The DuvaSawko
Difference:
Emergency Medicine
Revenue Cycle
Outsourcing
DuvaSawko was founded and operated by Emergency Medicine physicians. This distinct advantage along with our proprietary software and strategies allow us to consistently increase practice revenues by up to 30%!
Generating More Revenue For Your Practice
DuvaSawko Emergency Medical Billing Technology
AUDITING
99.87%
Captured & Billing
- Daily demographic file upload process for faster reimbursement
- Visits audited & reconciled for missing information
- Digitized chart capture
- 100% Visit Reconciliation
CODING
97%
Overall Accuracy Rate
- Intricate Work In Progress System avoids mistakes
- Ongoing documentation review
- Monthly deficiency & down-code reports
DATA ENTRY
- Automated & Manual Charge Entry process
- Automation exceptions addressed daily to avoid reimbursement delays
- Quality control measures in place for all charges entered
- Aggregate & Deploy insufficient or missing documentation report
BILLING
- All charges generated & billed overnight
- All claims submitted daily
- USPS Approved Address validation to ensure efficient statement mailing
- Bulk eligibility checker for applicable Medicaid states
CLAIMS RESEARCH & RECOVERY
15% of Staff Resources Dedicated to A/R Follow-Up
- Daily demographic file upload process for faster reimbursement
- Visits audited & reconciled for missing information
- Digitized chart capture
- 100% Visit Reconciliation
POST BILLING
- Track and recovery process for all aged claims
- Maximum RPP ensured
- Aggressive detailed follow up on all outstanding insurance claims
- Average Bad Debt Turnover is 20% of all ED Charges
PAYMENTS
- Payments received via EFT, Lock Box or USPS PO Box
- State of the art in-house fulfillment facility
REFUNDS
- All Medicare refunds expedited
- DuvaSawko’s automated process has additional quality check procedures in place to completely avoid potential errors.
RETURN MAIL
- No client involvement necessary
- Collections process initiated and monitored by trained team
Gauge DuvaSawko’s Results
Gross Days In Receivables
** Hospital Accounts Receivable Analysis
Net Days In Receivables
** Hospital Accounts Receivable Analysis
% of Open Insurance Balances > 90 Days*
* 100th Percentile of industry best practice
FAQ’s About DuvaSawko
Our Record Says It All.
Historically, DuvaSawko delivers 100% of visit reconciliation to ensure all billable visits are captured (coded & billed) and all non-billable visits are justified and categorized. Furthermore, we code/bill 99.87% of all billable visits!
Yes, We Will.
DuvaSawko delivers unmatched credentialing expertise for our clients. All physician credentialing is performed in a timely and accurate manner to ensure enrollment and avoid non-compensable claims.
Substantially.
Our Mapping Library contains more than 85% of all coverages transmitted by hospitals in their demographic files, ensuring claims are submitted to the correct source/address.
Yes!
The team batches Medicaid eligibility checking of all self-pay visits for all applicable states prior to billing. Positive eligibility results are returned for 6% of all self-pay accounts.
Always!
1.6% of all claims are underpaid by contracted payers! The DuvaSawko team appeals all claims with payers to the highest level to attain full resolution.
Yes, We Can.
Coders identify down-coding due to deficient documentation. They code the chart and give feedback and education monthly based on those downcodes.
Yes, We Do.
100% of payer-audited pre/post-paid claims for review are rigorously contested.
Automation.
Potential claim errors are detected & prevented via multiple automated system holds & alerts within the billing system.
Your Own Dedicated Department.
Unpaid claims (A/R) are scrubbed & followed up on aggressively by a dedicated department. This department accounts for 15% of all staff resources who follow up at a scheduled number of days in A/R based on payer & claim type.
Yes!
The team immediately minimizes bad debt adjustments & reduces bad debt collections. Our average bad debt turnover is 20% of all ED Charges and our average Collections is only 2.5%!
Easily Collectible Dollars (ECS Claim Submitted & Paid By ERA) $87.99
Hard To Collect Dollars (Associated With DS Process) $47.38
TOTAL DS Receipt Per Patient $135.37
How Long Does The Transition Take?
- Sign Contract
- Inform Hospital of changes
- Our team initiates IT transition
- Begin Credentialing Process
- Receive First Test Demographic File
- Access to EHR
- Providers
- Fee Schedules
- Contracts - pre-load into billing system
GO LIVE!
How Much More Money Will My Practice Make?
$1,200,000
$1,00,000
$800,000
$600,000
$400,000
$200,000
$-
DuvaSawko
On-Boarding
Don’t leave any more money on the table!
Awareness of your practice’s financial health will help determine just how profitable your practice can be. The team at DuvaSawko knows what it takes to be a successful Emergency Practice.