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Every month you could be throwing away hundreds of dollars down the drain. Consider the FACT: On an average doctors spend $8.00 per claim using in-house billing. by outsourcing to us you will save 50% right of top.

However, the truth is we really don't know if we can help you until we discuss your individual situation. And if we can't increase your cash flow AND save you money, you don't pay us a cent! Get a Free Quote NOW!

Q. What benefits do we receive from outsourcing your billing?

  • Claim rejections are reduced to less than 2%
  • Claims are submitted within 24 hours of receipt from your office
  • Reimbursement is accelerated because we care about getting you paid.
  • You don't have to worry about staff turnover, training, or continued education
  • 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
  • You don't have to purchase postage, claim forms, or envelopes anymore
  • Minimize your paper work
  • Lower your overhead

Q. Why is the cost difference between filing electronically vs. Paper?

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.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.

Q. Do I still need to keep records at the office?

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?

  • 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?

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

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?

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?

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?

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.
   

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