Q: How do you charge for your services?

A. By percentage of amount COLLECTED-never a fee per claim. We are paid once a month on a percentage basis.

Q. What is included in the percentage rate you charge?

A. Provider credentialing, eligibility, authorizations, claims submission and claim denials.

Q. How often should we send our new billing to you?

A. As often as you choose to. We recommend, however, that our clients send us their billing consistently on either a daily or weekly basis.

Q. What information is needed in order to generate a claim on our behalf?

A. We normally require the following (may vary):

  1. New Patient Information Form
  2. A copy of the patient’s insurance card (front and back)
  3. Daily charge sheets
Q. Do we have to collect every co-payment?

A. YES, you should! Not doing so is considered to be fraud and/or abuse, and it is also a possible violation of the contract entered between the patient and their insurance carrier…and even the provider and their own contract with the insurance carrier!

Q. How fast can you get us up and running?

A. We can start immediately! Generally, it can take an average time of one to two weeks, depending on the individual circumstances surrounding each client. We can give you a more specific time period once we have had the opportunity to analyze your individual practice.

Q: Is your company HIPAA compliant?

A. Yes and we are AAPC certified.

Q: When are claims submitted for payment?

A. We enter and submit within 48 to 72 hours of receiving the claims.

Q: All billing agencies promise reimbursement increases, why are you better?

A. The billing function itself involves more than just processing claims. It's all about the follow-up, follow-up and follow-up and that is what we do best. We don't get paid unless you get paid!

Q: Will we get our claims checks directly?

A. Your checks and EOB’s will continue to be sent to your office. We will also set up direct deposit if you choose. All we need is a copy of the EOB or copy of the patients check for posting payments to the patients account.