Frequently Asked Questions

How should we send information?

● Information can be sent to us in a multiple of ways. Information can be sent via mail, fax
   courier service or e-mail ( you must be able to send encrypted mail )

How often should we send you information?

● Information can be sent as often as you like but we recommend weekly submissions

What kind of information do you need to submit claims on our behalf?

● A superbill containing all CPT and ICD-9 codes and any modifiers.
● A patient information sheet containing all the patients demographics.
● A copy of the front and back of the patient’s insurance card.
● The referring physician ID if required.

Can you submit electronic claims to all insurance companies?

● Most commercial insurance companies, as well as Medicare, Medicaid and BC/BS,
   accept electronic claims. However, there are still some companies that are not setup
for electronic submissions. In those cases paper claims will be submitted.

Why should I outsource my billing?

● The American Medical Association estimates it costs $7-$13 to file a paper claim add
   to that the cost staff turnover, updated software and lack of time for paperwork and you
   can see how outsourcing can benefit your practice. Allow us to be the ones filing the
   claims, dealing with the insurance companies and recovering old accounts receivable.
   Not only will this increase time for patient care, but it will ultimately decrease the cost
   of filing insurance claims and decrease your overhead.

Can you be HIPPA compliant when outsourcing your billing?

● Yes. Billing centers have the same obligation that you do in terms of protecting PHI

Who does the follow up on the claims?

● We follow up every claim that we submit.

Where do my reimbursements go?

● All remittances / payments will go directly to your practice.

Will you need to take any patient charts from my office?

● No. Patient charts will never leave your office. Occasionally notes may be required
   by the insurance company for a claims submission.

 

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