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Frequently Asked Questions
How do we get our claims to you?
We have several options: scanning (ie, electronic), faxing or priority mail.
What is the cost?
It depends. Factors that affect pricing include how well we can streamline the flow of information between your clinic and our billing service, how many custom features your clinic needs, and what our initial start-up costs are to get you up and running.
Do you transmit claims electronically?
Yes, to those companies that have the capabilities and that are efficient with EMC. We do process certain payers on paper.
Will you also be submitting secondary & tertiary claims?
Secondary submissions are included in our service.
How quickly can you be up and running?
1 day if necessary; however, we prefer 2-3 weeks to ensure the smoothest transition possible. In some cases, however, it can be much sooner.
How do we get our existing patient data to you?
There are 2 options: 1.) A complete printout (or softcopy) from your existing system. 2.) Provide to us the most current patient information as you see them. This also gives you the opportunity to "start fresh" with your data and have your patients re-register.
Should we continue to work our previous billings/collections once you take over?
We prefer that you continue to work (post payments and re-bill) your existing accounts receivable. If this is not possible, we can handle that as well (there is an additional fee for this).
Will I have a dedicated resource to our account?
Yes. Medica Billing Solutions utilizes a "team" billing approach. Your account will be handled by a small team that will all be cross trained on your account.
How often are my claims processed?
Within 72 hours. Usually sooner.
Where does my money go?
All monies come directly to your office. You then send us copies of both the checks and EOBs along with your daily super bills / encounter forms. This way we can appropriately track and close the loop on all reimbursement activity.
Why do some billing firms only charge by the claim vs. a percentage of collected revenue?
Many newer billing companies will charge you a flat fee per claim because they are normally only skilled in the initial "transmission or submission" of the claim. Frankly, this is something you could do internally. Most tenured billing firms will charge you a percentage of what they collect. They are more compelled to work harder, follow up and through to get you the highest reimbursement possible - a "win-win" for both.
What makes Medica Billing Solutions different from most other billing firms?
We invite you to ask our clients.
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