The terms “good” and “bad” imply the degree of dedication and sensitiveness to client requirements medical billing companies have. A good company is reliable and provides customized services.
How to compare good billing companies and bad billing companies
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How to Compare Good Billing
Companies and Bad Billing
Companies?
Outsourcing medical billing tasks is an ideal
option for healthcare
providers looking to expand
their practice and get more
free time for patient care.
Effective documentation and
timely submission of medical claims is crucial
to get accurate medical reimbursement.
Though there are many medical billing service
providers worldwide, before choosing any of
them to hand over your billing and coding
tasks, make sure that you can distinguish
between “good” and “bad” medical billing
companies. If you are wondering what the
terms “good” and “bad” imply. They signify the
degree of dedication and sensitiveness to client
requirements these firms have. A good
company is a reliable company that provides
customized services. Choosing personalized
medical billing services will help to enhance
the revenue cycle of your medical practice.
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Factors to be Considered While Comparing
Billing Companies
List of services provided: Make sure to get a
clear list of the services
provided by different
companies under medical
billing assistance. An ideal
billing company will offer a
comprehensive billing
package that includes step
by step processes such
as:
• Patient scheduling and reminders
• Patient enrollment (Demographics and
Charges)
• Insurance enrollment (For Physicians and
offices)
• Insurance verification and authorizations
• Coding and audits
• Billing and reconciling of accounts
(Payment Posting)
• Account analysis and Denial Management
(EOB Analysis)
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• AR management (Insurance and patient)
• Financial management reporting
Employees: Weak medical billing staff can
counteract the best technology and billing
processes. Success of the process requires
expert billing staff. Established medical
billing companies can provide the services of
AAPC certified coders and expert billing staff
with in-depth knowledge of CPT, ICD-9 and
ICD-10 medical coding, medical practice
management, insurance industry practices,
and the federal laws.
The workforce as well as each function of the
billing process has to be taken into
consideration when it comes to deciding the
ability of the company to maximize revenue.
Experience: The billing company you choose
should be highly experienced; it is equally
important that the professionals working on
your account are also experienced.
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Practice Management System: Your
partnering company should provide you with a
custom practice management system that
specifically suits your needs as regards
appointment scheduling, data transfer, patient
tracking and reporting. The systems should be
user-friendly, easily accessible and highly
functional.
Billing Software: Reputable firms stay
constantly updated with the latest
technologies. They use advanced medical
billing software such as Medic, Medisoft, IDX,
Practice Admin, Next Gen, Eclipse, Medisoft,
Misys, Lytec, E-clinical, Inception, Medical
Manager and more for providing accurate
services.
Follow-up on Submitted Claims: You must
have a clear idea of the follow-up policy of the
company regarding submitted claims. Good
companies systematically follow up the claims,
minimizing delays and denials.
Transparency: Your billing company should
make the billing data available any time you
want.
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Time and Cost Savings: Services provided by
reliable companies can help clients get
significant savings in time and money. With
their service, you can save up to 30-40% or
more of your costs. Such companies will also
provide a free billing analysis of your current
billing performance.
Security measures: Your patient data needs
to be safe and confident. Good billing
companies will provide HIPAA compliant
services. They provide secure file transfer
options and follow confidentiality measures
such as:
• Periodic backup of data
• Secure workstations, storage facility and
authorized access
• Frequently updated firewalls and antivirus
software
• Use of password protected lockers
• Monthly backups of computer systems
• Any spoiled hard copies of patient are
shredded on site
• Entire workforce trained on HIPAA
confidentiality, security, and privacy
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Good vs. Bad Medical Billing Companies –
Understand the Differences
Categorizing medical billing companies into
good and bad becomes easy when you know
the features that distinguish a reliable firm.
Any company that does not rise up to the
expected level may be a poor performer and it
is best not to form an association with such a
company. Have a tie-up with a medical billing
firm that can offer excellent patient relations
when it comes to collections from patients.
Your chosen medical billing company should
be able to accommodate any changing billing
requirements you may have.