FAQ

What is your pricing structure?

Our service fee structure is based off of volume of claims and monies collected. Each practice is unique, and so rather than quoting a static price on the website, we like to learn more about the practice so that we can give you the best price possible.

I currently have a billing service, how do I know if they are doing a good job?

There are a few ways to tell:

1. Call up your billing service and ask for an aging report, and say you need it within 15 minutes. If they can’t produce this in this time frame, they are probably hiding something from you.
2. If they do produce it for you, their should be minimal monies due past ninety days, if any.
3. Keep a close look on your Explanation of Benefits. Make sure there are not a lot of zero payments. These could be due to not coding correctly.
4. Has you billing service registered you or your office for every major insurance website that you belong to? If not they are not doing things efficiently. Remember how you do anything is how you do everything.
5. Do they keep in constant contact with you or your office staff? At minimal it should be every two weeks to follow up on medical notes needed, and any other billing issues.
6. Has their been a slow drop in your income level? That is one sign of a billing services starting not do their job correctly.

Do you collect on co-pay?

Yes, we can. Although, co-pays are generally collected at the time of service. If this has not been done, upon posting payment from insurance company, it will be determined that this balance is still outstanding. When running monthly reports of balance due, this amount will be accessed and a statement will be sent.

How are you a no cost service?

To be at 100% or close to you need to:

1. Have a full working knowledge of coding and modifiers to correctly and legally maximize your profit per claim.
2. Send claims out every week and to the correct insurance companies.
3. Apply payments correctly, so that patients will be getting billed properly.
4. Follow up on every claim that is getting denied, which includes calling insurance companies and resubmitting corrected claims with additional notes if needed.
5. Send out and collect on patient statements.
6. Run an aging report on non-paid claims once a month.
7. Have all these systems running in place.
8. Have the staffing training on all necessary task.
9. Have the staffing necessary with a full working knowledge of all these skill sets.
10. Have the time to manage to continually check up on and see that above tasks are getting completed in an efficient and timely manner.

Depending on how efficient you are in certain areas will depend on how much revenue is not being collected. When we take on a new client we bring the client as close to 100% reimbursement as possible, thus the revenue that was being lost will be used to pay for our services and you will have the hours and burden of this task of your office staff.

Most of our doctors even end up taking on more business because the relief of knowing they will get paid for these patients, and not have to spend time looking into billing matters.

How can I guarantee that you will do what you say?

Your guarantee is having full access and understanding of systems and policies. You will be able to view your practice any time and check in what we are doing as well as the progress we are making. We believe in being fully accountable, and live up to our word. We have references upon request, or you can visit our testimonial section.

What makes you different than any other billing company?

For one it is our belief that you should get paid for every service provided to every patient. We understand that this is time out of your day, and no one wants to or should work for free. We understand that cash flow is the major heart of a business, and the major failure for many businesses. It is with this belief we go after every penny for you. We just do our job and do it well because we have systems in place to make sure everything gets done properly and in a timely matter.

How do you go about billing patients?

On an EOB if there is a deductible, co-Insurance, or Coordination of Benefits rejection we will automatically put the balance to the patient. If there is any other reason specifically when insurance is termed, we always will ask the office staff or doctor what you would like us to do first, before billing the patient. We will send out a patient statement once a month for two months, and then on the third month we will make a phone call on your behalf. If at this point no monies are collected we will hand the bill over to you. We are not a collection agency, and at this point we do not get involved in seriously delinquent accounts.

What are some practices you work with?

We work with many practices, and all are practices are completely happy with us for one simple reason. If they are not getting paid or a problem arises we solve it as soon as we see it. We do research and look into the matter. This is where most billing services fail, they are either inefficient with their time or simply do not care.