Frequently Asked Questions

Q. Is it smart to let my billing go out to another company?

A. Industry experts agree, it’s not only smart, it’s good business to concentrate on your core competencies, like providing quality medical care – and outsource ancillary functions, like billing.

Q. How do you charge for your medical billing services?

A. Our fees are based on a very reasonable percentage of payments collected. We do not get paid until you do. Fees vary according to the practice, the size, specialty and volume of claims.

Q. Can you really save me money?

A. We will be able to increase your receivables by staying on top of your accounts, making sure you are reimbursed in a timely manner, as well as saving you money on other billing related expenses (employee salaries and benefits, telephone bills, and postage)

Q. How can I benefit from your services?

A. By taking on the burden, giving you more time! Not only do our medical billing experts take the burden of insurance processing and replace it with improved cash flow and more time for patient care; but you will no longer have to worry about your billing staff. We are responsible for hiring, training and supervision. You don’t have to provide office space for a billing department.

Q. Where will my checks go? Will I have to turn over control of all billing and my money?

A. Payments are always sent to your office or a lock box account. We will need a copy of the EOB or a copy of the patients check for posting payments to the patients account. You will always have control over your own billing and your own money! . Actually, you will have more control because you will have a better handle on your billing via qualified billing personnel, who are friendly, caring people dedicated to help you when you need it! If you need to know anything about your practice billing, just pick up the phone and speak to one of our team members. You won’t have to speak to voicemail or play telephone tag trying to get an answer.

Q. How do we get our information to you?

A. Feel free to fax us your information. If you prefer, we will be more than happy to pick it up locally.

Q. Will you help us update any forms?
Will you help train our front desk staff to get you the correct information?
 
A. To properly process your claims, we must have all information requested by the insurance companies as required by HIPAA. If necessary, we will update your patient registration forms and superbills. Your front desk staff plays a crucial role in obtaining the proper information; therefore, we will help train and work very closely with them to make certain current and correct patient and insurance information is collected.

Q. How will I know if Acclaim Medical Billing is really doing a good job?

A. We are always available to discuss progress towards our mutual goal of increased revenue. We meet with the physicians and selected staff monthly to review the prior month’s report package, which provides an excellent picture of the practice’s billings and collections. The most important report in the package will be the aging of accounts receivable report; which will show exactly how we are doing! This will be our report card! We will even include the 120–day A/R benchmark provided by the Medical Group Management Association, MGMA, so that you can compare us with the national average of your specialty. Other reports include: practice analysis, and patient and insurance outstanding detail. We can provide reports for your specific needs, custom reports are available to practices that require them.

Q. Do you send patient statements?

A. Yes, we will have your patient statements printed and mailed out for you. We process patient statements weekly and automatically resend unpaid statements after 30 days with a reminder for payment.

Q. Who does the patient call with billing questions?

A. Our telephone number is printed on the patients' statements, and our staff will handle all billing questions, providing your patients with professional and courteous service.

Q. What if the patient is on a payment plan?

A. We will send statements and will continue to do so as long as there is patient activity on the account.

Q. What if patients don’t pay?

A. We will send out three statements, a collection letter and make phone calls. If a patient still has not paid after all these efforts, we recommend that the account be turned over to an outside collection agency or an attorney. We will assist in the transfer and track the results.

Q. Do you submit claims electronically?

A. Yes, to those companies that accept electronic submission. Some insurance companies do not have the capability to accept electronic claims; if this is the case paper claims will be sent.

Q. How quickly will I be reimbursed?

A. The average turnaround is 30-45 days. Obviously, some insurance payments may be received in a shorter period time, and some may take slightly longer.

Q. Will you resubmit for secondary insurance claims?

A. Yes, secondary insurance claims are included in our service.

Q. How quickly can you be up and running with my practice?

A. We can start immediately after we receive information from your office staff. The original data set up will only take a few days and we can process your superbills to paper right away. Processing your claims electronically, however, may take four to six weeks. You will have to complete registration forms and receive your electronic provider numbers, but while we wait for the insurance companies, we will process your claims by paper immediately.

Q. How do I know that you will be more effective than my in-house billing? How do you follow-up on claims?

A. We do more than just process claims. Our timeliness, consistency, accurateness and incentive will generally result in increased cash flow. Upon receipt of the EOB, we will follow–up on any denied or rejected claims. We work on each claim until it has been paid or a valid response for non–payment has been given. This is where Acclaim Me Billing excels, by continuously following up to insure you receive the revenue due to you!

Q. What type of contractual commitment will I have?

A. Acclaim Medical Billing wants you to use our service because you want to, because you have found that it is in your best interest to continue working with us. Therefore, we do not bind you to a long–term commitment. Our initial contract is for 6 months, then you are free to cancel at the beginning of any month with a minimum of 60 days notice.