FAQS
What does a medical billing service do?
A medical billing service handles eligibility checks, charge entry, coding support, claim submission, denial follow-up, payment posting, and patient statements to keep your revenue cycle running smoothly.
Why should a small practice outsource medical billing?
Outsourcing reduces denials, speeds up payments, and removes the daily stress of billing tasks. It also prevents workflow interruptions when in-house staff are absent.
What information do you need from our practice to get started?
We typically need access to your EHR or practice management system, payer lists, top codes, fee schedules, and any existing billing notes or workflows.
How often do you check insurance eligibility?
We verify insurance 48–72 hours before each visit to prevent surprises and reduce eligibility-related denials.
How quickly are claims submitted after a visit?
Claims are typically submitted the same day or next business day once documentation and charges are complete.
How do you handle denied claims?
We analyze the denial reason, correct any errors, and resubmit promptly. We also track patterns to prevent repeat denials.
How fast are payments posted?
ERA and EFT payments are posted within 24–48 hours, and any mismatches or underpayments are flagged for review.
Can you work within our current EHR or practice management system?
Yes. We work inside most major EHR and PM platforms so your team doesn’t need to switch systems.
Do you help with credentialing or payer enrollment?
Yes, credentialing and payer enrollment are available as add-on services.
Do you provide reports or performance summaries?
We deliver clear, simple monthly reports showing denial trends, aging, cash flow changes, and key metrics like clean claim rate.
Are your billing processes HIPAA compliant?
Yes. We maintain HIPAA training, role-based access controls, multi-factor authentication, and encryption for all data.
Will our data remain secure?
Absolutely. All PHI is handled under a Business Associate Agreement (BAA) and stored using industry-standard encryption.
What happens if an issue comes up unexpectedly?
You receive a dedicated account lead who responds quickly and resolves issues before they affect cash flow.
Do you handle patient billing questions?
Yes, we provide patient statements and support to help patients understand balances and make payments easily.
What does our front desk still need to do?
Your team may continue verifying eligibility at check-in, collecting copays, and ensuring documentation is complete.