F.A.Q.s
There are several ways for your office to send in your billing, including the following…
- Standard Mail - just place your documents into a secured envelope and mail to our main office.
- Fax - the quickest way to get your billing to us! Just fax each completed document to our office on an as needed basis (after each visit, at the end of each day, once per week, etc).
- We can pick up from your office
As often as you choose to! We personally recommend, however, that our clients send us their new billing consistently on either a daily or weekly basis.
We require the following…
- New Patient Information Form
- A copy of the patient's insurance card or WC ID card (front and back)
- The patient's first superbill (treatment form)
We must receive a completed superbill (treatment form), which has been signed by the physician rendering the services. This form must contain:
- Patients name
- Name of insurance carrier
- CPT codes
- ICD-9 code(s)
- Referring physician's name and the referral #
- Any/all applicable modifiers
Yes! It is vital to your practice that we receive this information, so that we can enter the insurance carrier's payments and generate the necessary patient statements for those accounts which still may have a balance due.
You can easily report a patient's co-payment, made at the time of service, on their superbill (treatment form) for that day's treatments.
You can also report all of the patient's payments, received in the mail, by keeping a Payment Log. A payment log enables you to report all payments received in your office, using one simple form. If you do not already use this type of form in your practice, we can custom design one for you.
You can also report all of the patient's payments, received in the mail by making a copy of the check and attaching it to their patient statement remittance (if returned).
Any patient in our system will receive a bill for any balance due, once a payment has been received by their insurance carrier, if you have contracted for this service. Patients are billed monthly. Payment Plans can be easily accommodated also.
We must first determine if the denial, whether in part or in full, is valid. If the denial is valid it must be written off. If the denial is not valid, as in many of the cases, we will request that the carrier reprocess the claim. Unfortunately, many carriers will require that the claim be resubmitted on paper via postal mail, but no additional charges will be invoiced to your account as a result.
We will send out a pre-determined (by you) number of statements, and make follow up phone calls. After 120 days, we recommend that the account be turned over to collection.
You may recommend that an additional fee be applied to each account which has not received a payment within a 120 day period.
Yes we do, but keep in mind that, patient billing is best performed by your biller, who already has access to all account balances and other additional information. If we are already handling the insurance end of things, it only makes common sense to let our system automatically generate the claims on an as needed basis!
We can provide you with our Remote Access/Viewing software, which is updated regularly, for an additional fee. This will enable your staff to view patient balances and generate their own statements, among other things.