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FAQs

Your Medical Billing Questions Answered

Quick, Clear Responses to Help Streamline Your Practice’s Medical Billing Process and 

Typically, our office will receive an Electronic Remittance Advice (ERA) from our clearinghouse, which informs us of the payments. If an insurance company does not provide an ERA, you will send us a copy of the mailed Explanation of Benefits. For patient payments, notify us of the payment details, and we'll update our records accordingly.

Currently, most patients send us their payments, and we offer convenient payment posting and deposit into the provider’s checking account.

5. How do I handle insurance and patient payments?

You can use a general charge sheet form we provide, or we can create a custom one together to report the CPT code, date of service, and corresponding diagnosis codes that support the medical necessity of this service.

4. How should I report treatments for claim generation?

We require comprehensive patient demographic data, including full name, date of birth, sex, address, contact details, insurance information, and Social Security Number (if applicable). Additionally, we need details about the service provided, including the date, CPT code, and a description supporting the diagnosis.

3. What information do you need to generate a claim?

You can send billing data as frequently as you prefer – daily, weekly, or monthly. The sooner you send your charges, the faster we can process payments from insurance and patients.

2. How often should I send billing information?

You can send us your documents via electronic fax or upload them to a shared Dropbox account. Both methods are HIPAA-compliant and ensure the secure handling of your Protected Health Information (PHI).

1. How can I send you the necessary information?

General Billing Questions

We diligently follow up with insurance companies to understand the reason for any denials, saving you valuable time. If a claim denial is valid, we’ll inform you about the necessary steps. Otherwise, we’ll resubmit the claim to ensure you get paid.

8. What happens if there's a non-payment from an insurance carrier?

Patients can be billed monthly, and we encourage you to request payment at the time of service. We also offer follow-up services to assist in collecting payments based on the contact information we gather.

7. How do we handle payments from patients?

No worries! We’ll email you to request any additional information needed to process your claims effectively.

6. What if I omit information on the forms I’ve already sent?

Handling Special Cases

  • MedOffice: Our primary billing software is designed to manage and secure patient billing information effectively with each provider having their own set of databases within MedOffice that are backed up on a nightly basis. These backups are stored locally and on a remote server (see Dropbox below).

  • ClaimMD: A trusted medical claims clearinghouse that securely processes and tracks your claims.

  • Impero Connect: Remote access software that allows our staff to work securely from offsite locations or while traveling.

  • Dropbox: Secure offsite storage of system backups and protected health information (PHI), including patient charges, demographics, insurance payments, and images of checks from payers not offering electronic funds transfer (EFT).

  • Ring Central: Electronic fax capabilities to handle sensitive documents.

  • Bitdefender: System protection against viruses, malware, and online threats with Bitdefender software, which includes VPN, anti-tracker features, and conducts regular system and vulnerability scans.

  • Multi-factor Authentication (MFA): Implemented across all critical systems, including Impero Connect, ClaimMD, Dropbox, Availity, and all Medicare sites like PECOS, enhancing security and access control.

Your data security is a top priority. We use only HIPAA-compliant applications and maintain rigorous protocols to protect your patient's personal health information. We’ve designed our processes to prioritize privacy and compliance from the ground up.

Our company employs a robust suite of applications and practices to ensure the highest level of security for your sensitive information:

11. How is my data kept secure in compliance with HIPAA?

We stay updated with the latest billing guidelines, including those for emerging and ever-developing services like teletherapy, ensuring that your billing remains compliant and you receive accurate reimbursements.

10. How are new billing guidelines integrated?

Timely filing limits vary by insurer and range from 60 to 365 days. We meticulously manage these deadlines to ensure your claims are filed within the required timeframe.

9. How do you manage timely filing requirements?

Advanced Questions

These tools and protocols are integral to maintaining the confidentiality and integrity of your data, ensuring compliance with HIPAA regulations and providing you with peace of mind.

If you have more specific inquiries, please contact us directly. We’re here to help ensure your billing is as smooth and efficient as possible!

Mary B. Cherry, LCSW, ACSW

“I am a social worker in private practice and I have been very satisfied with the services Medical Billing Plus has provided. They are professional, reliable and have extensive knowledge of insurance billing. The financial reports are clear and easily accessed. They are very responsive and answer my questions promptly. I would highly recommend Medical Billing Plus.”

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