FAQ

Does my practice or medical group need special software to use your services?
What benefits do we receive from your billing?
Do you transmit claims electronically?
What is an advantage sending claim electronically vs. Paper?
Do I still need to keep records at the office?
What do you need our office to send you to file a claim?
How do we get information to you for billing?
What types of medical specialties do you provide billing services for?
How much are your fees?
What our your setup fees?
How do we set up an account with you?
How soon can we get started?
How do we know the status of our practice?
How can you be more effective than our own office staff/billing company?
Where are the insurance payments going?
How often are my claims processed?
Do you just bill for local clients?



Does my practice or medical group need special software to use your services?
No. Users simply need to have Microsoft Internet Explorer 6.0 or higher and an Internet connection.

What benefits do we receive from your billing?
Claim rejections are reduced to less than 2%
Claims are submitted within 24 hours of receipt from your office
Reimbursement is accelerated because we care about getting you paid.
You don't have to worry about staff turnover, training, or continued education
You don't have to pay for vacation or sick time
Your in-house billing manager achieves a higher success rate
Overlooked, neglected, late or inaccurate insurance claims or patient statements are no longer an issue.
No hardware or software is needed
You don't have to purchase postage, claim forms, or envelopes anymore
Minimize your paper work
Lower your overhead

Do you transmit claims electronically?
In mostly cases -Yes - to those companies that are efficient with EMC (Electronic Medical Claims) and McKesson. We do process certain payers on paper only because they do not accept electronic claim submissions. Insurance carriers require that you are credentialed with them for us to be able to submit electronically on your behalf or to obtain online patient eligibility.

What is an advantage sending claim electronically vs. Paper?

Paper Claims Electronic Claims
Get lost in mail
Turnover time is 45-90 days
Handwriting may not be legible
No one edits a paper claim
Rejection rate is 35-50%
Electronically go directly to the payers
Turnover time is 14-21 days
Electronic claims are generated in HIPAA Compliant Standards
Electronic claims are edited and then processed
Rejection rate is less than 2%

Do I still need to keep records at the office?
Yes, all the original superbills or daysheets, patient demographics must be kept at your office in accordance with State and Federal Record Retention Laws. Our company should get ONLY copies and after the time period all documents will be shredded by us.

What do you need our office to send you to file a claim?
Copies of each patient registration or information sheet (one time only with the exception of any changes)
Copies of both the front and back of the patient insurance card (one time only, unless a change in coverage takes place)
Superbills, daysheets, or daily charge sheets which include all CPT, ICD-9, modifiers, and HCPC codes.
A Patient Carrier Verification sheet (you should verify benefits at least every 6 months to keep current benefits on file)
Copy of the Acknowledgement of Notice of Privacy Practices signed by each patient (needed only once) in accordance with HIPAA Privacy Regulations
Copy of the patient's authorization form if needed
If additional information is needed for a specific case, we will notify you immediately.

How do we get information to you for billing?
We can receive billing information from the provider by email, fax, courier, regular mail or uploading on the site through account.

What types of medical specialties do you provide billing services for?
We can provide medical billing services for most all types of out-patient medical practices.  including: internal medicine/family practice, psychology, pediatrics, urology, gastroenterology, podiatry, mental health, physical therapy, cosmetic surgery, home care, medical supplies, radiology, durable medical equipment, orthopedic surgery, dermatology and others. Our services can be utilized for any specialty. Our office staff has been fully trained in multi-specialty billing.

How much are your fees?
Our fees are always based on a percentage of collections. We don't charge based on claims submitted, but on reimbursements received as a result of our services. This approach directly ties our success with yours and creates an immediate incentive for us to work together toward the same goals.
We charge all of our clients less than the national average of 8.5%, we do consider a prospective client's claim volume, average reimbursement, and specialty prior to making a proposal.

What our your setup fees?
No setup fee and any other hidden fees.

How do we set up an account with you?
We can begin providing billing services as soon as the contract is signed and all information is received and entered into our system. This information would include: practice name, address, NPI, Tax ID, provider ID#'s for all carriers, diagnosis codes, charge codes and prices, transaction codes, carrier information, patient demographics and insurance policy information. Once these databases are established, we can begin keying charges almost immediately. Paper claims can go out and electronic billing will begin as soon as submitter information is established with each carrier or clearinghouse. This takes anywhere from 4 to 6 weeks.

How soon can we get started?
We can start immediately! Please visit our GETSTARTED page, complete the information and we will contact you! It takes about 10 minutes.

How do we know the status of our practice?
We provide detailed reports to fit your specific needs. You tell us what you would like to see on a daily, weekly, monthly, quarterly, and/or yearly basis.

How can you be more effective than our own office staff/billing company?
Our billing service's main focus is to obtain maximum reimbursement for the services you provide. We have the time and means to perform the claim follow-up on every level. We stay abreast on all of the current insurance regulations and HIPAA & OIG guidelines. Utilizing our billing service will relieve the stresses of your staff do the billing and reduce the in-office workflow. Making more time for your patients and their needs.

Where are the insurance payments going?
All insurance payments go directly to your office (providerís address), your payments are never handled by us. You then provide us with the copied EOBs and checks.

How often are my claims processed?
Within 24 hours of receipt your claims will be ready for processing. Obviously, if we need to gather additional information from your practice, we will contact you for that information, and prepare those claims for processing at a later time. Complete and organized information from your office will expedite our billing and your payments; this is extremely important. Our first priority is to maintain a steady income in order for your practice to run smoothly.

Do you just bill for local clients?
Services can be provided to local clients as well as nationwide. We utilize various methods of obtaining information from our providers, therefore we can most definitely serve the needs of clients locally and nationwide.