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What is Medical Billing? :
Medical billing is the practice of submitting claims to insurance companies or various government entities in order to receive payment for services provided to a patient by a medical doctor or other licensed health care provider.
Medical billers usually work away from the public eye in the claims processing office, or in the billing department of a medical office, clinic or hospital. Many well trained and experienced billers set up their own home-based businesses.
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What is a Billing Expert? :
Medical billers are experts in the medical billing and coding process. They function as medical reimbursement consultants to medical practices to help them become more efficient.
As you will quickly realize, the medical biller is seen as a patient's advocate and regarded as a healthcare provider's key to getting paid!
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Why does my practice need Medical Billing services?:
Practices will save money in using medical billing services. Your practice is in business to make money and provide a service. Bottom lines will increase when outsourcing for medical billing. Your office staff will have more time and energy to devote to other areas of the practice in letting others take care of medical billing issues.
Medical billing providers specialize in the services they provide. They will have experience and will be less likely to commit errors.
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How to I determine if my practice need electronic billing?:
Answer the questions below.
You should request a free analysis!
- Does your practice bill (or plan to bill soon) electronically? ( YES or NO)
- Does your practice bill a number of insurance companies? (YES or NO)
- Is your staff experienced at billing electronically? (YES or NO) ( the less experience, the greater the need for our services and the the greater the benefits to your practice)
- What is your monthly claim volume? 50-200 200-400 400 and above, The higher your claim volume the more you need our services. Watch your denial rate drop to 3% or less
- Is your time very valuable (YES OR NO) The cost of using Ace Medical Billers LLC to process your claims is often cheaper than training your staff, submitting paper claims, and spending endless hour on hold with insurance companies to be told the claim was denied because a simple human error.
- Would your practice run smoother if you could quickly and greatly reduce claim errors? (YES or NO)
- Would it help your practice if you could drastically shorten reimbursement times. getting you paid in weeks NOT months (YES or NO)
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What is the benefit of filing claims electronically? :
Whereas paper claims submission takes 90-120 days, standard electronic claims filing allows reimbursement from the insurance companies within 7-21 days. Physicians who use all of our integrated services to their fullest capabilities receive payments in as little as 5-10 days.
Also take advantage of the insurance companies capabilities of depositing your funds directly into your business checking account allowing for better cash flow accessibility.
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Where will the insurance companies send the payments? :
All checks and EOBs (Explanation of Benefits) will be sent directly to your office. Since most insurance companies offer Electronic Remittance Advice (ERA), electronic versions of the EOBs, and electronic funds transfer (EFT), physicians can receive electronic EOBs and payments far quicker than the standard paper delivery.
This makes the follow-up process efficient and speedy. For physical copies, you keep the checks and send us scanned copies of the EOBs, so that we can perform effective follow-up.
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Do you follow-up on unpaid claims? :
Yes. Unless the non-payment is for a valid reason, such as a deductible, capitation, no coverage, or duplicate invoice, we reprocess the claim with any needed additional information.
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How long is the set-up process? :
We can start the setup process immediately upon the signing of the contract. Generally, the process takes 3 - 7 days for most physicians. We can give you a more accurate estimate after reviewing your individual practice.
If you do not have contracts with the individual insurance companies, this process may take longer.
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Do you submit the claims to a Clearinghouse:
Yes. The practice management software we use to create claims is highly compatible with the clearing houses error scanning software.
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If we were to use your premium services what could we expect?:
Ace Medical Billers LLC uses a nationally known clearing house for claims processing. providing a whole new level of claim intelligence for revenue cycle management that make our service extremely compelling from a financial perspective, highly desirable from your office-staff efficiency point of view.
Here are some of the highlights of our premium package services.
- Eligibility Verification - Determine coverage before treatment.
- Electronic Remittance - Have your account automatically updated
- Claims status reports - Know the status of a claim at all times.
- Rejection analysis - Have error codes displayed in plain english
- Online access - Our staff will be able to edit or correct claims day or night
- Printed Claims - We automatically drop non-par claims to paper and still be able to track them electronically
- Patient Statement Services - have your patient statement put on "autopilot" often for less than you can mail them out your self
- Real Support - We offer 1 -on- 1 personal training and support provided by our billing experts
- Affordability - When you take into consideration, Upgrading your computer systems, buying new software, training your staff. Purchasing CMS 1500 forms, printing cost, envelopes and postage. The cost of our services are minor compared to the sky rocketing cost of in-house billing.
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What are the benefits to using Ace Medical Billers LLC:
- We will catch and fix errors in minutes rather than weeks or months.
- We offer significantly higher claims success -- fewer rejected claims.
- When you allow us to file your claims electronically, We will reduce your reimbursement time on average to under 14 days
- We eliminate the need to prepare claims and manually re-key transaction data over and over for each payer.
- We submit all your electronic claims in batch all at once, rather than submitting separately to each individual payer.
- We manage all your claims from a single location allowing use to micro-manage your claims
- Because we use state of the art software, along with a nationally known clearing house that use claims scrubber technology. We do not spent hours on hold with Medicare and Blue Cross inquiring about claim errors
- Using our service will vastly improve vendor relationship with insurance carriers
- Our services offer shorter payment cycles leading to more accurate revenue forecasts
- Using our services will reduce your sky rocketing billing expenses, free up your staff
Plain and simple using our services will greatly simplify your claims process, and generate quicker revenue.
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