I already have the time to do in house medical billing. Why should I outsource this task?
Medical billing takes time; probably more time than you realize. You may be spending time on this task, but be inefficient. In less time than you can perform these functions, we can deliver better results, which mean more money for your practice each month.
Rejected claims are a part of the medical industry. What is the benefit to outsourcing claims rejection?
While rejected claims are a part of doing business, using a professional medical billing service greatly reduces the number of rejected claims because they are coded and submitted correctly the first time. Hiring a service to focus exclusively on this task substantially reduces the errors that spur rejected medical claims in the first place.
All I care about is being paid quicker. Can you get my claims paid quicker?
The answer is a resounding yes! Because of the total package of services we offer our clients, claims are paid faster, period. Our effectiveness is as direct result of us managing the total process from start to finish. Submitting the claims is the first step, while tracking their status is the next step. Tracking the claims ensures that if they become stalled prior to payment, we immediately take action to get them moving in the process again.
How do you charge for medical billing services?
Our fees are based on a percentage of payments collected, and are all-inclusive—there are no hidden charges. For full-service billing, this fee generally ranges between 5% to 10%, depending on the specialty, payer mix, and practice revenue. Larger specialty groups may pay even less. For past account receivables (Old A.R) that need to be collected, this fee generally ranges between 25% - 35%, depending on the age of the claims.
Are you HIPAA-compliant?
Yes, Ambit Medical Professional Services, Inc., is fully compliant with all HIPAA requirements and standards.
Where do the insurance checks go?
Payments are always sent directly to your practice or to a designated lock box account –never to us. Be wary of billing companies that demand that the payments come to them. All we need is a front/back copy (or original, if you prefer) of the EOB to properly credit the account.
What kind of service will you give me?
We’ll give you excellent service—we take pride in our outstanding customer service, extreme attention to detail, lightening fast response, and personal follow-up.
What kind of information do you need from my practice?
To make things easier and more accurate, we’ll design an easy-to-use superbill for you, or work from your existing one. In less than 30 seconds per encounter, you’ll be able to get us the information we need to properly submit your claims. (For new patients, or patients whose demographic and insurance information has changed, we ask that you give us a copy of their registration sheet and copies of insurance cards).
I’ve seen medical billing software for sale. Why shouldn’t I do my own billing?
The answer to this question depends on the specific needs of your practice. In some cases, it does make more sense to do some or all of the billing in-house and in that situation we can easily get you onto our software program, CollaborateMD. That’s why we carefully evaluate your needs and advise you accordingly. We will not try to sell you something you don’t need.
Who does the patient call with a billing question?
Our number is printed on your patients’ statements and a “Billing Specialist” will handle all billing questions.
What kind of reports will I get?
There are a variety of reports available (over 93 standard, and an unlimited number of customizable reports). The standard report package includes comprehensive monthly closing reports that confirm productivity such as the amount of charges, insurance payments, patient payments, and aged receivables. Practice-specific reports are available on request, as well, and can greatly enhance your ability to make fiscally responsible business decisions.
Are you a collection agency?
No. We focus strictly on billing and follow-up. However, we pursue delinquent insurance claims and continue to work on them until payment is received. Our procedure is to send three statements to patients. If after the third statement there is no response, we send a 10-day notification letter. At that point, it’s up to you to decide how to pursue collecting the balance due (e.g., outside collection agency, bad debt write-off, etc.).
What if the patient is on a payment plan?
We’ll send as many statements as it takes to get the balance paid as long as there is patient activity on the account.