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Your patients trust you with their medical care. |
Frequenty Asked QuestionsWe have compiled a list of the most frequently asked questions. If you have a question that is not on the list, please email us and we will be happy to assist you. Will I have to sign a long-term contract?Absolutely not. In fact, our goal is your satisfaction; therefore, the terms of our contract are based on our performance. Our clients partner with us because of the exceptional service we provide, not because they are locked into a long-term contract. Are there any set-up fees to get started?There is a nominal investment to cover the expense of setting up your practice. Your setup investment with HSMB is well under the cost of you purchasing HIPAA compliant software and yet you have full access to all aspects of your software as if you had purchased the entire package. Will I need to purchase any special hardware or software?No. We have made the investment in state of the art hardware and software so you don't have to. If you have a computer and internet access, this is all the hardware and software you will need. How often will my claims be processed?All claims will be processed within 24 hours of receipt of complete and accurate information. Is your company HIPAA Compliant?Yes, we strictly adhere to all privacy and security regulations required by the Health Insurance Portability and Accountability Act (HIPAA). Where will reimbursements be sent?All reimbursements will be sent directly to your office. To ensure proper posting of payments, copies of all checks and EOBs must be sent to Health Source upon receipt. Do you only process claims for commercial insurance carriers?No. We process claims for all commercial insurance carriers as well as; BCBS, Medicare, Medicaid, CHAMPUS/TriCare, Workers Compensation and Personal Injury Health Insurance. Do you bill secondary insurance?Yes. We bill primary, secondary and tertiary insurance as needed. Do you send claims electronically?Yes. In most cases, claims are submitted electronically. Electronic claims submission expedites the reimbursement process. We also have the capability to submit paper claims as needed. How do you handle denied claims?First we ascertain the reason for denial then we work with the carrier to determine what is needed to get the claim processed. In many cases claims are denied due to missing or incorrect information. We will aggressively follow up on all denials and do everything necessary to get all valid claims paid. Also, realize many unpaid claims are not “denied” claims, but simply claims the insurance company needs operative notes or documentation in order to pay the claim. Will you bill my patients?Yes, If you add the "patient billing service" to your bundle of services, we will bill patients directly on your behalf. You will be the one to let us know how aggressively you wish for us to “go after” the patient due amount. We will also discuss at what point you would want an account turned over to an outside collection agency and/or written off. Will I need to report patient payments that come to our office?Absolutely! It is imperative that all patient's payments and co-pays are reported to us promptly. Co-pays should be clearly indicated on the patient's encounter form/superbill at the time of service. Subsequent payments can be reported to us by either entering payments through your Secure Remote Access account or simply make copies of patient payments and the corresponding patient statement. What information do you need from me to process my claims?We will need the following: Patient Encounter form/Superbill, Patient Information Sheet and a copy of patient's insurance card (front and back). This is the first time I have checked into a billing service and I have someone in house that has been doing my billing. Will I have to fire (lay off) this person?Certainly not. If this person has been a dedicated worker you can utilize him/her for positions you thought you “could not afford.” Health Source will need a contact person to bundle all day sheets and cross-reference to be sure all charges are being sent to us. We can talk to you about how this person can become a vital employee to your practice. How do I get started?We will need the following: a signed copy of Health Source agreement, completed Practice Interview Sheet, list of participating insurance companies and a copy of your billing guidelines (if available), W9 form, copy of your New Patient Information Sheet, copy of your encounter form/superbill, your Fee Schedule, list of contracted insurance companies. How and when will I be billed for your services?You will be billed once a month based on claims paid the previous month. Invoices are due in full upon receipt and considered late after 10 days. | |||||||||||
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