Testimonials & case studies

“Capario already has the connectivity to the Medicare, Medicaid and Blue Cross/Blue Shield payers in every state. We can branch out without any capital outlay with our program software vendor.”Sturm, Vice President, Information Systems
Physicians' Choice, LLC

The Client

Physicians' Choice, LLC, is a billing service for 21 emergency medical groups. Based in Woodland Hills, California, the company has been in business since 1999 and has about 80 employees. Physicians' Choice has been a Capario client for six years.

Physicians' Choice transmits an average of 48,000 claims a month - half of which are sent through Capario. The remainder is sent through other clearinghouses or via direct submission. Jon Sturm, vice president for information systems, has been in the medical insurance billing business for more than 20 years.

The Business Issue

When his staff sends a claim to an insurance company, they need to know if the claim was accepted or is pending, Sturm says. If it was rejected, they must know how to correct the problem. The easiest way to get the necessary feedback is to send claims through Capario.

"We place a huge importance on reconciliation of files we send in," Sturm explains. "It's not cost effective to hire someone just to do reconciliation, and the reports we get back from Capario save us that."

The Solution

For even more help in reconciling claims, Physicians Choice plans to begin using Capario’s claim tracking service. The service offers Capario’s internal status as well as the payer standing for easy retrieval and sorting according to the status, payer, or standard HCFA 1500 field. Advantages of the service include:

• Faster availability of reports
• Unparalleled access to information on claims status
• Step-by-step guidelines on how to correct rejections
• Query process to manage aging claims

In Addition

Another advantage to using Capario, Sturm says, is the company's national reach. "With government payers, we can go into a new state very quickly. Capario already has the connectivity to the Medicare, Medicaid and Blue Cross and Blue Shield programs in that state. We can branch out without any capital outlay with our program software vendor."

The bottom line, of course, is getting claims paid, and that makes Sturm a loyal Capario customer. "I use Capario because I know that historically we have far more successful transactions there than with any other company."

Capario has a long-standing history of helping physicians, payers and other healthcare organizations reduce claims processing costs and expedite revenue cycle management processes.

“Capario has a very organized and user-friendly system that minimizes redundancies and allows the user to take control of enrollments.”Susan Frager, Owner
Psych Administrative Partners

The Client

Psych Administrative Partners is a billing service based in St. Louis, Mo. It serves 17 providers and sends about 500 claims a month electronically representing 85 percent of its business.

Owner Susan Frager is a licensed clinical social worker who does not practice. She began Psych Administrative Partners in 1998.

The Business Issue

Frager began sending claims electronically in 2001 with what she calls a "very basic" tool and a dial-up connection. For her amount of business at the time, it wasn't worth the expense to upgrade to a better product.

After four years, Frager's initial equipment was no longer serviced, and she was forced to move to a different system. Her cost was about $75 a month. She used that until April of 2006 when her clearinghouse required her to upgrade. The new price was $390 a month.

"It wasn't clear to me that the upgrade I was getting warranted the five-fold increase in price," Frager said. "I don't have any problems with upgrades, but if I don't need them and I don't see the value in them, then I don't want to be forced to use them and I certainly don't want to be forced to pay for them."

The Solution

Frager became familiar with Capario when she attended the 2005 HBMA Fall Conference. She switched to Capario to save more than $300 a month - including an HBMA discount - but she was blown away by the ease of enrolling her providers.

Her previous clearinghouse had no online enrollment system. "We had to fill out redundant paperwork. Sometimes you had to put in the address and tax ID three times. You had to get signatures when signatures weren't necessary. Then you waited. Sometimes it took weeks to enroll for commercial payers. I'm a billing service. I can't be down that long."

When new Capario customers are assigned a client ID, they also receive a user ID and password. With that they can go online and manage their enrollments. Frager explained the ease of the process: "You put in the provider name, tax ID, license number and contact person, then hit enter. You get back a message that says you're approved for the following commercial payers - then you start the process of signing up for the Blues."

Frager receives an e-mail letting her know when each enrollment is complete. Or she goes online to see the status of an enrollment request. In experiences with other companies, her enrollments would be approved but she wouldn't know because she wasn't told the status.

One online feature Frager especially likes is the "open trouble ticket" button on the claims tracking service. Rather than calling customer service when she has a problem, she clicks on that button to e-mail her question. The one time she used it, she got a response the same day. In another instance, Frager called the customer service department, and her issue was researched and resolved in less than 10 minutes.

