Are you struggling to keep up with timely patient statement distribution?

Is your call center overwhelmed with billing questions?

Unfortunately, patient statement distribution, payment collection, and call center support aren’t going away. And for SNFs, hospice, and home healthcare, it can be challenging to stretch your resources to deliver the services your patients expect efficiently and quickly.

So, it’s understandable if you’re struggling to keep up with the growing demand for statement delivery and call center support. 

But, there is some good news!

Outsourcing your statement distribution and call center support can help you expedite collections and improve patient satisfaction, regardless of the size of your facility.

Statement Distribution and Call Center Support

It’s critically important for your facility that your patients receive accurate and precise statements quickly. In addition, you want to provide excellent customer service to address any patient billing inquiries. But, with limited staff, it can be hard to deliver the services your patients and their families expect. 

It doesn’t have to be this way.

With support from an experienced medical billing company, you can deliver easy-to-understand statements and provide professional support for your patients. 

Discover How MCA Can Help

Outsourcing statement distribution and call center support can give you the peace of mind that your residents are receiving consistent service while increasing your collections. When outsourcing your statement distribution and call center support to MCA, we manage the entire statements distribution process to patients, including taking calls from your residents regarding statement questions.

By selecting MCA to manage your statement distribution and call center support, you can expect:

Easy-to-understand statements.

MCA is committed to providing detailed, easy-to-understand statements that provide your residents with the information necessary to expedite outstanding payments. 

Our billing professionals will consistently handle all the little details necessary to produce and distribute your billing statements with clearly written payment instructions.

Updated facility and ancillary charges included.

Before any statements go out to your residents, MCA’s highly skilled medical billers ensure that all submitted statements contain updated facility and ancillary charges. We work to identify and verify all charges to minimize the number of statements your residents and their families receive. 

And we mean every charge! We aim to ensure that a submitted statement contains everything necessary to articulate the current amount due and due date.

Timely statement submission.

MCA facilitates a faster statement process and delivery by providing multiple statement delivery methods, including digital notifications and statements in addition to print statements to prompt more immediate patient responses. Our highly efficient statement processing means that you can get your statements delivered quickly. And getting your billing statements out swiftly and efficiently means you get paid faster and more often.

Integration with your facility’s system.

There is no need to log in to yet another system. When outsourcing your statement distribution to MCA, we integrate with your facility’s system to help ensure accurate and timely statement submissions. 

Triage and resolution of patient statement concerns. 

MCA’s dedicated support team fields all statement-related questions. Our team triages the patient’s or family’s statement concerns and works with your facility to ensure an accurate and timely resolution. 

We’ll stay on the phone with the patient or family member and help resolve their concerns. Our detailed knowledge of the billing and your system allows us to resolve more issues over the phone, helping accelerate patient payment.

Statement Distribution and Call Center Support Is One of Our Specialties

There’s no denying that managing statement distribution and billing questions take a great deal of time! Time that your administrative team could be spending on higher value tasks. 

MCA’s dedicated team of skilled medical billers and our support team are exceptional at managing statement distribution and call center support. Our team is extremely knowledgeable and incredibly patient – helping to provide your patients with the communication and customer service they deserve. 

With help from MCA, you can free up your administrators. You can save money and improve your facility’s cash flow.

Save Time

Your team works hard to keep your statement distribution process and call center running smoothly and efficiently. Removing the tedious task of medical statement processing from their list will free up their time to focus on other, more critical tasks. 

Accelerate Patient Payments

Accelerate patient payments with accurate, easy-to-understand print and digital statements.

Simplify Your Mailing Process

Eliminate time-consuming printing, folding, and stuffing, by letting MCA print and mail statements for you. Plus, you can get rid of the large inventory of mailing supplies and obtain postage discounts and faster processing.

Provide the Customer Support Your Patients Expect

MCA is an extension of YOUR staff and representatives, providing your patients exceptional customer support. We’re dedicated to answering your patient’s and family’s questions while on the phone. And when we can, we partner with you to ensure nothing goes unanswered. 

Get Support That Works

Gain access to a team of experts dedicated to helping you improve your statement distribution process and your call center support. But, don’t take our word for it. 

“The MCA staff were very knowledgeable and professional when I called them about my statement”

            Independent Living Resident- Wichita, KS

“MCA is not just a call center, they have their billing managers take calls so they can answer all your questions about your statement.”

            Admin- CCRC Overland Park, KS

MCA – Expert Help for Statement Distribution and Call Center Support 

Our unique combination of highly-skilled billers, long-standing SNF, hospice, and home health billing experience, and our dedicated support team make MCA a reliable partner when outsourcing your statement distribution and call center support.

Together, we can pave a better financial future for your facility. 

Drop us a note or call us at 866-609-5880 to learn more about how MCA can help your skilled nursing facility clean up your aging AR. 

About MCA Medical Billing Solutions

MCA is a full-service revenue cycle management company dedicated to helping skilled nursing, home health, and hospice facilities advance their revenue cycle management. We provide claims creation, submission, and follow-up to Medicare, Medicaid, and all commercial insurers.

When choosing MCA, you can expect experienced business insight, skilled billing intelligence, data extraction and management, and cloud-based documentation. MCA is here to help you streamline your revenue cycle process to produce consistent, high-quality outcomes. 

The World Health Organization’s (WHO) International Statistical Classification of Diseases and Related Health Problems (ICD) is a globally-recognized diagnostic tool for epidemiology, health management, and clinical purposes. ICD provides a systematic approach to coding, reporting, analysis, interpretation, and comparison of mortality and morbidity data.

