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Things To Consider When Using An Outside Billing Service

April 08, 2012 | Comments: 0 | Views: 131

It's very common for physicians that have a small private practice to a mid-sized group of physicians to feel overwhelmed by paperwork in order to process their billing. Many physicians now are considering using an outside billing service to handle all of their claims. It's good to make sure the person or company you decide to hire has a back-up system and can also handle your billing in a timely manner.

Important Requirements

Bill only for services rendered

Claims should be correctly coded for services performed

All bills should be submitted in a timely fashion

EOB's should be read and checked for proper payment

Late payments from patient's should be follow up on and monitored frequently

Patient's should be made aware of charges that may not be covered

Charges that were not covered or co-payments should be collected from the patient's

Provide monthly reports on the status of claims submitted for payment

Before an account is turned over for collections, it should be discussed with the physician first

Complying with HIPAA

A written agreement and contract should be signed and clearly identified within the agreement before signing. Just because the physician decides to use an outside billing service does not relieve them of the responsibility of complying with HIPAA.

Selecting a reputable outside billing service

When selecting an outside billing service it is good to do your homework. One way is to ask your colleagues for recommendations. Ask for their references and talk with them. Below are a some key questions to ask potential outside billing services.

Do you have a written compliance plan?

What billing system do they use?

Can the software they use be networked with the office so that the physician can view billing and collection data?

What are the security and access features to assure HIPAA confidentiality compliance?

Does the system being used have a back-up system that can retrieve information if the computer fails?

Does the billing service educate the physician about accurate coding to get maximum reimbursement for services rendered?

Finalizing the contract agreement

Once you have made your decision on the service you intend to use, make sure there is a written contract. The contract should detail exactly what services you are to receive for the fees agreed upon and also list what services are available for additional fees.

The contract should also include renewal, dispute resolution, and cancellation terms. If you feel uneasy at first, set a short-term agreement so that will give you time to find out whether you feel comfortable with the billing service and you can test out their service without being held up into a long term contract.

Marina Hall is a Certified Medical Reimbursement Specialist (CMRS) and founder of MariAnn Medical Billing Service. To read a full "Interview with Marina Hall" visit her website at http://www.inscoding.com/aboutus.php

You can also read about the great value MariAnn Medical Billing Service is delivering at http://www.inscoding.com/testimonials.php

Source: EzineArticles
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