Common Questions About Medical Billing Solutions

YES. We employ certified coders utilizing “state-of-the-art” coding reference technology. We educate our providers and staff consistently with uniform coding compliance to optimize reimbursement based upon medical necessity. We work closely with the office to make certain that the medical record documentation supports the billing submitted and that all billable services are captured.

Having been employed by and contracted with large health systems and many private practices, there are very few specialties that we have not served.

YES. Our billing system utilizes electronic claim processes. Remittance files are received from insurance companies daily. Monthly reports are delivered electronically via secure email.

Our system, TEBRA, has very robust editing capabilities that highlight those claims that are not “clean.” According to TriZetto (aka Gateway), Spectrum consistently submits clean claims more than 98% of the time. The remaining unpaid claims are worked to completion on an efficient schedule that improves cash flow on your behalf.

Spectrum assists the office personnel with techniques to identify the patient’s copayment and deductible requirements for collection at the time of service. Our system identifies the current unpaid patient balance for collection at checkout and provides an opportunity to offer a reminder when appointments are made on the phone. When patient balances do occur, Spectrum mails a designated number of statements (determined by the client) requesting payment. Your patient calls us, not your busy staff, for questions regarding statements. Our customer service staff is able to take credit cards and make payment plans on behalf of our physicians’ clients.

YES. The TEBRA system resides in a fully certified HIPAA-compliant data center located underground in Brentwood, Tennessee. Power to the data center is supported by a sophisticated battery and generator system. Power connectivity is maintained by using three different major power grids in tandem with one another, backed up by a large generator. Spectrum and its clients access TEBRA's software via a secure high-speed internet connection, thereby allowing Spectrum to offer its software, coupled with our expertise and billing/coding, as a service to physician offices.

Software Enhancement Always “Refreshed.” TEBRA has excellent computer engineers and programmers who understand our business. There are no new “versions” to regularly purchase, “migrate” to, or train for… TEBRA offers its system on a Software as a Service (SaaS) delivery basis that continually provides advanced technology without the constant cost of expensive software and hardware updates. The system is capable of more frequent and less intrusive updates than other traditionally deployed systems. TEBRA is never obsolete or lagging behind in enhancements or versions. There are no additional costs for upgrades or enhancements.

We can also bill on WebPT, Practice Fusion, and ChiroTouch systems owned by the client.

TEBRA has an EMR interface with Practice Fusion and WebPT.