Many of the medical billing services do not work for specific practices. For example, in an orthopaedic clinic with four doctors offering their services to about 200 patients every week, one requires an electronic medical record (EMR).
The EMR not only stores all the medical history of the patient but also sends notification about claim deadlines or denials. It can also restore the medical data that becomes lost during a power glitch. Medical billing invariably involves a competent medical coding service too.
There may be many software features that are complementary to the convenience of the medical institution. In most cases, one requires choosing a medical coding service that can accurately perform the groundwork for creating a medical claim. Read on further to spot the right medical coding and billing service for your practice.
Get information about the company: Find out how the prospective service benefitted the existing and previous customers. Take time to go through the various medical billing solutions offered by the company. Make sure inquiring beyond the pricing of the work so that you can know if the company can handle all the types of the issues encountered in the medical billing process.
Transparency: One must get a copy of the received claims and denials in real time. This allows one to monitor the organisation’s financial status. Some other data like posted payments, open charges, write-offs, charges on hold, and the adjustments also need to be taken into account.
Look for accreditations: It is imperative to find out if the medical coding service or the medical billing company is working as per the State laws. For this, one must check their permissions and track record. One can also validate their credentials taking into account the considerations like:
- Is the company comprised of certified medical billers?
- Whether they comply with the requirements of the Healthcare common procedure Coding System (HCPCS) and Healthcare insurance portability and Accountability Act (HIPPA).
- Is the company accredited by the Better Business Bureau or other such business rating websites?
Price of the packages: It is useful to know the details of the package services and pricing that the billing company is likely to provide. Medical billing and medical coding services can offer one of the three kinds of payment models including:
Partly fixed model: In this kind of prising model, the company charges flat fee for various carriers. Although the model can be cost-effective for the clients, only a few medical billing companies use this model.
Percentage model: Most of the medical billing companies use this pricing model whereby the companies charge only a percentage of the total claims.
Fixed fee model: In this model, the companies charge a fixed price on every claim submitted by them. This pricing model is believed to be less costly than the other modes of payment.
Training your staff: The company you outsource your work to would make sure that they provide training to your staff when they need to access your systems for verifying the records of the patient.
When you follow the above tips of for hiring the right medical coding service and the suitable medical billing company, it would surely lessen the errors in medical billing and let you focus on the patients.