Medbill provides True insight

PLUM, Pa. – Medbill officially launches its own billing software platform, TrueSight, in July, the culmination of a years-long process of developing tools for its own revenue cycle management services. 

The company has had a platform for almost 15 years, but it wasn’t until 2017, when it brought onboard Chris Delposen, who was the CFO of a long-term care pharmacy software platform that grew from 40 to 400 customers during his tenure, that it was able to get TrueSight “enterprise ready,” said Keith Kuhn, co-founder and CEO of Medbill. 

“We cut our teeth in billing and now we’ve taken that expertise and created this software,” he said. 

Features of TrueSight include instant alerts on claim errors, online accessibility, a resupply module, on-demand reporting, workflow configuration, patient pay management and a direct link to the clearinghouse. 

That last feature is a “paradigm shift” for providers, says Delposen, who believes billing for DME is more difficult than other areas of health care. 

“The advantage that has is that when we send a claim out the door, there is an immediate connection to the clearinghouse,” he said. “That’s a massive workflow disruption. It doesn’t aid the person creating the billing if they have to wait three days or wait for someone else who doesn’t have rejections or alerts. The person sees what they did wrong and can fix it immediately. That also enhances the learning curve by 10-fold.”  

As for some of the buzzwords in HME operations right now, TrueSight has base levels of AI built into it, such as automating the process of posting denials and incorporating the EOB into a single invoice. It also offers API integrations that, for example, allow orders that come in from an e-prescribing system to be dragged and dropped into the platform. 

“We’ve been committed to modern toolsets,” Delposen said. 

The majority of the software platform’s features revolve around Medbill’s mantra of “getting things right on the front end,” Kuhn says. 

“You really need to be able to dissect that workflow along the way,” he said. “If you get whatever business you can and send it to the insurance and see what happens, (you’ll have to deal with) the mess on the back end. Let’s be meticulous about the steps along the way.” 

Kuhn believes TrueSight will do well in a market where there are a dwindling number of choices for software platforms at a reasonable price. Medbill charges one-time fees for things like onboarding ($500) and data migration ($500) and then a monthly fee ($500 for five users). 

“I think the key is, we’ve had folks unhappy with the offerings in the market,” he said.