A fully-integrated bundle of technology with billing and coding services keeps your revenue cycle strong, allowing you to focus on patient care. Physician practices gain confidence, peace of mind and a profitable financial and administrative lifeline when they hire GoSoft.
Our experts identify key performance indicators in your revenue cycle workflows in order to provide best practices, strategic plans and benchmarking to drive financial improvements.
You’ll also benefit from a virtual back-office staffed by GoSoft to follow up on claims. Our staff will pursue full reimbursement for all payment modes to relieve you from having to chase down payer and patient payments. With the support of professional services, you’ll experience the peace of mind of and an increase in cash flow.
0%
increase in collections
Our technology driven approach to practice management and billing maximizes the reimbursement process and streamlines practice operations. Our experts take on your most time-consuming tasks, such as claim submission and follow up, denial management, payment posting and business analytics, getting practices paid 7% more, and 30% faster.
We focus on getting you paid the first time by submitting clean claims, that’s why 96% of claims submitted by our practices are successful on the first submission.
GoSoft is ready to help you meet the demands of ICD-10 today. As you may know, the Centers for Medicare and Medicaid Services (CMS) have mandated that healthcare organizations begin using ICD-10 diagnosis and procedure code sets for clinical documentation and billing of services. The deadline for healthcare entities to comply with the new code sets is October 1, 2015.
We do not require our clients to transition into a proprietary software to do their billing. We are flexible and work with any software, including the software that you are already using. We provide complete access to our clients and are always available to answer any questions.
Intelligent Data Analytics
Payer changes are inevitable, but we stay ahead of them with MagikTrak. Our Certifed Coding Team diligently updates MagicTrak on a daily basis, researching payer information, monitoring trends and tracking changes using the powerful software. And to ensure a denial never happens again, we continuously monitor payer trends and add them to MagikTrak.
Optimizing Financial Results
By benchmarking, tracking, and continually helping you improve your processes, we make sure your practice and collections are managed as efficiently as possible. MagikTrak will track and identify Key Performance Indicators for your practice. For example, entering patient charges soon after care is delivered, or minimizing charge entry lag. As part of our Consulting service, we provide training, resources and coaching to help you utilize MagikTrak to help optimize financial performance.
ELIGIBILITY VERIFICATION
It is not unusual for an employer to change employee health plan offerings each year, or for employees to switch plans annually, as each group looks for ways to reduce expenses. These frequent, ongoing changes increase the importance of accurate, upfront eligibility and benefits verification for all healthcare providers. Having access to the most up-to-date eligibility and benefits data increases clean claims rates, eliminates costly rework and accelerates reimbursement.
PRIOR AUTHORIZATION
Prior authorization is a process used by health insurance companies in most states to determine if they will cover a prescribed procedure, service, or medication. The process is intended to act as a safety and cost savings measure, although it has received criticism from physicians for being tedious, time consuming and expensive. In certain states like CA, almost all patient visits in certain specialties require a prior authorization, including follow up visits. Allowing GoSoft to obtain all prior authorizations for the office significantly saves time and fosters a patient-centric focus by the front desk. In addition, this is a very significant step in preventing delayed payments and speeding up reimbursements.
Save 10 Minutes Per Patient
Save 10 minutes per patient which would have otherwise been spent on obtaining authorizations and insurance eligibility by your staff. With a patient load of 35 patients per day, the time saved by staff on average is 6 hours each day.
Comprehensive service that includes entering patient demographics, verifying accuracy, checking eligibility, obtaining authorizations and ensuring accurate billing.
Improve Patient Experience
GoSoft provides a perfect platform for your staff to focus on providing patients with an exceptional experience. All verification and authorizations are obtained prior to patient arrival.
After GoSoft has taken over our patient verifications and authorizations, our staff has a lot more free time. Our patients like the attention they receive from our staff. We don’t have to worry about our verifications and authorizations anymore, since their service works like clock work. There are hardly any mistakes in their workflow. Also, how can I not mention the cost savings and not needing to manage vacations, time offs, etc.
Chula Vista Cardiac Center
Has your Accounts Receivable balance been growing over the years? Do you already have a billing team in place and want us to follow up on your 60+ days and 120+ days outstanding claims? GoSoft’s experts have a strong proven track record in collecting on ageing outstanding claims. We successfully decrease the average number of days your claims remain outstanding by 30% – 50%.
