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Billing consultants are money in the bank

BY BEN STEPHENS


The complexity of managing a medical practice makes it anything but a walk in the park and many in the Las Vegas Valley are off the beaten path.  Strategic Collection Management's game is setting those local practices straight, so physicians can focus on practicing quality medicine.

Christian Gitersonke and his wife, Janet, bought the 6-year-old consulting and management firm more than two years ago, aiming to free doctors from the worries that can accompany running the financial end of a medical practice.

The privately owned 15-person company currently has eight accounts, handling the billing for about 40 physicians, and Christian Gitersonke said SCM consults with at least a dozen more practices.  By upgrading billing systems, catching up on patient payments and retraining employees, the Gitersonkes say many clients can do an about-face within a few months.

For a 6% to 9% cut of a practice's net collections, SCM reviews and streamlines front office procedures, trains and hires staff and credentials doctors with insurance companies, among other services.

"We typically come out 20 to 40 percent cheaper" than regular staff, he said, adding that a practices' savings increase when employee benefits are considered.

Many practices that call on SCM at first are behind in collecting payments from patients, although all fingers don't point there, Janet Gitersonke said.  It comes down to poor business management in most cases, she contends.

"A majority of it is lack of training.  It's not that their (employees) bad people," she said. "We do have some good payers in this city."


Las Vegas-based Innovative Pain Care Center was one such business that has seen its finances improve since hiring SCM.  Two years ago, the practice had no intention of hiring a third party to handle its billing, because it was "afraid of losing control of their finances," Christian Gitersonke said.  Within 90 days of handing over the reins, it was on its way to doubling its revenue, he said.

McKenna Pain Specialists is another success story. SMC consulted with the practice and added a new, electronic billing system and a business manager named Eileen Rinaldi.

Rinaldi said before her tenure, payments took as long as 120 days to recoup, nearly twice its current turnaround time.  With a system that offers easier access to records and claims, she said reimbursements are made within a 30 to 45 day span and have increased the company's cashflow greatly.  Christian Gitersonke also saw the practice through the construction of its new 10,000 square foot facility at Russel Road and Interstate 215, which took two years to complete.

The Gitersonkes aren't just looking out for doctors, either.  They said they consider themselves patient advocates, of a sort.

When billing offices don't properly collect reimbursements from insurance companies, patients pay more than they are required for procedures and office visits, he said.

Fortunately, Christian Gitersonke said, he was there for his father, Don, who was billed more then $100,000 for a triple bypass surgery he underwent.  It turns out, he said, the bill should have come to about $2,000.

"If they (patients) send in a check, nobody is not going to cash it," Janet said.  During her time in the medical field, she has noticed a complacency among office staff that fosters this burden.  And the sad part is nobody cared, they still got a paycheck at the end of the week."

Since the Gitersonkes took over, business has quadrupled and is expected to grow three-fold by the end of this year, Chris Gitersonke said.  Strategic Collection Management recently increased its staff by one-third and is on track to do about $500,000 in revenue this year, he said.

Source:

http://www.lvbusinesspress.com/articles/2007/07/13/news/iq_15364099.txt

 

 

 

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