Medical Billing Company

                                     A Medical billing company works as an extended office to the providers and hospitals.  Core objective of a medical billing company is to provide outstanding billing and coding services. Every medical billing company should pride themselves with outstanding customer services and accurate data processing. In order to run a successful medical billing company, it is vital to have excellent billers, coders and advanced user friendly medical billing software.

A medical billing company should ensure all the services performed and documented by the providers are billed accurately. They should provide best services at reasonable cost. A perfect combination of expert billers and advanced billing software help them to provide good services. As each client is different it is very important for the billing company to understand they need to provide customized client services.

A medical billing company needs to provide outstanding services by ensuring all the claims are paid on time.  It should also ensure cash flow for the client is maintained at optimal level. Most medical billing companies offer flexible pricing models like pay per claim, pay percentage of collections. This helps the providers to keep their administrative expenses under control, as they are able to estimate what they need to pay and when they need to pay.

Usual medical billing services includes provider credentialing, benefits verification, demographic entries, charge entries, electronic and manual claims submission,  Insurance and patient claims follow-up, denials management and more.

As providers depend a lot on medical billing company’s performance for their cash flow, it is very important for them to choose the right medical billing company. Providers usually look at different aspects before choosing their billing office, which includes:

• References – Does any of my peers use your services
• Experience – Do you have the experience in billing my specialty
• Pricing – Fee structure / Upfront Fees
• Software – Access & Easy to use
• Customer support and services
• Compliance – Efforts and procedures in place to protect PHI

Medical billing company reduces and in some cases eliminates majority of the administrative expenses incurred by the providers. Providers need not spend thousands of dollars in consistently changing technologies. Provider’s expenses on recruiting, training and retaining experienced billers are eliminated. 

    Each client is different. Some clients like to participate more on each process whereas other clients just focus on results. It is very important for the medical billing company to understand this and facilitate the client requirement.   Transparent process and customized reports are absolutely necessary in order for the client to understand their practice performance.

Medical billing is a complex process involving ICD, CPT & HCPCS codes. Medical billing company helps the providers to handle many complex processes easily.  Its experience billers and coders’ process and follow-up on all claims and receivables on time.  Medical billing companies need to keep up with all the changes involving latest technology, health plan, security and more to provide outstanding services to their clients.

Medical billing company’s main task is to reduce the paper work for medical staff and recoup lost efficiencies caused by inexperienced staff.