While most billing software companies have incorporated cutting-edge technology to ensure correct ICD and CPT codes are applied after each visit, they have not included tools to track the claim through the entire revenue cycle management process. For example, an insurance company might want you to follow up after 21 days to ensure they have processed information given today. It is imperative to call the insurance company back in 21 days, provide them with the reference number from the last call and follow up to ensure the claim is paid. Most offices do not have access to a software like MagikTrak to track the claim, work them in a systematic fashion, and provide reminders until it is paid. As a result, over time thousands of unpaid claims that have passed the timely filing limit grow the AR and have to be written off as bad debts.
GoSoft’s Five Step Proven Strategy
GoSoft will run an AR report from your billing software and analyze the different ageing buckets. We look at your 0–30 days, 31-60 days, 61-90 days, 91 – 120 Days and 121 Days+ AR dollar amounts and percentage of AR in each ageing bucket. Our experts use this report to develop a suitable blueprint to prioritize claims, assign them to our specialists and monitor progress.
We categorize each claim by assigning a status and color code them in MagikTrak. The seven possible categories are as follows:
Claim Not in System
Claim Under Process
Claim Paid
Claim Denied
Amount Applied Towards Patient Deductible
Claim Approved For Payment
Claim Write Off
The claims are then prioritized and assigned to our team of specialists to work on. We continuously monitor productivity of our team to ensure claims are being worked on vigorously and strong results are produced.
MagikTrak is a powerful analytical tool which provides a real-time snapshot of performance. We benchmark ourselves to certain Key Performance Indicators, such as average number of days for payment, decrease in dollar amounts in each ageing bucket, and number of claims worked. Adapt to trends proactively through robust claim tracking.
The use of intelligent data analytics empowers management through business intelligence and comparative analysis. We optimize our performance through actionable information and business processes.
When I hired GoSoft, they helped us systematically organize our AR report and then worked them. They have specialists who are consistent and the best part is that I have access to MagikTrak, which allows me to monitor their work and our business trends.
R. Ramirez - Administrator, Albert Sharf MD
GoSoft is an expert in the field of medical transcription. With a highly trained team of transcriptionists, we provide fast, accurate and secure medical transcription services to private practices, medical groups, clinics and hospitals across the nation. Many of our clients have been with us for years, which is a true testament to our unwavering customer service and our dedication to consistently delivering quality transcription.
We deliver a quality product at an affordable rate, and best of all, you will enjoy working with our experienced team. Every document undergoes a specialized proofreading and quality control process to ensure the highest caliber output.
The purpose of complete and accurate patient record documentation is to foster quality and continuity of care. It creates a means of communication between providers and between providers and patients about health status, preventive health services, treatment, planning, and delivery of care.
PHYSICIANS SPEND BETWEEN 60 - 90 MINUTES ON CHARTING PER DAY
On average, providers spend around 60 - 90 minutes per day using voice recognition and/or editing templates to complete their chart notes. While voice recognition technology has improved, it is expensive and far from perfect. It takes a tremendous amount of time and effort to use voice recognition and /or edit templates. As a result, physicians are spending a lot of their evenings and weekends completing these tasks.
Transcribe using either a digital voice recorder or dial into our telephone dictation system, dictate your notes and wake up to transcriptions inserted and formatted in your EMR the following day. A copy of the note will also be faxed to the referring providers with confirmations securely sent to your staff.
See more patients each day to increase revenue instead of spending time on charting. Physicians who use transcription on average can see 3 more patients per day than physicians who use voice recognition software and/or edit templates. Also, the cost of transcription is negligible compared to the revenue generated from seeing additional patients.
What would it mean to your patients if you could spend those additional few minutes with them to answer all their questions? Research shows that the extra time could be the difference between an average and exceptional service in the eyes of your patients. An added bonus would be that you get to enjoy your personal time instead of spending evenings and weekends charting.
24 HOUR TURNAROUND TIME
GoSoft offers a rapid turnaround time that can be customized to the client’s needs.
TRANSCRIBED REPORTS FORMATTED AND INSERTED IN EMR
We will paste transcribed reports in your EMR or modify your templates if necessary
FAX TRANSCRIPTIONS TO REFERRING PROVIDERS
We offer the service to fax transcriptions to your referring physicians.
TELEPHONE DICTATION AND DIGITAL VOICE RECORDER (DVR)
Physicians have the flexibility to dictate either by telephone or DVR. Telephone users are provided a toll-free number to use from any mobile phone or landline.
WEB-ENABLED UPLOAD/DOWNLOAD
Convenient web enabled upload and download accessible around the clock from any computer.
FILE ARCHIVING
Efficient web based archiving means you can easily retrieve your new or old transcriptions within seconds. We are the only company in the industry who offers this option at no cost to the client.
DIGITAL LETTERHEAD
Your company’s letterhead can be digitally customized, which reduces time and printing costs.
