Are you looking for medical billing?
Michael is one of our bookkeepers we work and he offers medical billing. Here is his explanation about the process and pricing. Do not hesitate to contact him if interested in medical billing service.
The way medical billing works is,
1 after signing a contract ( generally one year, can be longer if agreed to) the doctor will fax over all of his or her info such as provider ID numbers, type of medical practice, address where his or her payment check will be mailed to by the insurance company, a list of insurance companies that they bill to a long with a little other info.
2 Then I will setup their practice in my computer, and get them setup with the clearing house (there is NO charge for setup). For government payers such as Medicare and Medicaid it will take up to six weeks before I can send those claims electronically because of paper work that have to be signed by the provider and sent to the government payer for authorization to transmit claims to them. After that’s done, I can then transmit claims to them. But, until that’s done I can mail paper claims to those government payers. All commercial payers such as united health, aetna, etc, those payers do not need any paper work done first. I can start transmitting to them right away.
3 The doctor will see a patient and then fax over a super-bill (a form where the doctor will note down the patient name address insurance company and CPT, and ICD9 codes). I will then enter that patient into the computer and prepare the medical claim (cms 1500 form) and transmit or mail to the insurance company. The doctor can fax the super-bills daily or weekly or as often as they like.
4 The insurance company will pay the claim by sending a check and an EOB (explanation of benefits) to the doctor. Then the doctor will fax the EOB to me so I can see that he or she has been paid for that claim and also see if I need to send a claim to the second payer (most first payers will forward the claim to the second payer). After I have seen that the doctor has been paid for the claims that I have sent, I then bill him or her for those claims. another advantage or selling point is the doctor does not pay for the service until they have been paid by the insurance company. I generally bill once a month.
5 I will send reports to the doctor if they want or need them.
PRICING
There are 2 levels of service.
1 just medical billing, where I only send claims
2 full service billing, where I send claims and maintain the patient account by recording the insurance payments and billing the patient for co-pay.
There is a “per claim” rate of $3 or 6% of the amount that the doctor bills on the claim. (which ever fits they needs best, 30 claims or less per month they may want the “per claim” rate). If it is a group of doctors or one that files a high volume of claims, a flat rate can be offered, you can call me and we will put together a rate.
Note: Acupuncturist need medical billing as well.
I am HIPAA complaint (medical people will know what that means)
Contact: Mike at hbss@sbcglobal.net