Outsource Your Medical Billing with Care

May 19, 2010 at 2:58 pm Leave a comment

Whenever a health care provider or a hospital plans to have a full fledged medical billing department with billing clerks, it is very essential to think twice and make sure to choose well experienced billing staff. Today fortunately, outsourcing the entire medical billing process is a cheaper option that is available.

Quite often there have been instances when the in-house billing staff does not have the sufficient experience and does not possess the sufficient in-depth knowledge about coding. This will result in loss because claims cannot be made properly and may require rebilling. Moreover, instances of many scandals in this area of health sector have been rampant. Considering the various risks it is a must to outsource the medical billing to a trustworthy and reliable professional billing company.

Before signing a contract for outsourcing of medical billing with a company a proper enquiry about the company and its history is essential. Also checkout the following information from the outsourcing company and see how good they are.

* Do they provide reports?

* What is their collection rate?

* What is their specialty?

* Do they use a HIPAA-compliant format?

* Are they well staffed?

* Do they code also? (not preferred)

* What percentages are accounts receivable?

* Do they follow up on delayed /denied claims?

* Have they had face to face meetings with clients?

Encounter forms are usually completed and sent to the billing company along with the insurance card, registration cards on a weekly or daily basis. Most of the medical billing companies have medical billing software to prepare the bill and then submit it for claims. Bills to Medicare and other bigger insurance companies are generally sent via a clearing house. Many companies use doctors to scan the encounter forms.

How much does medical billing service cost for a physician? Billing companies charge doctors a percentage of what they collect and the rate depends on the doctor’s specialty. Specialists are charged lesser than the primary doctors because specialists mean lesser claim and bigger amount.

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