Your patients trust you with their medical care.

You can trust us with your medical billing.

How Health Source Medical Billing Works

The general process of working with an outsourced medical and physician billing service is fairly straightforward:

  • You send patient information, insurance data, and diagnosis and procedure codes to Health Source Medical Billing.
  • We check the data, complete the appropriate claim forms, and submit them to a claims clearinghouse.
  • As claims are approved, explanation of benefits forms (EOBs) and checks are sent to you. Claims that are denied or rejected are returned to Health Source, which then corrects any errors and resubmits them to the insurance company.
  • Health Source will send you regular reports on your claims and payments.

Communicating claims to Health Source Medical Billing

There are several ways for you to submit patient data and claim information:

  • Paper-based – Mail, fax, or scan and email your paper-based claims to Health Source. This may involve the least change to your current office procedures. If you are within a 45 mile radius of our office facility we can pick up the paper encounter/superbills and daily spread sheet for you on a regular basis.
  • Email – The simplest method of electronic transmission – you simply type up the information and send encrypted emails to the billing service.
  • Electronic - As you transition into Electronic Health Records (EHR) your charges (CPT and ICD-9 codes) will transfer straight from your medical record chart into HSMB practice management system with no paper transitions at all.  ( Talk to us now about how you can save THOUSANDS of dollars on EHR ) 

Claims submission and follow up

One of the most important characteristics of a Health Source Medical Billing is how well we follow up on claims that are initially rejected by the clearinghouse or denied by the payers. The expertise of the billing staff in resolving coding errors, insurance mismatches, and other common reasons for denied claims can also go a long way to help you increase your collections.

Ongoing accounts receivable work is another critical aspect of your evaluation of Health Source Medical Billing. While you'll still collect payments in person for copays, coinsurance, and non-covered expenses, Health Source Medical Billing will take care of billing patients with outstanding balances. We will have systems in place to track aging claims and take measures to collect on them. It will be under your direction and instructions as to how we pursue aging patient due accounts and as to rather you want them turned over to an outside collection agency.

Receiving EOBs and payments

You can handle incoming checks and EOBs from the insurance companies in a couple of ways. First, you can have them sent directly to your office. However, you then have a responsibility to get the information back to the Health Source Medical Billing, either by scanning the EOBs, mailing or faxing.

If  you would like, we can have the insurance checks and EOB's sent to a post office box for Health Source Medical Billing to receive the EOB's and checks and make deposits into your bank account for you. We would then be responsible for making copies of all the checks for you, as well as each deposit. HSMB would then have all the EOB's and relieve your staff of this responsibility. 

If you do not already have many insurance companies depositing electronically into your bank account, we can help you set this up, where there are fewer paper checks being handled by anyone.  Only the EOB's would be needed to post payments to patients accounts.  Many insurance companies are now setting up for auto posting of EOB's, which cuts down even more on paper work.