 |
Claim rejections are reduced to less than 2% |
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Claims are submitted within 24 hours of receipt from your
office
|
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Reimbursement is accelerated because we care about getting
you paid.
|
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You don't have to worry about staff turnover, training, or
continued education
|
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You don't have to pay for vacation or sick time |
|
Your in-house billing manager achieves a higher success rate
|
|
Overlooked, neglected, late or inaccurate insurance claims
or patient statements are no longer an issue.
|
|
No hardware or software is needed |
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You don't have to purchase postage, claim forms, or
envelopes anymore
|
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Minimize your paper work |
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Lower your overhead
|
Q. Why is the cost difference between filing electronically vs.
Paper?
A.
|
Paper Claims |
Electronic Claims |
|
Get lost in mail |
Electronically go directly to the payor |
|
Turnover time is 45-90 days |
Turnover time is 14-21 days |
|
Handwriting may not be legible |
Electronic claims are generated in HIPAA
Compliant Standards |
|
No one edits a paper claim |
Electronic claims are edited and then
processed |
|
Rejection rate is 35-50% |
Rejection rate is less than 2% |
Q. I don't know if we
will work well together?
A. MedOffice's staff
works as a team together with our clients so that we don't
miss anything. We have an 30 day easy out contract
also that protects both of us if we don't work well
together. We do not want any unhappy clients.
Q. What are the benefits of using a clearinghouse vs. filing
direct to payors?
A clearinghouse will edit your claims to reduce rejection
rates. You receive acknowledgement reports within 24 hours of
filing a claim so that any rejected claims may be fixed and
submitted expeditiously back to through the clearinghouse.
Filing direct to the carrier results in awaiting the EOB
(Explanation of Benefits) to know if the claim has been rejected
due to submission errors. You can also sign up with ERA
(Electronic Remit Advice) to get EOBs right from the
Clearinghouse instead of waiting for posting when they come in
the mail.
Q.
Do I still need to keep records at the office?
A. Yes, all the original superbills or daysheets,
patient demographics must be kept at your office in accordance
with State and Federal Record Retention Laws. MedOffice
Solutions, must also retain copies in accordance with State and
Federal Laws. After the time period of which the law allows, all
documents by MedOffice Solutions,
shall be shredded.
Q. What do you need our office to send you to file a claim?
A.
|
Copies of each patient registration or information sheet
(one time only with the exception of any changes) |
|
Copies of both the front and back of the patient insurance
card (one time only, unless a change in coverage takes
place) |
|
Superbills, daysheets, or daily charge sheets which include
all CPT, ICD-9, modifiers, and HCPC codes.
|
|
A Patient Carrier Verification sheet (you should verify
benefits at least every 6 months to keep current benefits on
file) |
|
Copy of the Acknowledgement of Notice of Privacy Practices
signed by each patient (needed only once) in accordance with
HIPAA Privacy Regulations
|
|
Copy of the patient's authorization form if needed
|
If additional information is needed for a specific case, we will
notify you immediately.
Q. How long does it take to get started?
A. 30 minutes... At our initial presentation I will bring
all necessary enrollment forms for setup with the clearinghouse
for electronic claims. It takes approximately 4-6 weeks for
Medicare, Medicaid and BCBS (Blue Cross Blue Shield) electronic
enrollment, however commercial carriers can take as little as
24-48 hours to accept claims electronically. Until all your
carriers are setup to file electronically, MedOffice Solutions
will file claims on paper so that you still get these claims
filed and money is still coming in. We will NOT stop your cash
flow during this change. Most importantly,
MedOffice Solutions does NOT
lock you into a long term contract as other billing companies
do. Our contract has a "30 day easy-out" clause. We do our very
best to assure our clients are happy with our services.
Q. Is MedOffice Solutions HIPAA Compliant
A.
Our software and office is fully HIPAA compliant. We also check
semi-annually if our clients are keeping up with HIPAA
regulations, because if they are not following regulations, we
cannot be compliant as well. We make certain your office has all
the necessary forms to be HIPAA compliant.
Read More on HIPAA
Q. What are our fees?
A.
We are affordable, but we are not cheap. MedOffice
Solutions is a professional Medical Billing Business, we take
pride in our work. You pay for what you get.
MedOffice Solutions has different fee structure because we
know no two offices are alike. We either bill by a "per claim"
or a percentage fee schedule. We base our fee schedule on how
much you get reimbursed from the insurance carrier, NOT by the
billed or charged amount. We bill clients on a monthly basis.
Q. What our your setup fees?
A.
Yes, the setup fee includes setting your office up with the
necessary forms and enrollments to get your claims paid. If your
information sheets do not have all the information needed to
process the claim, this will slow the billing process down. We
make sure you have the proper forms and if you do not have a
superbill or charge sheet, we can design one for you. This fee
also includes registering your practice with our clearinghouse
to do electronic claims filing.
Q. How do we get information to you?
A. There are 3 ways: one is to fax daily or weekly, 2 is
to mail or UPS, and 3rd is if you are local to us, we can pick
up on a weekly basis from your office. For more information on
our services, visit our
SERVICES PAGE.
.
