Q: Why should I outsource my billing?
A: Outsourcing your billing benefits you in many ways. The most important reason is increased revenue. Our entire focus is on billing and collections. We can dedicate 100% of our time and energy on collecting from the insurances and patients. Utilizing a billing service will free your staff up to concentrate on patient care and the daily work of running your office. We handle the hassle of getting the insurance companies to pay, explaining in detail to patients any billing issues, and patient collections. There is also the decrease in overhead, less employees in the office, no payroll, taxes or benefits needed for the billers you would have in house.
Q: Are you HIPAA compliant?
A: Yes we are! We make sure that we keep up to date and compliant with the HIPAA regulations. We will continue to strive towards keeping compliant as the regulations change from time to time.
Q: What is the turn around time on claims?
A: We make every effort to have claims out within 48 hours of getting charges from you. There are times when that may take longer, either because we are missing information or need to clarify something with your staff. As for turn around time from the insurance carriers, it varies depending on the carrier and if the claim was processed electronically or by paper.
Q: Why is it important to send claims electronically?
A: Claims process faster electronically than by the old method of paper claims. Medicare and HIPAA have made regulations regarding electronic claims and can place sanctions on you for not submitting claims electronically. Approximately 90-95% of claims can go electronically at this time.
Q: Can you really improve my collections, and if so, how?
A: When collections are lower than expected, the reason is almost always recurring errors or flawed procedures in the billing process. The Billing Guru approaches medical billing as a process – rather than the repetitive submission of multiple claims – we find problems and areas for improvement that others do not. For example, if payments are consistently delayed because patient demographics are incorrect or if claims are repeatedly denied because of missing CPT modifiers, we’ll do more than repeatedly fix and resubmit the claims. We’ll show you the data that demonstrates the problem and help direct you to a solution.
Q: Won’t I lose control over my billing process if I outsource?
A: Absolutely not. In fact, we will give you better control than you have ever had. Our reports are clear and comprehensive. They tell you everything you want to know about your practice and your billings. We can offer 24/7 access to your data through Remote Desktop. This enables you to see, moment to moment, charges and payments and even to run a variety of reports.
Q: Do you follow-up on unpaid claims?
A: Yes, we do. In addition, we run reports to find out what claims remain unpaid. We will stay on top of the outstanding claims. We will communicate with the insurance companies and get your claims paid.
Q: How do you structure your fees?
A: We charge a percentage of what we collect. We do not charge monthly maintenance fees or start-up costs. You need not purchase billing software to work with us.