What We Can Do For You
Benefits
| There are many good reasons to outsource your medical billing to us, but here’s the important one: With Billing Concepts Inc. you don’t have to spend as much time on tedious medical billing, monitoring compliance, practice management, and record keeping, so you have more time to do what you do best — take care of your patients. There are other big benefits, too. We can help you:Enhance revenue and cash flow of your practice by as much as 10% – 20%.Reduce the chances of claim denials and rejections.Minimize your managerial workload and operate your office run more efficiently.Cut or eliminate staff overheads.Significantly reduce your postage and telephone expenses.Reduce or eliminate your need to invest in expensive computer hardware and billing software.Constant Customer Support Service.Focus on core medical billing activities.Submit error-free medical bills and claims.Get claim for reimbursement with the specified time frame.Guidance with proper medical Coding and billing standards.Our Staff are Certified Medical Coder and Medical Billing Specialist.And finally, our all-inclusive fees are based on a percentage of payments collected — so we get paid only if you get paid. |
Services
Dedicated Billing Team
We assign a dedicated Billing Team to your account to handle all aspects of your billing needs — entering patient demographics, Verifying Insurance Eligibility, Review CPT/ICD-9 coding, entering charges, submitting claims, posting payments, sending patient statements, following up on accounts receivable and answering patient billing questions. These representatives functions as the primary contact with your practice.
Coding
We supply the most current CPT, ICD-9, and HCPCS coding expertise to minimize denials and unnecessary delays in reimbursement.
BillingWe submit both electronic and paper claims to all payers and handle third-party billing (including Worker’s Compensation, Motor Vehicle, Personal Injury and liens).
Claims Follow-upWe review all unpaid claims within 30-45 days of the initial billing date, appeal denials (bundling, medical necessity, etc.), resubmit claims for review when initial payment is inconsistent with typical doctor profile, and maintain managed-care contract profiles to assure proper reimbursement — a critical factor in maximizing collections.
PostingWe also post insurance and patients payments received to patient accounts (line item application allowing tracking of CPT reimbursement history). We post adjustments according to provider’s managed-care contract profiles, monitoring the profiles for reimbursement accuracy as outlined above.
StatementsAnd we’ll send monthly statements to patients and follow up on non-payment by phone and mail. The patient billing cycle includes multiple statements, followed by delinquency notices.
Monitoring RequirementsWe advise physicians on any changes in HCFA requirements, CPT, and ICD-9 coding to achieve claim compliance for the fullest reimbursement for services.
ReportsWe provide comprehensive monthly closing reports that typically include a summary of charges, receipts, adjustments, accounts receivable analysis, and multiple productivity reports. We will offer you a wide range of custom reports that will enable you to evaluate the unique structure of your practice. We will regularly consult with you to review your monthly reports.
Review
We assist in fee-schedule review and updates to maximize the practice’s profitability.
Setting up a New Practice/Credentialing
We provide the necessary tools to the physicians to set up a new practice. We help design new super bill and assist physicians practice for credentialling with new insurances.