Standard Medical Billing Services

By: Billing Advantage  05/15/2014
Keywords: Medical Billing Services, Billing Software, Medical Coding

Comprehensive Medical Billing Services for 5% to 7% of the Amount Received! For most practices, our National Medical Billing Services including medical insurance and claim services are an excellent and inexpensive option. You qualify for our standard services if you bill out at least 100 claims per week, and you receive, on average, at least $75.00 per claim. Here’s how it works: Entering Data There are several options for entering data. Some of our customers prefer us to do all of the data entry for them. Others prefer to enter the basic demographic information on patients, along with the CPT code, diagnosis code and other basic encounter information. This data can either be entered directly into Kareo, the Practice Management software we use, or into Practice Fusion, the free EHR software. Doing this part of the data entry will decrease your cost with us, and we provide free training in how to do it. Claims Submission We partner with Kareo, the Practice Management/Medical Billing software. Whether you enter some of the data yourself through Kareo or Practice Fusion, or whether we do all the data entry for you, an encounter form is created in Kareo for each claim. We then review each encounter manually, add the rest of the insurance information, make sure that it all looks correct, and submit the claims electronically to the insurances. All you have to do is either get us the information so that we can create the encounter, or if you are doing some of your own data entry, you enter a few fields (such as CPT code and diagnosis), and click ‘send’. That’s all there is to it. We then submit the claims electronically using Kareo. You have no additional work beyond this. Claims Follow Up We follow up very aggressively on all claims to be sure that they are received in a timely manner, and paid. Since the vast majority of claims are submitted electronically, we have immediate confirmation of claims receipt, and if there are any issues with a claim, we know about it quickly. We follow up immediately on any claims that are rejected, denied, or underpaid, or on any claims where there has been no response from the insurance company. You don’t have to worry about claims follow up, tracking specific claims, etc. Secondary Insurances We automatically bill any secondary insurances at no extra cost. We provide the same thorough level of follow-up for secondary claims as we do for the primary claims. Patient Balances We send out monthly statements for any amounts owed by patients for co-pays, deductibles, etc. If a patient has a question about a bill, they can call our office and our professional staff will review all aspects of the invoice with them and answer all of their questions. This relieves a huge burden from your office staff, as they no longer have to answer patients’ questions about their bills. Pricing: Our medical billing service fees is based on a percentage of the amount you receive, both from insurance and patients. The only other fee is a one-time startup fee. This is $200.00 per clinician, with a maximum charge of $1,500.00 for 8 or more clinicians. In order to qualify for our standard pricing plans you need to meet the following criteria: Bill out at least 100 claims per week Receive at least $75 per claim (amount received, not amount billed out) If you meet these two criteria, your cost would be between 5% and 7% of the amount received. (Please note that this is the amount you receive from insurances and patients, not the amount you bill out). There are some other factors which determine whether you would be charged 5%, 6% or 7%. To see which rate would apply to your practice, please click here for our free, instant price quote. In all cases, this is based on the actual amount you receive, not the amount billed. We don’t get paid until you do.

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Individualized Medical Billing Services

Customized Services Designed to Meet Your Needs! Some of our customers have more specialized needs, and prefer a more customized package of services. Our Individualized Medical Billing Services are a good choice for you if you don’t meet the criteria for our Standard Services, if you need us to keep track of authorizations for you, or if you have other specialized needs.