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Practice Management Consulting & Medical Billing Services

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Complete Revenue Cycle Management

Workflow improvements are the key to performing your billing timely and efficiently.  We create systems that allow us to do it right the first time.  We'll even train your staff for you.  We work as a team to get the billing done right, so you can focus on your patients, not their billing!

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Practice Management Consulting

Medical billing continues to become more complex.  Let our medical practice management consultants help you with the complex tasks of practice management.

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Software

There are numerous software options.  We can use what you already know and love, or we can help you chose a new software that best fits your unique practice.  

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Credentialing​

Credentialing has become more complicated than ever before. We will take great care in providing credentialing services because we know every day counts when a provider is waiting to bill an insurance plan for services.

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We offer services to suit the needs of your practice.  All services are customizable

 

Each practice has unique needs.  We are able to customize our services to suit your needs.  

  • What exactly is medical billing?
    Medical billing is the process of submitting and following up on claims with health insurance companies or government healthcare programs in order to receive payment for medical services rendered by healthcare providers such as physicians, hospitals, and other healthcare facilities. The medical billing process typically involves gathering and verifying patient information, verifying insurance coverage and eligibility, submitting claims to insurance companies or government healthcare programs, and following up on claims to ensure timely payment. Medical billing professionals are responsible for ensuring that claims are accurately coded and billed, and that all relevant information is provided to the insurance companies or government healthcare programs. Medical billing is an important aspect of the healthcare industry, as it helps to ensure that healthcare providers are properly reimbursed for the services they provide, and that patients are not responsible for paying more than their insurance coverage allows. It can be a complex and time-consuming process, which is why many healthcare providers outsource their medical billing to specialized companies or hire dedicated medical billing professionals to handle this task.
  • What is the medical billing process?
    The medical billing process is a series of steps that billers follow to submit claims to insurance companies or government healthcare programs for the medical services they have provided. The process typically involves the following steps: 1. Patient registration and insurance verification: This involves gathering and verifying patient demographic and insurance information, including their name, address, date of birth, insurance ID number, and policy details. 2. Medical coding: Providers use standardized codes (CPT and ICD-10) to describe the medical services provided to the patient. These codes are used to generate a claim that is submitted to the insurance company or government healthcare program. 3. Claim submission: Once the medical coding is complete, claims are submitted the insurance company or government healthcare program. The claim includes the patient and insurance information, the medical codes, and a description of the medical services provided. 4. Claim processing: The insurance company or government healthcare program reviews the claim to determine if it is a covered service, if the patient is eligible for benefits, and if the medical codes used are appropriate. If the claim is approved, payment is made to the healthcare provider. 5. Payment posting and reconciliation: Once payment is received, the medical billing company posts the payment to the patient's account, and reconciles the payment with the original claim. Any discrepancies or denials are investigated and resolved. 6. Patient billing: If the patient is responsible for any portion of the cost of the medical services, the medical billing company bills the patient for their portion of the payment. The patient is then responsible for paying the balance of the bill. The medical billing process can be complex and time-consuming, and may require specialized knowledge and skills. Many healthcare providers outsource their medical billing to specialized companies such as The Billing Department, Inc to handle this task.
  • What makes The Billing Department, Inc. different from other billing companies?
    Many billing companies only submit claims. Some of the largest billing companies in the US only send out claims and do not do any follow up or denial management. We are different. We know most of the work involved with billing comes from claims resolution and denial management. We spend the bulk of our time making sure the claims we submit to payers are paid.
  • What other services related to billing does The Billing Department, Inc. provide?
    We provide complete Revenue Cycle Management. When we take on a new client, the first thing we do is evaluate their accounts receivable. We work with the client to improve the billing process and make the process is as efficient as possible. We utilize technology to improve the time and energy that providers and their staff spend on billing. Once we implement updates to the billing process, we evaluate the effectiveness of the interventions or changes that were made to the billing process. Billing requires constant monitoring and process improvement. We never stop evaluating and updating the billing process.
  • How do I know my claims will be paid?
    We never expect our providers to trust that claims are paid, we want to prove to our clients claims are paid. We create systems that allow providers to easily evaluate the health of their accounts receivable and invite open communication and feedback from our clients.
  • Do you collect money from our patients?
    Yes, we collect from both insurance companies and your patients. Collecting from patients can be just as challenging as collecting from insurance companies. If providers do not have solid, clear collection policies with their patients, money can be lost. We strongly recommend implementing Credit Card on File Programs and we help our clients set up these programs with updated Financial Policies and procedures for this.
  • Why do I need to sign a contract?
    Billing takes time and it takes time to get your billing going and for the process to run smoothly. Depending on the provider and the amount of process improvements required, some providers may not be through the implementation period for up to 6 months, sometimes more. Changing your medical billing provider is a big deal! And it takes time. We take the time with our clients to ensure their billing process is improved and running optimally.
  • Can we use our existing software?
    Yes! If you like your current software, we can use that to manage your medical billing.
  • What if we do not want to use an Electronic Health Records (EHR) program?
    You don't have to. We can work with providers to set-up efficient paper systems.
  • How long does it take to start billing?
    The set-up process is fairly quick. We can usually start billing within 2 weeks of bringing on a new client.
  • What if I'm not sure I need to make a change?
    We can help you decide. We can set-up a meeting to look at your exisitng accounts, together. We can help you better understand the current finanicial health of your practice.
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