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If you are looking for a new billing company, or thinking about switching companies, here are a few questions you should ask yourself:
- What do I need to look for in a medical billing company?
1. Stability - The billing company must be an established business,
not conducted from someone’s basement. The billing company must
have enough staff to give your accounts the attention they require and
reputable clients that are willing to give references.
2. Knowledge - The staff must have experience in medical billing. The
management should have extensive knowledge and should have solid credentials
to back up any claim they make. Look for a Certified Procedural Coder
to be part of the staff. This will ensure that they are a member of
the American Academy of
Professional Coders. Knowledgeable companies should rigorously participate
in continuing medical billing education.
3. Services - An ethical billing company simply will not charge excessive
fees for any service they may provide. Also, be cautious of billing
companies that charge excessively small fees for services, this may
be an indication that the company is home-based or managed poorly.
Renaissance Medical
Billing is an established company, based in Chattanooga, TN, with over
17
years medical billing,
coding, and office management experience.
- What services should a billing company provide?
Many billing companies offer many additional services other than collections.
A good billing company must remain committed to their core business,
which is collecting money for your practice. Additional services, if
not managed properly, can take the focus from collections.
Renaissance Medical
Billing offers additional services at affordable prices, however, we are
committed to our
core business, which is managing your accounts receivable.
- How do billing companies charge for their services?
For the collection services, billing companies charge a percentage of
the gross collections. Beware of companies that charge a different collection
rate for different insurance companies. The fee should be one single
rate for gross collections from insurance receipts and any patient receipts
that the billing company collected on.
Billing companies may charge fees for additional services in one of
two ways: a single fee for the specific service rendered or by rates
by the hour. Beware of billing companies that want to charge you an
additional percentage against your gross collections for additional
services.
Renaissance Medical
Billing charges an affordable, flat rate for gross collections, and we
will beat
any established
billing company's rates for extra services.
- What should be included as part of the package on collections
services?
A reputable billing company must provide the physician with monthly
reports detailing activity for insurance and patient accounts. These
reports should not cost extra. However, specialized reports requested
by the physician could cost an additional, but, reasonable fee. A reputable
billing company may charge you for consulting, however it should provide
a list of what is considered consulting services and provide you a fee
schedule for these services.
At Renaissance Medical
Billing, we offer a variety of extra services. Please see the "Why
Choose
Us" page on
our website or call or email us for more information on what extra services
we offer.
- What software does the company use?
A reputable billing company will use a reputable billing software. There
are many different billing software companies out there, but only a
few actually provide maintenance and support. Be sure that your billing
company uses software that has a proven track record for maintenance
and support.
Renaissance Medical
Billing uses Misys (formerly Medic) billing software. Misys is a nationally
recognized leader
in medical billing software.
- What are sign-on fees and why do I have to pay them?
Many, but not all, billing companies charge sign-on fees to help cover
the cost of “bringing on a new client.” The billing company
will figure the cost of billing for a new physician and double or triple
this figure and ask that you pay it as a sign-on fee. Some reputable
billing companies charge sign-on fees, however, they should be able
to provide you with detailed reasons as to why you must pay the requested
fee.
You must understand that there is some cost for beginning the process
of billing for a physician. The billing company will usually have to
buy some additional software or may even buy hardware to help get the
process started.
A reputable billing company should give you a detailed list of items
and additional services that your sign-on fee covers. Keep in mind that
your sign-on fee should be used by the billing company to only help
cover the cost of beginning the billing process for you. Beware of any
company that wants to charge you thousands of dollars just to be your
billing company.
- How often should
my claims get sent out?
Daily. No exceptions. If a billing company doesn’t send your claims
daily, you are losing money.
We are organized, detailed
professionals who have extensive knowledge of the business of
medical billing.
We have a unique business model that allows us to work your claims more
effeciently
than the competition, which results in a cleaner accounts receivable for
your practice.
A cleaner
accounts receivable means improved revenue, cash flow, and profits.
- How
many physicians does the billing company assign to each individual claims
collector?
Many billing
companies assign two, three, or sometimes even more physicians to their
collectors. This creates
one of the
biggest problems with the medical billing profession today. Specifically,
struggling to call on
claims.One
of the most important
tasks a billing company must do is call on any outstanding claim and check
its status.
This is referred to as calling through an physician's accounts receivable.
Every single
outstanding claim on a physician's accounts receivable should be called
on every month. This
entails checking
the status of, requesting payment for, and refiling the claim if necessary.
If this is not
completed
on a regular, aggressive basis, the A/R will become inflated. Many of
these claims can not be
collected
on after certain periods of time.
At
Renaissance Medical Billing, we do not assign multiple physicians to our
claims collectors.
This enables
us to work a physician's A/R balance much more aggressively and efficiently.
- How
do I know that my A/R is being worked efficiently and aggressively?
An effective
billing company will identify coding concerns and billing problems while
working accounts. As
an issue
arises that requires the phyician's attention, the billing company should
be sending queries and
requests for information
to the physician's office. This is usually done via fax. The requests
will be for updated
information on
patients or asking for clarification on coding issues from the physician.
If your
current billing
company is not sending regular information requests and physician queries,
they are not effectively
working
your accounts receivable.
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