Services

Studies have found that up to 30% of claims submitted to payors are denied and one out of every seven claims had to be resubmitted, appealed, or written off by providers. That represents hundreds of thousands of dollars in lost revenue that some practices aren't even looking for.

Add to this the complications of Consumer Directed Health Care (CDHC) insurance coverage, coding and regulatory compliance and you’ll find that doctors are facing an exponential increase in the difficulty of managing a practice.

Practices can try to piece together a billing and collection solution using various technologies and providers or they can turn to Dominion Medical Management, an industry expert who's already done all of the heavy lifting by creating a revenue cycle management offering where the results speak for themselves--full charge capture, 99% charge resolution and greater than 99% accuracy.

We have made significant investments in developing the resources to provide complete medical billing services that serve to maximize your collections, lower costs, increase efficiency and enhance the bottom line. At the heart of our proprietary PRISM software is the Coverage Knowledge Center which is updated each week with government and health plan reimbursement modifications on a national, state and local basis. Every line item submitted for reimbursement is electronically checked to ensure the highest levels of reimbursement.

Not satisfied with the industry’s best resolution levels, Dominion Medical even captures patient visits and procedures that fall through the cracks for other systems. In fact, 3% to 10% of patient visits typically go unprocessed in most practices. So we perform the additional analytics to ensure that these visits are caught and claims are processed in a timely manner.

Dominion Medical excels in revenue recovery as well, since only 1% of rejected claims go unresolved, while other solutions struggle with denied claims as high as 10% of the total. At Dominion Medical, we partner with physicians to maximize the total profitability of the practice since both the physician and Dominion Medical benefit when additional claims are processed and the funds are collected.

The Result

These services have improved cash collections for our new Clients by an amount equaling 3% to 8% of their previous gross charge total. In the words of an industry-leading consultant, “Dominion Medical’s systems and processes, and the overall performance level they produce, is unmatched in the industry by either internal or external options." This firm recently performed an in-depth audit of our operations (over 5 million transactions) and reported that our resolution accuracy was 99.2%.

Dominion Medical Revenue Cycle Service Components: 

• Client-Driven Management Reports and Analysis
• Full Charge Capture Verification 
• Medical Coding, Documentation Review and Training
• Electronic Claims Submission
• Denial Management
• Accounts Receivable Management
• Patient Services
• Claims Payment Processing
• Credentialing and Enrollment Services
• Payor Negotiation Support