As of January of this year, the WHO began accepting codes for the 11th revision of the ICD, or ICD-11. This updated version helps address gaps in ICD-10 and incorporates updates that have become standard practice in modern-day healthcare. 

As with ICD-10, ICD-11 will impact medical coding and billing in all specialties. There will be added complexities for some, while others will find consolidated operational enhancements.

Let’s begin by breaking down the purpose of ICD-11, the key differences from ICD-10, and when ICD-11 will be released in the U.S. 

Why Did The WHO Revise ICD-10?

ICD-10 was initially accepted by the WHO in 1989 but was not fully implemented in the U.S. until 2015. Despite several updates, ICD-10 had become clinically outdated, and many of the chapters required structural changes. 

Additionally, ICD-10 presented limitations in enhanced electronic environments and limited information for some morbidity-use cases.

To address the issues with ICD-10, the WHO included the following goals for ICD-11:

1. Ensure ICD-11 functions in an electronic environment by:

  • Providing a digital product
  • Outlining linkage with terminologies such as SNOMED
  • Defining ICD Categories by “logical operational rules” on their associations and details

2. Provide a multi-purpose, coherent classification for mortality, morbidity, primary care, clinical care, research, and public health with consistency and interoperability.

3. Deliver an international, multilingual standard for scientific comparability in English, French, Spanish, Russian, Chinese, and Arabic.

What Are the Differences Between ICD-10 and ICD-11?

According to the WHO, ICD-11 is a scientifically rigorous product representing modern-day health and medical practices. 

What are the differences between ICD-10 and ICD-11? Here are a few of the main differences:

Coding Structure: ICD-11 increases specificity and flexibility with a more sophisticated categorization and coding structure than ICD-10. 

Increased Diagnoses and Conditions: ICD-11 includes more diagnoses and conditions permitting categories of severity, course, and specific symptoms to be added to diagnoses. 

Digital Readiness: ICD-11 was designed to be electronic to help streamline processes and increase operational efficiencies utilizing the latest technologies.

Global Application: ICD-11 offers guidance for different cultures and has been translated into 43 other languages to increase standardization and collaboration internationally.

ICD-11 Basic Code Structure

ICD-11 has added a significant number of diagnoses and chapters so medical billers can become more granular and accurate in their submissions. The ICD-11 diagnostic codes are alphanumeric with a letter in the second position to differentiate them from the ICD-10 codes. In addition, the first character indicates the chapter. For example, 2A00 is a code in Chapter 2. 

One of the most significant updates from ICD-10 to ICD-11 is cluster coding. Cluster coding allows coding professionals to link codes together to fully describe a clinical condition. 

The following example shows the difference for Diabetes mellitus, type II, with left diabetic cataract for ICD-10 and ICD-11. 

ICD-10-CM 2021: E11.36 Type II diabetes mellitus with diabetic cataract

ICD-11: 9B10.21&XK8G/5A11

9B10.21 Diabetic cataract

XK8G Left

5A11 Type 2 diabetes mellitus

When Can The U.S. Expect a Release Date for ICD-11?

Don’t panic yet! Even though ICD-11 took effect on January 1, 2022, the National Committee on Vital Health and Statistics (NCVHS) has not finalized an official rollout timeline for ICD-11 in the U.S. The NCVHS expects that ICD-11 will be released in the U.S. as early as 2025 or delayed to 2027 if a Clinical Modification set is required.

ICD-11 Fast Facts

ICD-11 provides an up-to-date and clinically relevant classification system that results in data that can design effective public health policies, measure policy impacts, or for clinical recording.

The following are 10 ICD-11 Fast Facts

1. ICD-11 includes 17,000 unique codes and more than 120,000 codable terms. 

2. ICD-11 contains 26 chapters, five more than ICD-10

3. ICD-11 is built as a database accessible via a web platform (no more books) to support the use of electronic health records. This allows for the flexibility to grow and change the online content with medical advances. 

4. ICD-11 will create changes in the coding systems for most healthcare organizations because it will connect with various EHRs through the SNOMED CT Foundation.

5. ICD-11 includes a proposal platform that allows users to suggest changes or additions to ICD-11.

6. Codes for patient safety documentation are in line with the WHO patient safety framework.

7. Necessary detail for cancer registration is fully embedded in ICD011.

8. ICD-11 provides more clinically relevant coding for complications of diabetes.

9. In response to the COVID-19 pandemic, emergency codes were added to ICD-11 to confirm the diagnosis of COVID-19, classify post-COVID-19 conditions, establish COVID-19 as the cause of death, and record COVID-19 vaccinations and any adverse reactions.

10. ICD-11 can be used online or offline using free container software. 

How MCA Can Help You Prepare for ICD-11

Our unique combination of highly-skilled billers, long-standing SNF billing experience, and proprietary technology makes MCA a reliable partner for your transition to ICD-11

Drop us a note or call us at 866-609-5880 to learn how MCA can help your skilled nursing, home health, or hospice facility manage the upcoming ICD-11 transition.

About MCA Medical Billing Solutions

MCA is a full-service revenue cycle management company dedicated to helping skilled nursing facilities advance their revenue cycle management. We provide claims creation, submission, and follow-up to Medicare, Medicaid, and all commercial insurers.

When choosing MCA, you can expect experienced business insight, skilled billing intelligence, data extraction and management, and cloud-based documentation. MCA is here to help you streamline your revenue cycle process to produce consistent, high-quality outcomes. 

Resources

WHO ICD-11 Fact Sheet

WHO ICD-11 2022 Release Updates

WHO Classification of Disease (ICD)

National Committee on Vital and Health Statistics