Providers

Do you want to lower your accounts receivables? Do you know where your claims are in the reimbursement process? Are you capturing all of your revenue?

ZirMed’s suite of web-based solutions assists providers in administering the business side of healthcare. From eligibility verification to submitting claims, we help providers evaluate their patients’ ability to pay. Our remittance tools save hours of wasted re-keying and provide necessary internal controls. Our fulfillment solution utilizes state-of-the-art technology allowing providers to view patient statements on-line. Electronic statement delivery and web-payment result in quicker turn-around of cash flow.

Real-Time System

All ZirMed applications operate in real-time. Upon receipt, claims are immediately validated for integrity and forwarded to the payer. Results of real-time processing are instantly available on the ZirMed site. In many cases, claims submitted are processed by ZirMed, delivered to the payer, and accepted or rejected (with rejection reason) by the payer within seconds. ZirMed provides easy to understand rejection analysis linked to the claim. We take extra steps to help providers immediately resolve issues and resubmit claims utilizing our On-Line Claim Correction Module. Other ZirMed solutions such as Eligibility Verification, Electronic Remittance Advice (ERAs) and Print Services (patient statements) operate real-time.

Timely Filing Issues are virtually non-existent

ZirMed’s unique claims tracking system means that providers know where claims are in the process at all times. Our tracking system allows providers to see the step-by-step process of a claim from submission, through two levels of ZirMed edits, to payer acceptance or rejection. No more wondering where your claims are.

Increased efficiencies

The number of man-hours needed to track and work rejected claims is substantially reduced. This is due to ZirMed’s unique way of standardizing reports from all sources including ZirMed, payers, and any intermediary that may be utilized. With all reports listed on one screen, there is no need to search through stacks of reports for claim rejections. Once a rejected claim has been identified, you are able to work and resubmit that claim online through an interactive edit screen.

Tools to Manage Your Business

Our analytical tools assist managers and business owners in evaluating the effectiveness of their business office functions. Rejection analysis reports demonstrate trends and common areas for improvement. As healthcare reimbursement continues to be cut and contracting more difficult, our tools allow providers to dissect payer mixes and evaluate common procedure codes. National providers and billing services use our detail reports for individual business units as well as aggregated data at the corporate level to test variances. Need a report or have an analytic question – just call your account representative and inquire.

ASP / Internet Based Solution

Tired of installations, upgrades and software maintenance? With our ASP / internet based solution there is no software to install and the service is always current. As long as you have internet access and Internet Explorer 6.0 or greater, you can manage claims from any desktop – even from home.

Practice Management System / Billing System Integration

Our solutions work with all major practice management systems, and even proprietary billing systems. ZirMed’s flexibility and innovative technology means that we will accept the challenge to integrate even when others can’t.

Eligibility Verification

Tired of watching your administrative team call to verify eligibility? Through either a direct entry or batch process, ZirMed provides a one-stop solution for verification. We can pull your schedule or your entire customer base and verify benefits real-time while you sleep. Our direct data real-time model alleviates uncertainty for new patients and walk-ins. Either way, you can feel confident about your patient’s health benefits and your ability to get paid prior to rendering service.

Fulfillment

The patient pay portion of healthcare is rapidly increasing. With Health Savings Accounts (HSAs), Health Reimbursement Accounts (HRAs) and Flexible Spending Accounts (FSAs), healthcare providers are faced with the challenge of collecting more of their dollars from the patients. Our Fulfillment solutions recognize those challenges and are tailored to assist your administrative staff. No more printing invoices and stuffing envelopes. Give us your file, review the statements on-line prior to printing and we'll send our professionally printed color statements, collection letters and customized mailings. Our technology cleanses addresses and our Fastforward® service integrates with the United States Post Office change of address database to deliver statements to patients that may have moved. We are working diligently to offer e-statement delivery (contact us if you are interested in this state-of-the-art feature).

Pass-Through Rates

Our goal is 100% first-time pass rate. We work closely with payers to apply standard HIPAA edits and custom payer required/requested edits to achieve our goal.