HIPAA COMPLIANT SERVICE
GoSoft is a completely HIPAA compliant medical transcription service. Our website is secured by 256 bit SSL (secure sockets layer) technology.
TRANSPARENT BILLING
Itemized billing and summary statements easily accessible 24/7
CUSTOMER SERVICE
Our company provides a dedicated representative to handle your service needs.
PERFORMANCE BASED
At GoSoft, there is no time commitment. Our service is performance based, since we are extremely confident in the quality of our services. GoSoft is one of the very few companies in the industry to offer this option.
GoSoft has a great transcription service. We get our reports promptly and accurately the following day. Their pricing is fair and the service is courteous. The customer service is 100% best I have ever had. They always answer the phone with a live person and are always accessible. Accuracy on transcription reports is very high.
Dr. Israel Chambi
I highly recommend using GoSoft since they have an excellent turn around time. They do not make too many mistakes and they are very competitively priced. Excellent customer service as well. They fax our dictations to our referring providers which helps us save time.
Dr. Peter Anastassiou
Have you ever called a medical office and your call was sent to voicemail or you remained on hold for a long time? The primary reason this happens is that the office is short staffed and the receptionists are overwhelmed due to congestion of phone lines. In our research, we found that an overwhelming majority of patients call a medical office for something simple: to either make or modify an appointment, or to request a prescription refill. Whether they’re calling for the first time or have been a patient for many years, their experience is a direct reflection on the practice. Patient satisfaction can be affected if their phone calls into the office go unanswered or they’re left on hold for a long time.
GREAT CUSTOMER SERVICE MEANS SYSTEMS AS WELL AS SMILES
When the answering service repeatedly picks up the phone during normal business hours, it is extremely frustrating for patients. Same with staff not returning phone calls or being absent for 1.5 hours during lunch time. Patients need to have access to staff during normal office hours to make appointments and ask questions.
PARTNERING WITH YOUR OFFICE STAFF TO ENHANCE PATIENT SATISFACTION
Numerous surveys suggest that patients want to speak to a live human being as soon as possible with minimal hold times to get their needs met. At GoSoft, we completely eliminate all automated voice prompts and a live human being picks up in 2 rings. We partner with your staff to ensure your customers have an exceptional experience while interacting with your office.
GoSoft can accept all inbound calls on behalf of our organization by forwarding your calls to us. Our friendly receptionists usually pick up immediately and greet your patients in a friendly manner.
Rx refill requests are usually entered in MagikTrak, our HIPAA compliant telephone messaging portal and sent back to the clinic. If there are any urgent requests, we can contact a staff member and then transfer the call for immediate assistance.
We answer all FAQs that are provided to us by your office. Common examples are if a patient needs to know if they need to fast before their appointment. We gather all the FAQs from the office and train our receptionists to answer these questions.
In instances where your staff is unavailable or the message is for a physician, we send the message securely via MagikTrak.
GoSoft will call your patients the day before the appointment and send your office as status report. Possible Statuses are confirmed, canceled, left voice mail, unable to leave message, incorrect phone number. On average, our customers experience a 10% decrease in no-show rates with GoSoft’s appointment reminders.
The phone system is the first point of contact for most patients. You do not get a chance to create a second first impression. Provide exceptional service by getting rid of telephone menus and automated voice prompts.
We work through lunch, since we recognize that many patients try to contact the clinic when they are on their lunch break. We will provide your patients with exceptional service during this time when most other clinics will be closed. This will give your clinic a competitive edge.
Say Goodbye to Voicemail, Increase Transparency
All messages left by patients are sent back to the office via MagikTrak and are checked off as they are completed. If the message is not checked off, it remains in the individual staff’s inbox until action is taken. Our system increases accountability within the office and no patient’s messages go unanswered.
Enhance Customer Satisfaction
GoSoft helps physicians strive to deliver service on the schedule of their patients, not just a schedule that happens to be convenient for their staff.
What I liked about GoSoft’s appointment reminders is that it definitely decreased the no-shows rate by about 10%. They called our patients the day before, clearly gave them instructions on how to prepare for the appointment or tests, and sent a report via MagikTrak. If patients canceled, we were successfully able to fill the appointment slot with another patient. I recommend using them for this service.
R. Ramirez - Administrator, Albert Sharf MD
Using GoSoft’s phone receptionists has improved our customer service. They pick up immediately and use MagikTrak to send us all messages from patients that require an Rx refill or a call back. This way, we can attend to all patient’s needs at one shot without being interrupted throughout the day. I highly recommend using them, since it increases productivity.
