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What is the first step should I decide to hire your firm to
manage our billing?
First we assign an Account Manager to your practice. This Account
Manager will have a minimum of 10 years of Medical Billing experience
and is personally responsible for your account. This individual
reports directly to our CEO on a weekly basis and is accountable
for all activities pertaining to your account. |
How
is the transition to your company handled?
The transition is actually quite simple. You provide us with
a Patient Registration and Copy of the Insurance Card which
would be completed during the patient's next visit. We accumulate
your data one patient at a time which insures accuracy and improves
the overall rates of collection. Other important matters we
address include: (1)
obtaining your current Fee Schedule so we may review it and
make suggestions on adjusting your fees (usually raising them),
(2) Obtaining
a list of the Insurance Carriers you are currently submitting
claims to (3)
Obtaining a list of Provider numbers for all doctors within
the practice. |
What
kind of training for my staff would be needed?
Over the years we have really streamlined the training process.
It typically takes less than 30 minutes to train your staff.
The forms and procedures your staff would be using are quite
simple and very easy to understand. Training may be completed
in your office, by conference call or in our Auburn Massachusetts
office. |
How
would I track my practice's progress each month?
Each month, you receive a host of Reports that will provide
you with all the data for your practice in an easy to read format.
This information can be mailed or sent to you electronically
via e-mail. These FREE Reports include: Charges by Patient,
Income by DOS & Location (if needed) , Accounts Receivable,
Aged Accounts, Deposits by Payment Type, Month to Date/Year
to Date. |
Are
Patient Statements part of your program?
Yes... Any Patient that has not made a co-pay at time of service
or other wise has an outstanding patient balance would receive
a statement from us. Statements are mailed to your patients
each month with a return envelope for their convenience. Should
they have any questions, they are given our telephone number
to call rather than disturbing your practice. They forward all
payments to us (checks are made payable to your practice), we
post the payment and forward all payments to you for deposit. |
What
does my staff need to do on a daily basis?
Once the doctor has completed treating the patient, the Patient's
Claim Form (Superbill) is checked for completeness and then
forwarded to our office for processing. Depending on your patient
volume and your own personal preference, claims may be sent
to us daily, weekly or bi-monthly. The only information we need
on the Patient's claim form is: (1)
Date of Service (2)
CPT Code (3) Diagnosis
Code (4) Co-Pay
Amount. |
Once
you receive our claims, what happens next?
Once received, your data is sent through its initial editing
process. Your claims are manually reviewed for missing information
that would prohibit the claim from being accepted by the insurance
carrier for payment. If additional information is required,
your Account Manager would contact your office via fax, phone
or e-mail and request the necessary information to complete
your claim.
Your claims are then carefully entered into our Electronic Billing
System and scanned once again for potential errors. Any problems
are "cleaned & scrubbed"
and then forwarded to the appropriate carrier for payment. |
When
and how do I receive my payments?
Once paid, all Insurance checks and EOB's are sent directly
to your office. Simply deposit the checks and forward the EOB's
to our office so payments may be posted accordingly. |
How
do you Track my claims to insure they are being paid in a timely
manner?
For Claims Submitted Electronically: Claims
that are sent electronically are typically paid in 7-14 days
depending on the carrier. By law, clean claims must be paid
within 30 days, so we begin tracking them once they Age 31 days.
Any claim that needs to be re-submitted, corrected, appealed
or in any other manner needs to be corrected is handled by your
Account Manager.
For Paper Claims: Paper claims are tracked
based on the typical turnaround time of that particular payer.
At the very least, we begin tracking paper claims in 60 days,
since this is the average time it takes most carriers to complete
a claim. |
Do
you require a long term contract?
No...Our Agreement works on a month to month basis. We are so
confident in our abilities to provide you with outstanding service,
we don't feel the need to lock anyone into a long term contract.
|
Do
you have any references of doctors I could call who are using
your services?
ABSOLUTELY. In our packet of information you
can request from this site, we include the name, address and
telephone numbers of several clients that have given us permission
to use them as references. Without a doubt, this is our best
source of advertising. |
Would
it make a difference if I am located in a different state
than your company?
Absolutely not. As a matter fact, the majority of our clients
are not located in Massachusetts. Because your data is sent
to us by mail, fax or electronically, the location of your
office is not important. |
