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Medical Billing Services
Overview

FAQs
What does your service include?
The services we offer include complete medical billing, coding, charge posting, electronic file transmission, payment posting, secondary insurance claim submission, appeals of denied claims, patient statements and detailed reports. Additional services can also be provided on client request.

Are you HIPAA Compliant?
Yes. Our company and the software we use conform to HIPAA guidelines.

What states do you provide medical billing services?
Due to the nature of electronic claims submission and the Internet, we can provide medical billing services throughout the United States.

Where does the reimbursements from insurance carriers go to?
All reimbursements are sent directly to you. We will receive no payments from insurance carriers or patients. We do need a copy of the check and EOB for posting payments to patient accounts.
What documentation is required to file a claim?
  • New Patient Information Form
  • A copy of the patient's insurance card or WC ID card (front and back)
  • We must receive a completed superbill which has been signed by the provider
containing some of the following information:
    • Patients name
    • Date of service
    • Name of insurance carrier
    • CPT codes
    • ICD-9 code(s)
    • Referring physician's name and the referral #
    • Any/all applicable modifiers
How often are our claims processed?
Usually within 24 hours of receipt.

What are your rates?
Our Medical Billing rates are competitive and variable depending on the size and speciality of your practice.

Will all claims be filed electronically?
Yes, for those carriers that accept electronic billing. Some carriers still require manually filed claims.

Are all unpaid claims followed up?
Yes. We follow up on every claim until it is paid and make the necessary amendments for future reference.

How do you follow up on denials?
We will challenge any and all claim rejections with perseverance. We will first call directly the insurance company, then call the provider to obtain the information requested by the insurance. If necessary, we'll appeal and resubmit the claim with the denial and any paperwork necessary in getting it paid. We will follow-up immediately on second submission.

How often do you send patient statements?
Statements will be sent every 30 days until the account is paid. We will aggressively follow up on all outstanding balances.

Do you bill secondary insurance companies?
We will bill all primary and secondary insurance companies