Frequently Asked Questions Regarding Outsourcing Medical Claims
Maybe you have considered outsourcing your medical claims before, maybe not. But either way, I'm sure you may have some questions. So here are a few of the more common ones we get to hopefully answer any that you may have.
Will my claims really get paid faster?
Most definitely. Electronic claims are always processed before paper claims, and because of the electronic tracking methods in place, the insurance companies cannot claim they never received your claims. With our exclusive next generation technology your claims can settle with money in your account in as little as 7 days!
Will I be able to know at all times what claims have beenfiled?
You will be given a detailed verification report that will show what claims have been transmitted and when
Will I have to have expensive equipment and software?
No. In fact, you do not have to have any equipment or software at all. With our specialized software your office can out-source all of your data entry of new patients, posting of charges and payments, and statement.
Will my patient charts ever have to leave my office?
Absolutely not! If there is any information your billing specialist needs, they would contact your office manager and request it by either fax or phone. Only information that is pertinent to filing the claim is necessary. All patient information is kept in the strictest of confidence and is only used for billing purposes.
So what exactly does the billing specialist need from ouroffice to file the claims electronically?
We will need a copy of the super bill for services performed, a copy of the patient registration form, and a copy of the insurance card front and back. If ProFast Billing Solutions is going to perform full accounting of payments as well, then we will need a copy of the EOB so we can properly post payments.
I do not have a formal superbill. Can one be designed formy needs?
Yes. ProFast Billing Solutions can even put the form on two part NCR paper so your office will not have to make copies of them. The same can be done for a patient registration form.
What happens if the claim is rejected or paid wrong?Your billing specialist will challenge any and all rejections and will do prompt follow up on any problems
What are the liabilities involved in using an outsideservice?
At ProFast Billing Solutions we take every precaution to ensure the quality and security of handling your billing needs. Our software and systems meet or exceed all the guidelines stipulated in HIPAA. All data is backed up on a daily basis and is stored off site in multiple remote data centers; a backup can also be provided to your office upon request. These data centers use the latest in security and hacker prevention to keep your data completely safe.
How will the information needed to file a claim get from myoffice to my billing specialist?
Because each office's needs vary, our billing specialists can work with you on an arranged time to pick up the necessary data to file the claims.
What would my office staff be responsible for?
Your office staff will be able to continually concentrate on increasing patient care and follow up on the status of all the patients who come through your practice. With this kind of care, your patients will become great word of mouth referral sources for you.
Will my claims really get paid faster?
Most definitely. Electronic claims are always processed before paper claims, and because of the electronic tracking methods in place, the insurance companies cannot claim they never received your claims. With our exclusive next generation technology your claims can settle with money in your account in as little as 7 days!
Will I be able to know at all times what claims have beenfiled?
You will be given a detailed verification report that will show what claims have been transmitted and when
Will I have to have expensive equipment and software?
No. In fact, you do not have to have any equipment or software at all. With our specialized software your office can out-source all of your data entry of new patients, posting of charges and payments, and statement.
Will my patient charts ever have to leave my office?
Absolutely not! If there is any information your billing specialist needs, they would contact your office manager and request it by either fax or phone. Only information that is pertinent to filing the claim is necessary. All patient information is kept in the strictest of confidence and is only used for billing purposes.
So what exactly does the billing specialist need from ouroffice to file the claims electronically?
We will need a copy of the super bill for services performed, a copy of the patient registration form, and a copy of the insurance card front and back. If ProFast Billing Solutions is going to perform full accounting of payments as well, then we will need a copy of the EOB so we can properly post payments.
I do not have a formal superbill. Can one be designed formy needs?
Yes. ProFast Billing Solutions can even put the form on two part NCR paper so your office will not have to make copies of them. The same can be done for a patient registration form.
What happens if the claim is rejected or paid wrong?Your billing specialist will challenge any and all rejections and will do prompt follow up on any problems
What are the liabilities involved in using an outsideservice?
At ProFast Billing Solutions we take every precaution to ensure the quality and security of handling your billing needs. Our software and systems meet or exceed all the guidelines stipulated in HIPAA. All data is backed up on a daily basis and is stored off site in multiple remote data centers; a backup can also be provided to your office upon request. These data centers use the latest in security and hacker prevention to keep your data completely safe.
How will the information needed to file a claim get from myoffice to my billing specialist?
Because each office's needs vary, our billing specialists can work with you on an arranged time to pick up the necessary data to file the claims.
What would my office staff be responsible for?
Your office staff will be able to continually concentrate on increasing patient care and follow up on the status of all the patients who come through your practice. With this kind of care, your patients will become great word of mouth referral sources for you.
posted by Jeffrey Roh at
2:18 PM
