For most practices, our National Medical Billing Services including medical insurance and claim services are an excellent and inexpensive option. You qualify for our standard services if you bill out at least 100 claims per week, and you receive, on average, at least $75.00 per claim. Here’s how it works:
There are several options for entering data. Some of our customers prefer us to do all of the data entry for them. Others prefer to enter the basic demographic information on patients, along with the CPT code, diagnosis code and other basic encounter information. This data can either be entered directly into Kareo, the Practice Management software we use, or into Practice Fusion, the free EHR software. Doing this part of the data entry will decrease your cost with us, and we provide free training in how to do it.
We partner with Kareo, the Practice Management/Medical Billing software. Whether you enter some of the data yourself through Kareo or Practice Fusion, or whether we do all the data entry for you, an encounter form is created in Kareo for each claim. We then review each encounter manually, add the rest of the insurance information, make sure that it all looks correct, and submit the claims electronically to the insurances. All you have to do is either get us the information so that we can create the encounter, or if you are doing some of your own data entry, you enter a few fields (such as CPT code and diagnosis), and click ‘send’. That’s all there is to it. We then submit the claims electronically using Kareo. You have no additional work beyond this. If you already have software in place, that’s no problem. We can remotely access your software from our office here in Destrehan and provide the same excellent service.
We follow up very aggressively on all claims to be sure that they are received in a timely manner, and paid. Since the vast majority of claims are submitted electronically, we have immediate confirmation of claims receipt, and if there are any issues with a claim, we know about it quickly. We follow up immediately on any claims that are rejected, denied, or underpaid, or on any claims where there has been no response from the insurance company. You don’t have to worry about claims follow up, tracking specific claims, etc.
We automatically bill any secondary insurances at no extra cost. We provide the same thorough level of follow-up for secondary claims as we do for the primary claims.
We send out monthly statements for any amounts owed by patients for co-pays, deductibles, etc. If a patient has a question about a bill, they can call our office and our professional staff will review all aspects of the invoice with them and answer all of their questions. This relieves a huge burden from your office staff, as they no longer have to answer patients’ questions about their bills.