Frequently Asked Questions

Can you really improve my collections, and if so, how?

When collections are lower than they should be, the reason can almost always be traced to recurring errors or flawed procedures somewhere in the billing process. Because we approach medical billing as a process – rather than merely as the repetitive submission of multiple claims – we find problems and areas for improvement that other billers do not. For example, if payments are consistently delayed because patient demographics are incorrect or if claims are repeatedly denied because of missing CPT modifiers, we’ll do more than repeatedly fix and resubmit the claims. We’ll show you the data that demonstrates the problem and help you change the processes that drive these problems.

Won’t I lose control over my billing process if I outsource?

Absolutely not. In fact, we will give you better control than you have ever had. Our reports are clear and comprehensive and will tell you everything you want to know about your practice and your billings. [See our Reporting section for some examples of the information we would provide to you]. And we’re always available for any other questions or concerns that come up. Give us a month and you’ll have a better understanding of your practice than any in-house biller can give you.

Do you follow-up on unpaid claims?

Constantly. Of course we follow-up on all inappropriate denials. But in addition, we know how quickly each carrier pays and our system creates automatic reports of all claims that remain unpaid past the expected payment date. We follow-up on all of these claims to ensure that they are in process, and we fix them if they are not.

How do you structure your fees?

We charge a percentage of what we collect. That’s it. We do not charge monthly maintenance fees or start-up costs. You need not purchase billing software to work with us. If you decide to do so, you will find that the software we use is much more cost-effective than most of the software packages on the market.

What if I’m unhappy with your services?

It won’t happen. But if it does, you can terminate our services at any time without payment of any termination fee of any kind. If we don’t do a great job for you, we don’t deserve your business.

How do I know you’re doing a good job?

We will meet with you monthly and provide clear, comprehensive reports. We’ll provide the data on the financial performance of your practice – from high-level charts and graphs to the detail on every patient, every claim and every charge. You will be able to see exactly what we’re collecting and what we’re not. You will always have all the data you need to review our work and evaluate our performance.

How soon could you get started?

We need your patient demographic information and your insurance provider numbers. But that’s it. We usually start billing within a week.

Can you handle all insurances?

Yes, including Medicare, BlueCross/Blue Shield, Medicaid and workers compensation.

Do you send out patient bills?

Yes – every month.

What do you do if patients don’t pay?

We send a cycle of invoices and letters to each patient. In many cases, we make personal calls to the patients. If we are still unable to get payment from the patient, we will provide you with a list of delinquent patients and recommend to you that you send them to collections. We will not send any patient to collections without your approval.

Do you handle patient inquires?

Yes. Your staff should send all billing-related inquiries to us.

How do I get my daily fee tickets to you?

We provide you with stamped Priority Mail envelopes. Twice a week you send us your fee tickets. We take it from there.

Will my insurance payments be sent to Practice Partners?