What does a Medical Billing Center provide?
Many billing companies want you to believe that medical billing consists of only data entry - entering claim information and sending them to the insurance company. This is partially correct - but this just the tip of the iceberg. Medical billing is the basic term for our job - PRACTICE MANAGEMENT is the correct term to describe M&B Medical Billing, Inc.'s services.
What exactly is Practice Management?
Gathering patient demographics and entering them into our practice management software.
Can Verify patient insurance eligibility and benefit coverage.
Cross referencing the appropriate CPT and ICD-9 codes with Medicare local coverage determinations.
Making sure that the procedure codes that are supplied by your practice are not part of a corrective coding initiative edit.
Batching and transmitting your claims directly to the appropriate insurance company.
Providing intense follow-up procedures on un-paid claims and outstanding patient balances.
Claims are billed out of our office within 48 hours of receipt
We verify accepted or rejected electronic claims within 1- 24 hours. This quick verification allows us to re-submit claims with updated information as needed.
We print and mail all of your patient statements monthly or sooner if you prefer.
If a claim is rejected we can handle the appeal process for you. We will work closely with you, your patient and the insurance company to get claims paid.
We do all of the accounting and posting of payments for your practice.
We can accept all major credit card payments from your patients with your merchant account.
We provide back billing services on unpaid or denied claims.
Using the latest HIPPA compliant software available on the market today allows us to eliminate costly errors in claims.
We use computerized HIPPA compliant software for the checking of all claims before submission. This greatly reduces the likelihood of claim rejection.
We provide monthly reports to you about your billing. This allows you to see how much is billed out to each insurance company, your accounts receivable and profit margins.
Faster payment turn-around time 90 - 120 days is typically reduced to
7-14 days.
We have 24 hour verification reports to show any accepted/rejected claims.
Requires no staff training or re-training.
Get paid on more claims because of a reduction in billing errors.
We check procedures with the matching diagnoses to justify medical necessity of the services rendered.
We follow Corrective Coding Initiative guidelines.
Reduces staff work hours and overhead expenses.
Audit Triggers - every month we run reports to establish coding patterns - this is a feature of our compliance plan. These reports will alert us of audit triggers and we will be able to see if you are under coding or over coding.
Help you verify that diagnosis codes are using the proper level of specificity
