Will my claims really be paid faster?
Most definitely. Electronic claims are always processed before paper claims and because of electronic medical billing tracking methods in place, the insurance companies can't say they never received your claims. Less than 1% error rate and notification of rejected claims within 24 to 48 hours. Turn around time 14-30 days.
Where will my payments go?
All insurance payments go directly to the providers office, your payments are never sent to us. You then send us the copied EOB's and payments.
Will my patient charts ever have to leave the office?
Positively not! Any pertinent information our medical billing service needs, we would contact your office manager and request it be sent by fax or over the phone. You send only information that is necessary for filing claims and paperwork needed for the type of services you are requesting. All patient information is kept in the strictest of confidentiality and is only used for medical billing purposes. Our medical billing service will only have access to what you provide.
What information does your medical billing service need from us to process claims?
To process the claims, we would need the day sheet or patient sign-in sheet, copies of the superbill for services performed including diagnoses code(s), patient information form and insurance card front and back. Any insurance company that requires authorization, the authorization must be included. For accounting (posting) of payments, your office will provide copies of all EOB's and patient payments.
How will this information be submitted to your medical billing service?
Via mail, fax, local pick up. How often claims are transmitted to our billing service is your preference, daily or weekly.
How will you follow-up on claims?
A daily task using a tracking management system with precise aging reports. Dedicated and persistent follow-up on unpaid claims within 7 days. Pursued by phone contact and letters.
What type of appeal process do you have in place?
Our medical billing service will challenge any and all rejections with perseverance. Direct phone calls to carriers. Call the provider if assistance is needed with requested information from carrier. Resubmit CMS form with denial and any paperwork necessary in getting the claim paid. Follow-up is immediate on second submission. Appeal letter request.
What practice management software does your medical billing service use?
PLMK Medical Reimbursement Service uses Medisoft Advanced Patient Ver.16.
What safe guards are in place for security of data backup?
We perform full backups weekly, followed by incremental backups daily on removable storage. Medisoft automatically performs daily backups.
Why should I pay for your medical billing services in addition to my current staff?
We offer percentage based services, we invoice only on billing revenues collected per month nothing more!. Resubmission at no extra cost. Our medical billing service has the time for dedicated follow-up and the appeals process. Reduces the workload on your office staff. Leaves more time free for patient care and other qualified duties. No overhead costs when utilizing our medical billing service.
How long will the process take to setup my medical practice account?
Many factors are involved here. All necessary information and paperwork needed for processing and setup should be submitted to our billing service immediately by you or your staff. We'll need some specific practice information to get started such as practice name, address, NPI, Tax ID, provider numbers, fee schedule, insurance policy information, etc. The enrollment process, setup and registration will begin with the clearinghouse. The timing of paperwork is the key. We prefer to start at the beginning of the month so that it is easier for your practice to separate your previous dates of service from your turnover date. Insurance EDI enrollment forms/contracts need to be submitted. Government carriers take a substantial amount of time (up to 4-6 weeks.), commercial (1-2 weeks.). Our medical reimbursement service will submit paper claims until all processes are complete and intact. Account preparation and setup process estimated 2 to 4 weeks. PLMK Medical Reimbursement Service will do everything possible to have your medical practice setup and fully functional in the shortest amount of time.
Most definitely. Electronic claims are always processed before paper claims and because of electronic medical billing tracking methods in place, the insurance companies can't say they never received your claims. Less than 1% error rate and notification of rejected claims within 24 to 48 hours. Turn around time 14-30 days.
Where will my payments go?
All insurance payments go directly to the providers office, your payments are never sent to us. You then send us the copied EOB's and payments.
Will my patient charts ever have to leave the office?
Positively not! Any pertinent information our medical billing service needs, we would contact your office manager and request it be sent by fax or over the phone. You send only information that is necessary for filing claims and paperwork needed for the type of services you are requesting. All patient information is kept in the strictest of confidentiality and is only used for medical billing purposes. Our medical billing service will only have access to what you provide.
What information does your medical billing service need from us to process claims?
To process the claims, we would need the day sheet or patient sign-in sheet, copies of the superbill for services performed including diagnoses code(s), patient information form and insurance card front and back. Any insurance company that requires authorization, the authorization must be included. For accounting (posting) of payments, your office will provide copies of all EOB's and patient payments.
How will this information be submitted to your medical billing service?
Via mail, fax, local pick up. How often claims are transmitted to our billing service is your preference, daily or weekly.
How will you follow-up on claims?
A daily task using a tracking management system with precise aging reports. Dedicated and persistent follow-up on unpaid claims within 7 days. Pursued by phone contact and letters.
What type of appeal process do you have in place?
Our medical billing service will challenge any and all rejections with perseverance. Direct phone calls to carriers. Call the provider if assistance is needed with requested information from carrier. Resubmit CMS form with denial and any paperwork necessary in getting the claim paid. Follow-up is immediate on second submission. Appeal letter request.
What practice management software does your medical billing service use?
PLMK Medical Reimbursement Service uses Medisoft Advanced Patient Ver.16.
What safe guards are in place for security of data backup?
We perform full backups weekly, followed by incremental backups daily on removable storage. Medisoft automatically performs daily backups.
Why should I pay for your medical billing services in addition to my current staff?
We offer percentage based services, we invoice only on billing revenues collected per month nothing more!. Resubmission at no extra cost. Our medical billing service has the time for dedicated follow-up and the appeals process. Reduces the workload on your office staff. Leaves more time free for patient care and other qualified duties. No overhead costs when utilizing our medical billing service.
How long will the process take to setup my medical practice account?
Many factors are involved here. All necessary information and paperwork needed for processing and setup should be submitted to our billing service immediately by you or your staff. We'll need some specific practice information to get started such as practice name, address, NPI, Tax ID, provider numbers, fee schedule, insurance policy information, etc. The enrollment process, setup and registration will begin with the clearinghouse. The timing of paperwork is the key. We prefer to start at the beginning of the month so that it is easier for your practice to separate your previous dates of service from your turnover date. Insurance EDI enrollment forms/contracts need to be submitted. Government carriers take a substantial amount of time (up to 4-6 weeks.), commercial (1-2 weeks.). Our medical reimbursement service will submit paper claims until all processes are complete and intact. Account preparation and setup process estimated 2 to 4 weeks. PLMK Medical Reimbursement Service will do everything possible to have your medical practice setup and fully functional in the shortest amount of time.
