Does your current billing company keep you updated daily on industry changes? If you do not receive at least 5 communication a week from your current billing company, the answer is probably no! There is an average of at least 5 to 10 changes weekly in the billing industry which can drastically change the financial health of your practice. In Total Health Billing, we notify our client daily of these changes keeping them on the cutting edge of any upcoming changes and updates.
Did you know that 90% of denied claims are due to submitting claims without proper medical necessity diagnosis codes? This is commonly caused by billing companies, not provider! Why? Because, must billing hire "Data Entry Billers" instead of CPC licensed agents because they focus on their bottom line of profits, not the providers. Total Health Billing ONLY hires qualified CPC licensed billing agents. Every claim procedure is matched with LCDs and cross referenced with payable diagnosis codes for the procedures you are performing at your facility. Not only does this assure you of getting paid for the work your are doing, it keeps you from being flagged by payers and being audited or getting ask for overpayment request refunds.
Did you know that 6% of claims rejected or denied is do to eligibility issues? Total Heath Billing is connected "LIVE" to 95% of all payers. Our billing agents check every claims eligibility before it is submitted to the payer. The eligibility verification is attached to every claim, every time with out exception. This causes clean claims to go out every time all the time increasing revenue and less aging. Your financial health is our #1 concern.
1 MORE FOCUS ON PATIENT CARE
WHY OUTSOURCE YOUR BILLING?
Spend more time focusing on what you do best and that is concentrating on patient satisfaction and providing quality care to your patients. This is specifically advantageous for smaller physician groups that do not want to spend time and a large sum of money on a large medical office staff. Physicians cannot be efficient at providing excellent patient care if they are bogged down by the financial side of the running a practice.
2 REDUCES BILLING ERRORS
Experienced, professional medical billers can ensure that your claims are accurately submitted in a timely manner. Medical billing companies sole purpose is to provide medical billing services. It is our responsibility to ensure that the billers we hire undergo thorough training and are equipped with the knowledge to property submit medical claims. Not only will this reduce the number of denied and rejected claims due to billing errors but will provide the feedback to assist in maximizing reimbursements on future claims.
3 ENSURES BILLING COMPLIANCE
Health care is an ever-changing industry and insurance companies are party to blame. One reason that makes medical billing a challenge is keeping up with the changes in Medicare, Medicaid and third party payers and the upcoming regulations of the Affordable Health Act (Obamacare). It is a full time job to make sure that the medical office is fallowing the proper protocol required by each payer. Medical billing companies must stay up-to-date on the latest changes in regulations and requirements in order to maintain compliance and ensure the submission of clean claims.
4 INCREASES REVENUE
With the reduction in overhead costs, the timely submission of medical claims and the increased reimbursements, a higher profit is another advantage outsourcing can provide to the medical office. This allows the medical office the ability to provide the best quality services using the latest technology and products and the most qualified staff. Patient are becoming more knowledgeable about health care and are making choices based on what provider can offer the the best services. For this reason competition in health care has grown quickly over time and to stay in business health care professionals must maintain a competitive advantage.