866-432-1272
|
Billing Solutions, Inc. | 27 Blacksmith Road, Suite 202
Newtown, PA 18940 866-432-1272 |
Frequently Asked Questions What information is needed from the
practice to process claims? Is there a required format? Are scanned
documents permissible, and if so, in what format? Tiff, jpg?
In order to process claims we will need a registration or intake form, legible
photocopy of front and back of patient’s insurance ID card, and a super-bill or
encounter form with CPT Codes and ICD-9 codes (Multiple CPT and ICD codes on one
encounter must be cross referenced to each other). We can accept scanned
documents in either Tiff or jpg formats through our T-1 Internet connection.
How quickly are charges processed
after information is received from a physician’s office?
Charges and payments are posted within 72 hours of receipt.
What does a billing statement and
reminder or collection letter look like?
Click on the links to see samples of our billing statements and collection
letters.
Which insurers are billed
electronically? Is a clearinghouse used? How often are claims processed?
All carriers that accept electronic claims will be billed electronically. Claims
are submitted directly to Blue Shield and Medicare and Webmd Envoy clearinghouse
is used for Managed Care and Commercial carriers.
How are denials handled?
Denials are worked on at the time of payment posting. When additional
information is needed from the client, a Request for Information Form is
utilized. The form is dated, filled in with the specific information necessary
to adjudicate the claim, and faxed to the client. After faxing, the client is
called to verify receipt. When the requested information is returned, the data
is entered and the claim is resubmitted. If we do not receive the requested
information back by the 10th to 15th of the following month, the original
paperwork and fax sheets are mailed back to the owner of the practice, with a
letter explaining the contents, and why he/she is receiving it.
What are the collection policies?
BSI will submit the first claim to the carrier. We have a Transmittal Report,
when run at the appropriate time interval from transmission date, will report
those claims which have not been paid (i.e. Medicare pays in 21 days, on day 25,
the Transmittal Report is run, and phone calls are placed to the carrier.
Necessary information is collected to re-submit the claims within 72 hours, and
the Transmittal Report is run again 25 days later. If the claim remains unpaid
at that time, the balance is shifted to Patient Status, with an appropriate
message appearing on the Patient Statement. Three patient statements are mailed
to the patient, with a “Collection Letter” sent with the 3rd. If 30 days from
the 3rd statement passes, the balance is moved to a “Client” status, and the
client is sent a report of those patients for disposition (i.e. Write Off Bad
Debt; send to Collection Agency; Client staff will speak with patient; send to
Attorney; etc.)
Will our practice be assigned a
specific billing contact? How are the responsibilities within the billing
service divided (charge entry, accounts receivable follow-up, collections,
customer service representatives, etc.)?
BSI employs a team approach. The Charge Entry Team is responsible for the data entry
of patient demographics, new charges and those new charges requiring additional data
from the client, as well as claims submission and auditing of electronic submission
reports. Our Payment Posting Team provides payment posting and preparation of claims
denial for our third team. The AR Team is responsible for denials, open claims and the
filing of appeals.
Can a list of references be provided?
Yes
What is the company’s turnover rate?
BSI has employed each member of our current staff of Account Managers for 3 to 12
years. Each of these individuals came to us with prior medical billing
experiences.
How many “downtimes” does your system
typically have and has there been any impact on the client?
An internal IT department is responsible for maintaining our Network and
communication issues and as a result “downtime” is extremely infrequent. We have
never been down longer than a few hours and client services have not been
compromised.
What are the computer back-up
protocols? Are tapes taken off site overnight?
We have a tape back-up system, which automatically backs up every evening. We
use a different tape every day of the week. The other four days’ tapes are
stored in a fireproof box. Upon IT staff arrival in the morning, the backup
software will indicate if the backup was successful (logs prove a 98% accuracy
over the year). The tape is removed, and is taken home with the IT staff member,
who has a fireproof box at home. Once a month, a complete system back-up is
performed, and that tape, for the entire month, is taken off the premises.
Are there any value-added services
included? And if not included, what is the approximate cost?
Included Services:
|
FAQ Request
Do you have a question that isn't answered here?
If you would like one of our medical billing professionals to answer a question
for you, just send us an email
or fill out our
contact form and we will get back to you as soon as
possible.
We look foward to speaking with you. |