Frequently Asked Questions
Why should I outsource my billing?
This question is best answered with another question: Why do you pay an accountant to do your taxes? Professional billers know the industry inside out and have the right tools to get the job done. In addition, office billing-costs (salary, Workman Compensation insurance, etc) can be eliminated or substantially reduced. You no longer have to worry about the billing getting done, when your biller calls in sick. In summary, cash flow will improve while certain costs will be reduced or eliminated.
How will you improve my cash flow?
Clients see immediate improvement in cash flow. This is because our total focus is billing. Unlike office billers, we are compensated based on what we collect. Therefore, we work very hard to maximize collections. We also have state-of-the-art tools and we are experts in medical billing. This means that the job gets done correct the first time. We have also fostered good relationships with our business partners. So, when problems arise, we take care of them fast and seamlessly.
How do you handle insurance claims and payments?
The vast majority of claims, except to some very small carriers, go out electronically. This is the case for primary and secondary claims. Medicare and Blue Cross claims go directly, while other commercial claims go out via Emdeon, formerly WebMD. Therefore, most claims are adjudicated within 7 to 10 days. Medicare Explanation of Benefits (EOBs) are received electronically and are automatically posted in our system. Secondary carriers or patients billing are automatically triggered at this point.
What is included in your service?
- Capturing patient demographics and insurance information.
- Posting charges.
- Editing claims.
- Carrier billing.
- Monthly carrier follow up.
- Patient billing.
- Appeals.
- Professional consultation.
Can I use your billing software to do my scheduling?
Yes you can. Generally speaking, there may be additional fees associated with this service.
Is my patient and billing data secured?
Yes! All billing data is backed up multiple times during the day to a separate storage device. More over, it is sent off-site nightly, where it is stored in multiple locations throughout the US. In addition, our data server is protected by fire-wall hardware, virus and malicious programs software. Strict user password policies are also maintained.