explanation of Benefits (EOB) is the document that health insurance companies send to communicate their decisions to members regarding payment for services. Every insurance company EOB is different, and many of them are difficult to u...0
As a medical biller one of the constant issues we encounter is out of date or inaccurate insurance coverage information. It delays payments and causes a lot work for office staff. I thought it would be helpful for our Iridium Suite use...0
Why is payer money not collected? It is estimated that 30-40% of denials are due to front-end registration and eligibility issues. If billing staff are diligent with the patient benefit verification steps from our last Medical Billing B...0
Shavara has the accumulated 'experience capital', the market know-how, the intricacies of coding, billing and connectivity that we have 'learned'. It is the basis of the work we do in Catalysis - Shavara's Professional Services Engagements.
Revenue Cycle Management: solved.
What is Catalysis?
To "catalyze" is to rapidly advance by applying powerful tools and industry expertise. Catalysis becomes the process to gain access to the power, apply it to solve gaps and vulnerabilities - then rapidly advance. Shavara possesses the tools to apply Catalysis via collaborative engagements. Our infinite targets are the enterprise organizations: Hospitals, clearinghouse processors, Insurance companies (payers), and large physician practices, peppered throughout the Healthcare system that all share equally the challenges, pitfalls, inefficiencies, ineffectiveness, and the deliberate speed-bumps placed there by bureaucrats to slow down the revenue cycle.
What are the costs of these speed-bumps to the Healthcare system? The costs are in the billions.
Inefficiencies / ineffectiveness
- a higher cost of money due to extended A/Rs
- a higher cost of operating due to the number of additional staff required to research and chase down A/Rs
- a decline in the quality and calibre of care - care outcomes due to the necessity of placing so much cost on the administrative and operational side of the equation
Therefore, solving this eliminates and holds the potential to improve organizational effectiveness, reduce the cost of healthcare and improve healthcare outcomes.
So, who is Shavara? What is that old lamp on the corner of the desk?
That lamp holds wisdom. The cumulative potential of that wisdom holds the potential to dramatically impact operational effectiveness and improve healthcare outcomes.