Chula Vista Cardiac Center
Our healthcare environment has drastically changed over the last 20 years. Healthcare organizations and practices continually face challenges in operational areas, such as scheduling, patient flow, revenue cycle management, reimbursement pressure, and more. To address these operational challenges, GoSoft can collaborate with your organization to build a foundation for strategic growth by identifying Key Performance Indicators (KPI) and implementing operational improvements.
Medical practices across the country are being burdened with declining reimbursement, payers’ reduced fee schedules, value-based reimbursement, bundling of services and large patient account receivables. We provide a comprehensive analysis of your revenue cycle management to provide solutions to improve cash flow and provide patients with an exceptional experience.
Our healthcare environment is constantly changing, and navigating through this transition is critical to providing quality care. To remain in a financially healthy state, it is imperative to identify KPIs, analyze them, and respond by implementing the necessary changes.
GoSoft’s technology driven approach enables practices to analyze KPIs and help respond to issues impacting their financial and operational performance. With instant access to KPIs that effect revenue cycle management, the practice gains a new level of clarity into the workings of administrative and back office functions.
Once we evaluate the entire revenue cycle—from scheduling, eligibility verification, prior authorizations to financial resolution, we will be able to make recommendations and provide solutions. We take a collaborative approach to ensure that our solutions are viable for the organization.
ICD - 10 DEADLINE IS FAST APPROACHING
GoSoft delivers readiness assessments and provides solutions to ensure successful transition to ICD-10. We realize that many medical practices lack the internal resources and the experience to provide resources, planning, and education needed for ICD-10 implementation and ongoing compliance. We collaborate with our clients and customize our approach to meet their needs. The ICD-10 deadline is October 1, 2015.
GoSoft can perform any job that can be done electronically that is time consuming in a medical office. Many physicians prefer completing their tasks on paper to save time instead of spending time on a computer. This allows them to increase focus on patient care and/or increase production by seeing additional patients. In such cases, Data Entry work for physicians include performing all repeatable template work in a physician’s EMR. Other data entry work for administration include entering patient demographics, entering payroll or bookkeeping information, and managing incoming and sending outgoing faxes.
Data Analytics Using Custom Software
Healthcare organizations are challenged by pressures to reduce costs, improve coordination and outcomes, provide more with less and be more patient centric. Yet, at the same time, evidence is mounting that the industry is increasingly challenged by entrenched inefficiencies and suboptimal clinical outcomes. Top performing organizations use analytics to guide strategy, perform product research and development and for sales and marketing. Using analytics to gain better insights can help demonstrate value and achieve better outcomes, such as new treatments and technologies. Healthcare organizations are increasingly using analytics to consume, unlock and apply new insights from information. New methods of analytics can be used to drive clinical and operational improvements to meet business challenges.
GoSoft can write software programs that run a number of reports on a weekly, monthly or quarterly basis. Below are examples of programs that have helped medical practices evaluate their overall Business Goals and Specific Objectives that can addressed by analytics
Improve Clinical Effectiveness and Patient Satisfaction
Improve clinical quality of care
Improve patient safety and reduce medical errors
Improve wellness, prevention and disease management
Understand physician profiles and clinical performance
Improve customer satisfaction, acquisition and retention
Improve Operational Effectiveness
Reduce costs and increase efficiency
Optimize catchment area and network management
Improve pay for performance and accountability
Increase operating speed and adaptability
Improve Financial and Administrative Performance
Template Modification Workflow
Print Template and Modify
Whether your template is for nuclear tests or a patient visit, you may print the template and make the necessary changes. For example, indicate all review of systems as normal except the changes necessary. Choose one pain level as from mild, moderate, and severe.
Once all templates for the day are completed on paper, your staff may scan them and place on server for easy access. GoSoft will make the necessary changes in your EMR and perform an additional quality check to ensure accuracy.
Templates are Modified and Ready for Signature
Before 9 AM the next day, your templates are modified in your EMR and ready for your review and signature.
If we have any cumbersome reports, GoSoft finds a way to automate the process. GoSoft does an excellent job doing our office productivity reports. We have about 8 providers and we needed to run multiple reports to figure out their productivity and compensation. It was taking us about 10 days to complete the report on MS Excel. GoSoft’s software team automated this process, which gives us this report fully completed in 30 minutes. It saves a tremendous amount of time and since the software is programmatically designed, it is 100% accurate and error free. It certainly saves the practice a lot of time. We also use GoSoft to run reports by payer to find out reimbursement amounts for certain CPT codes. These reports are useful during negotiating contracts to find out which contracts are worth renewing or cancelling.
R Saldana, Finance Manager, San Diego Arthritis Medical Clinic