Top 10 Frequently Asked Questions



Number 10

How does outsourcing affect my staffing needs?
Typically, outsourcing can reduce the need for staff at your location. Depending on the size of the practice, the expenses associated with personnel payroll and benefit expenses may be significantly reduced.
Number 9. (Actually a statement)

I feel like I will lose control by outsourcing my billing.
In fact, the opposite is true. Each client works with an experienced healthcare professional (Account Executive) that meets with you on a monthly basis to review the practice’s financial performance and any other pertinent issues. While it may be true that you can’t walk down the hall to see your billing department, your Account Executive is monitoring billing, follow-up and collection activities for you on a day to day basis. Most physicians do not have the time to exercise the same level of control even if billing is down the hall. Your Account Executive will provide you with monthly feedback that will really put you in control of your practice.
Number 8.

Do we need to use special forms to be able to send you our billing information?
While we have the technology to electronically interface with any other computer systems (i.e. hospital information systems), many of our clients send us paper that we key directly into our system. It is not necessary to change charge/service (superbill) or patient demographic documents that you are already using. During implementation, we will review your documentation to make sure it is complete. As long as it has all of the billing information carriers require we will not ask you to change anything. Our staff will adapt to your forms…not the other way around. If you would like us to design any new forms for you, we would be glad to do that during the implementation process.
Number 7.

What do you do if claims are unpaid?
In a world filled with every type of technology imaginable effective follow-up of unpaid claims requires the most basic…a telephone. While we do routinely resubmit unpaid claims, the most effective way to follow-up up on unpaid claims is to call the insurance carrier and determine why the claim hasn’t been paid. This is where many practices fail when they do their own billing. Day to day patient and billing activities consume all available time and follow-up is not effectively managed. Effective follow-up can add as much as 20% to a practice’s gross revenue.

Number 6.

Can you handle my unique reporting requirements?
Our system can handle virtually any reporting requirement. If we capture the data element we can report it back to you. If for example, you wanted an alphabetic listing of male patients with a specific diagnosis code in a specific zip code for a specific date range…we can report it.

Number 5.

If something about my practice changes, like I merge with another practice that has a billing system, can I get out of our agreement?
You can get out of our agreement, at any time and for any reason, with 60 days written notice.
Number 4.

What should I do about my existing receivables?
In most cases we suggest that they be worked down through the existing billing mechanism. The next best alternative would be to transfer them after they have been worked for an additional 90 days. At that point all of the "easy" money will have been collected. In some cases we will convert the old receivable simultaneous with going live on new billing.
Number 3.

How long does it take to get started?
Depending on whether an electronic interface is needed, the implementation process will take 60 days. Within the implementation timetable, master files are created, customized protocols developed and electronic linkage is established with the insurance carriers to allow us to bill electronically on your behalf. Don’t be fooled by a competitor who promises you a shorter timetable just to get your business. If the timetable is short it simply means that shortcuts will be taken and paper claims will be sent. This is not to your advantage.
Number 2.

What is your collection percentage?
Gross collection percentage (receipts / charges) varies dependent upon how high or low a practices fee schedule is compared to reimbursement. It is not a good measure of performance. Net collection percentage (receipts / charges – contractual adjustments) is a better measure of performance. It means how much was collected against the maximum that could be collected. We expect to collect from insurance companies (on a net basis) 95%+ for patients with valid insurance. It may take multiple submissions but we will collect it. Collections, from patients, are usually a direct reflection of the economic community you service.
Number 1.

How much do your services cost?
That one is impossible to answer in the forum. If you would like to find out more about our pricing please provide us with some minimal information about your practice on our Billing Cost Analysis page and we will respond very directly to this question as it relates to your practice. Of course, any information provided to us will be held with the strictest degree of confidentiality.

If you have any specific questions, please use our feedback form.
We will respond within 48 hours.


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