Frager began sending claims to commercial payers electronically less than two weeks after being contacted by Capario’s implementation department. The average implementation time for a new provider is 18 business days.

Frager's frustration now is that payers do not have an online method of enrollment similar to Capario's.

If the price had not increased dramatically, Frager would have stayed with her previous service to avoid the anticipated down time during implementation and enrollment. Instead, she's saving money, getting efficient processes and receiving prompt support. "I am so amazed and pleased," she said.

Capario has a long-standing history of helping physicians, payers and other healthcare organizations reduce claims processing costs and expedite revenue cycle management processes.

“It is always a pleasure working with Capario. Not only are Capario representatives very knowledgeable, but they are always timely in getting back to me on any open issues or messages I leave.”Andrew Tanczer, Customer Support Manager
TechPRO Medical Systems

The Client

TechPRO Medical Systems is an 18-year-old, full-service medical software company in Boston. TechPRO has been a partner of Capario for more than 12 years. Andrew Tanczer is their customer support manager.

The Business Issue

TechPRO's providers are moving their claims processing to Capario's Web-based healthcare transaction platform this year. Capario provides real-time information which saves time in the providers' office and reduces the payment cycle.

Providers who have used one program for years are hesitant to change, even if the new platform offers them additional benefits. Many of them are familiar with their existing systems where the transfer method was mostly automated. If the migration to Capario's platform didn't go smoothly, the providers would blame TechPRO for the problems.

The Solution

To ease the transition, Capario's implementation department assigns a representative to work with companies like TechPRO. The one-on-one relationship means Tanczer calls an individual for assistance rather than calling a general number, getting in a queue and having to explain his situation to a new person every time he calls.

TechPRO has migrated more than 150 providers and on average is currently moving five to six providers a week to Capario's platform. Tanczer has worked with the same implementation representative throughout the process.

"It is always a pleasure working with Capario," Tanczer said. "Not only are Capario's representatives very knowledgeable, but they are always timely in getting back to me on any open issues or messages I leave. They are also very helpful in troubleshooting new issues."

After implementation, Tanczer spends about four hours with each provider teaching him/her how to use the self-service tools available through Capario.

While the providers resist change at first, Tanczer said that when they see the reports and reliability of information they receive from the Capario platform, they are pleased with the switch.

Capario has a long-standing history of helping physicians, payers and other healthcare organizations reduce claims processing costs and expedite revenue cycle management processes.

“Capario’s portal demonstrates how committed they are in providing their customers with the latest and most resourceful tools possible, allowing the end user to be more productive.”Andrew Tanczer, Customer Support Manager
TechPro Medical Systems

“Capario has simplified current revenue cycle management features such as tracking ERAs, while also adding new features, including Correct Coding Initiative and Medical Necessity edits. These features will reduce claim rejections and increase revenue for our providers. ”Sarah Drake, Vice President
EZ Claim

“Capario really did their homework to deliver speed, power, and ease of use. The portal functionality helps us to eliminate repetitive tasks, simplify claim data entry, and analyze our payer mix and 835 remits in one place.”Phil Kilcoin, Chief Operating Officer
BMS Reimbursement, Inc.
Member of the Healthcare Billing Management Association (HBMA)

“The Capario portal has helped us with first time submission and accelerated our cash flow to receive prompt, accurate payment within 7-10 days. This resulted in record collections for us last month!”Dawn Lascallette, Office Administrator
Nash X-Ray Associates

“Capario has exceeded our wildest expectations this year and you are the only company we're using moving forward.”Gerald Barry,Chairman
MEDfx

“Capario’s advanced editing services allow us to troubleshoot our clients' EDI issues without requiring them to wait for denials.”Amanda Knott,EDI Team Lead
MacPractice, Inc.

“I just want to say again that I love working with Capario. I’ll be serious; I never thought my little voice would make a difference to such a HUGE company. You guys really do listen. Thanks so much!!!”Jessie Burnett, CPC, Operations Manager
Medical Reimbursement Associates, Inc.

“I would like to express my gratitude to your support team. It is their knowledge and ability to communicate with me that keeps my business with Capario!”Bob Nasise, Office Manager
Norman C. Nasise, M.D.

“We have enjoyed a long standing relationship with Capario during which they have been very attentive to our needs. Capario has proven their commitment to their client base by delivering a valuable one stop shop for Revenue Cycle Management which provides the tools for streamlining the claim to collection process.”Diane Geiman, Billing Manager - Technical Operations
American Radiology Services, Inc.