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Predictive Solutions for Healthcare
Medical Billing Specialists - ESHA
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When a Texas pulmonologist implemented CareVoyant practice management
software, from CareVoyant, Inc., he and his office Director quickly realized that
their highly effective IT infrastructure & skilled staffwas a valuable combination.
Togethertheyfounded ESHA Medical Billing Specialists, Inc. and, through word of
mouth, began marketing their services to the local medical community. Several
years and 15 group practices later, ESHA today bills for a wide variety of
specialties, has added outpatient scheduling to its services offering and is
preparing to provide an integrated, handheld CareVoyant EMR for its physician
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Based in FortWorth, TX, ESHA Medical Billing Specialists provides billing,
scheduling, IT and management services for a wide variety of medical
practices—mostly in the FortWorth region. Forsome clients, ESHA also provides
comprehensive application hosting services. For these clients, ESHA IT and billing
staff leverage their CareVoyant experience to maintain separate CareVoyant
databases that clients access through the Internet.
Solution Overview
Company Profile
A professional services company affiliated with a
Fort Worth medical practice, ESHA Medical
Billing Specialists provides financial, scheduling,
reporting & IT services for a wide range of
physician groups. ESHA also offers physician
practices application hosting services that enable
office staff to access separate CareVoyant
servers maintained by ESHA IT staff.
From several locations, ESHA's staff of twenty-four—in addition to one local and
one out-of-state medical group—enter schedule, demographic and billing
information into simple & easy to navigate CareVoyant screens. Due to its
configuration, the system automatically recognizes rate structures & billing formats
based upon patient, providerand insurance plan information. With minimal
additional effort, CareVoyant generates compliant electronic and paper claims
specifically for ESHA's various Medicare, Medicaid and private insurance payers.
ESHA's previous, UNIX based practice
management software was difficult to configure
for multiple practices, provider numbers and
specialties. The system's proprietary database
lacked reporting flexibility and software
maintenance, support and upgrade fees were
prohibitively expensive—especially considering
the company's business model.
Billing Workflow
CareVoyant has improved ESHA's billing workflow through a set of configured
cross reference tables which are central to the system's design. Based on
information entered by ESHA and CareVoyant staffduring implementation, the
CareVoyant rules engine automatically generates applicable charges and billing
formats for a wide variety of providers, procedures, patients & payers—including
multiple payer plans. By simply entering demographic and visit information into
CareVoyant, ESHA's staff of 24 efficiently process claims and generate reports for
15 group practices.
CareVoyant's rules-based billing logic also features edit checks that ensure
insurance claims are compliantwith complex CMS, HIPAAand managed care
billing requirements. These CareVoyant features—which improve billing accuracy
and speed collections by catching errors before claims are submitted—are key
components of ESHA's value proposition to its physician clients.
1993 North Meacham Road, Suite 600, Schaumburg, Illinois 60173
(888) 463-6797
Enterprise Architecture
"CareVoyant makes it easy to create and configure new client databases with
procedure code, charge, payer and other provider-specific information," stated Debbie
Kidwell, Director of ESHA. "Software upgrades & maintenance are also much more
affordable with CareVoyant—and generating reports is simple compared to our UNIX
Business Solution
ESHA implemented CareVoyant practice
management software, from CareVoyant, Inc.
CareVoyant performs scheduling, billing,
accounts receivable and reporting functions for
an affiliated pulmonary & sleep disorder
practice—as well as for ESHA's medical clients.
Based on Microsoft Windows 2000/SQL Server
2000 technology, clients access CareVoyant
servers remotely using Citrix MetaFrame.
CareVoyant enables ESHA to efficiently manage multiple clients, facilities, services and
providers with minimal IT intervention. The systems' security features and Microsoft
Windows/SQL Server technology control user access to ESHA's multiple client
databases all the way down to the field level. CareVoyant also generates a large
collection of standard management reports. Reporting includes provider and practice
level clinical, financial and administrative summaries that produce a detailed audit trail
designed to help integrate CareVoyant accounts receivable with practices' financial
accounting systems.
Specialties Served
•	Infectious Diseases
•	Family Medicine
•	Internal Medicine
•	Sub Specialties
For a lower total cost of ownership, ESHA has upgraded from UNIX to Windows,
automated billing workflow and prepared for HIPAA compliance. ESHA has also
developed a scalable infrastructure capable of supporting higher billing volumes, new
professional services and additional clients.
1993 North Meacham Road, Suite 600, Schaumburg, Illinois 60173
(888) 463-6797

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