MEDCARE BUSINESS SOLUTIONS INCREASE YOUR REVENUE MEDCARE BUSINESS SOLUTIONS INCREASE YOUR REVENUE MEDCARE BUSINESS SOLUTIONS INCREASE YOUR REVENUE
MEDCARE BUSINESS SOLUTIONS INCREASE YOUR REVENUE MEDCARE BUSINESS SOLUTIONS INCREASE YOUR REVENUE MEDCARE BUSINESS SOLUTIONS INCREASE YOUR REVENUE

BILLING SERVICES

Your Total Billing Solution

Turn Your Practice into a Profitable Business!

We offer full practice management and billing solutions. Our services include:

  • Process primary, secondary, tertiary insurance claims.
  • Follow up with insurance (primary/secondary).
  • Post payments to insurance and patient accounts.
  • Track unpaid claims and send Letters of Medical Necessity when necessary.
  • Provide notification regarding any “Incomplete Claims” which were unable to be processed as a result, or when additional information is required by the insurance carrier to adjudicate claims.
  • Follow up on patients’ payments and generate patient statements,if requested
  • Process Workers Compensation, Rehab, DME Claims with attachments.

We begin each relationship with understanding our customer’s needs. Open communication and transparency are at every stage of the partnership. We listen to our customers and take a proactive role to improve each client’s business. We understand how important your work is and know we can play a significant role in helping you meet your day-to-day challenges.

FAQs

Frequently Asked Questions

Find quick answers to common questions about our billing, credentialing, services, pricing, process,
and how we support you.

How do we get the necessary information to you?

There are several convenient ways your office can send in billing documentation, including the following:

Granting Us Access to Your EHR System – The most seamless option. With your permission, we can directly access the necessary records.

Email – Send completed documents securely via email.

Fax – A fast and reliable option. Fax each completed document to our office as needed (e.g., after each visit, daily, or weekly).

Standard Mail – Place your documents in a secured envelope and mail them to our main office.

How often should we send our new billing to you?

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.

How do we report when treatments are rendered, so that you are able to generate a claim on our behalf?

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-10 code(s)
  • Referring physician’s name and the referral #
  • Any/all applicable modifiers
What happens if we accidentally omitted any of the information contained on the required forms, and we already sent them to your office?

You will receive a phone call or an email indicating that the claim does not contain enough information to be processed by the carrier, listing exactly what is missing. We do this as a courtesy to you and your staff, to assist in gathering the information quickly, and to avoid timely filing deadlines that are imposed by many insurance carriers.

How do we report payments received from our patients, for both co-payments and patient billing?

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).

How do you handle non-payments from an insurance carrier? (denials, etc.)

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 snail mail, and additional charges may be invoiced to your account as a result.

We prefer to bill our own patient's, but we are interested in obtaining insurance claim processing services from you. Does your company offer this service?

We sure do! Please keep in mind however, 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!

Do we have to report the insurance payments received in our office to you?

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.