Monday, July 30, 2012

SISNWINC Announces Partnership with OCHIN


Spectrum Information Services NW, Inc. (SISNWINC) is happy to announce that they have entered into a long term agreement with OCHIN (ochin.org) to provide document conversion services and lockbox and EOB processing to its 1,200 member providers.

One of the nation’s largest and most successful health information networks, OCHIN is nationally recognized for its innovative use of Health IT to improve the integration and delivery of health care services across a wide variety of practices—with an emphasis on safety net clinics and small practices as well as critical access and rural hospitals.

According to Glenn Odell, SISNWINC's President, the partnership will benefit providers in OCHIN's network by providing them with a solution for making a rapid and seamless transition from paper medical records to electronic medical records while safeguarding patient information. Mr. Odell noted that SISNWINC's medical lockbox solution reduces expenses and virtually eliminates the possibility of fraud. This is of benefit to smaller health care providers that may not have the staffing available to implement checks and balances and separation of duties. Making Explanation of Benefits (EOB) forms fully searchable and archiving them for seven years greatly reduces administrative costs and ensures compliance.

SISNWINC is a provider of back office health care solutions that include medical lockbox, EOB scanning and indexing, medical record scanning, release of information, secure messaging, and receivables audits. SISNWINC is headquartered in Washington and has locations in Portland and Seattle.  For more information visit sisnwinc.com.

Wednesday, June 6, 2012

2012 WSMGMA Meeting

The 2012 WSMGMA meeting was a fantastic event with great educational presentations, inspirational keynote speakers, lots of networking opportunities, and some fun evening events.  SIS NW had a booth at the trade show.  We appreciate all the customers who stopped by to visit us and would like to congratulate Justin Pierce from Broadway Medical, the winner of the Kindle Fire grand prize in our drawing.  SIS NW is a strong supporter of WSMGMA and we are already looking forward to next year's meeting in Tacoma!

Lisa Swan, Art Fletcher, and Glenn Odell, President of SIS NW

Glenn Odell and Larry Jurgens

Justin Pierce and Glenn Odell






Wednesday, May 2, 2012

How much is your medical practice being underpaid?


According to the AMA, twenty percent of claims are not paid correctly (http://www.ama-assn.org/ama/pub/news/news/ama-health-insurer-report-card.page).  According to their calculations, that results in $17 BILLION DOLLARS IN WASTE every year.

The costs to a medical practice aren't just the lost revenue from lower than contracted reimbursements, it's all of the added administrative time spent reviewing claims, fighting with the insurance companies, and exchanging information.

It's now possible to use advanced technology to scour data in electronic EOB forms to compile all of the CPT codes and the corresponding reimbursements and compare those to the contracted amounts with your payers.  Once that information is available, it's easy to calculate how much you've been underpaid.

The key to recovering the underpayments is having an experienced attorney that knows the ins and outs of the insurance industry and can do battle with the insurance companies on your behalf.  

This process doesn't cost anything to the medical practice, they simply share a portion of the recovered revenue.  Once the reimbursement process is tightened up, it will result in increased revenue and profitability by reducing the amount of staff time spent reviewing receivables.

If you'd like more information, please contact Glenn Odell at 503-715-0284.