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Frequently Asked Questions

Why should I use a billing service?
Using a medical billing service eliminates the time, frustration and expense associated with building and maintaining the skilled workforce needed to achieve optimal reimbursement in the ever-changing and very challenging insurance industry. Staffing, documentation, record keeping, and space for in-office billing can cost 10 to 15 percent of monthly revenue and still not provide the level of expertise required to ensure submission of compliant claims that produce timely accounts receivable recovery. A billing company should bring its clients expertise that lets physicians focus on the most essential element of a practice - patient care.

Why should I choose Medical Billing Care?

We are dedicated to our customers and their success. After all, our success depends on yours. Here are some facts about MBC and our services that you might find interesting.
  • We offer our practice management software for free that allows you access 24/7 from any computer.
  • Our software offers EHR (electronic health records) AND Electronic RX and so much more.
  • We are electronically connected to thousands of payers across the country and have some of the best reimbursement time frames.
  • We offer personal service to you and are available to answer you and your patients' questions by email, phone, fax or text.
  • No Start-up Cost.
  • We DO NOT OUTSOURCE overseas and hire only within United States
  • We are HIPAA compliant, of course.

How soon can I be up and running after switching to MBC?

Our goal is to get the entire medical billing process in place for you within one week. If you are starting a new practice and need credentialing, then at least 3 months are needed for the insurance companies to finalize your enrollment. If you are an established practice transitioning to a billing service, the process is seamless and without payment interruption.

What can you do about our rejected claims and denials?

Thank you for asking! If you have a pile of unpaid claims and denials, we can begin working on them immediately to avoid permanent denial for timely filing AS we begin charging out your current patient visits. Our success depends upon your success so you know that we will work as hard as we can to undo the denials caused by former billing services or busy staff members.

What if you are unable to collect? Do we still have to pay for your work?

Here the advantage of working with our medical billing service. We charge only a percentage of the collections that result directly from our billing service. We'll establish an appropriate rate according the needs of your practice. However, for A/R clean up from claims generated by a previous service, a low hourly fee might be needed in addition to the percentage fee. The details would be agreed upon in advance, and as for denials with little little chance for payment, we will tell you up front to avoid unnecessary cost to you.

Why is a billing service more effective than in-house billing?

A medical billing service is more efficient and knowledgeable at medical billing than administrative staff. A medical billing company will allow you and your personnel to focus on practicing medicine which creates time for more patient visits and more profit.

Will a medical billing service reduce overhead?

The New England Journal of Medicine states that a typical doctor's overhead and billing expenses account for 43.7% of his/her gross income. This translates into an average of about one and a half clerical workers per doctor at an average annual cost of $51,564. This does not include the hidden costs like vacation time, insurance, and the like.

I am starting a new practice and expect low volume of patients at first. Will I get the same level of service as the established practices?

Every client, regardless of size, receives the same quality of service. We welcome working with new medical practices because it gives us an opportunity to help you grow your practice and, in turn, grow our reputation as a medical billing service of choice.

I have heard it is expensive to outsource. Why not keep in house billing?

This opinion is caused by looking at the bottom line without analyzing all the real costs of in-house billing as opposed to outsourcing. Salary is generally only about 70% to 75% of your employee costs because you must add payroll taxes, FICA and insurance. You pay for your specialists' sick days, vacation days, and family leave days. You pay for their training and re-training. You pay for turnover costs when they leave your practice, which most inevitably do. And, when your staff is under pressure during busy times, you also could pay for inadvertent billing errors that cause denials.
And how about the dreaded automated voice response systems navigation that an in-house staff member must use to call on unpaid claims and denials? When being paid by the hour or by salary, it is far too easy to write off these balances and the doctor would never know. MBC charges a small percentage only for what we collect on your behalf. When you add up the numbers it is, in reality, increased income for your business with a lower overhead.

I am happy with my staff. Would I have to let them go if I outsource billing?

Not necessarily. You can switch their focus to supporting you with patient care – or with data entry -- while we handle all your billing. Of course, if reducing cost is crucial, you can let some go and keep only the necessary positions.

I've been working with another billing service for years. I am not 100% satisfied, but is it worth the switch?

That's up to you to decide, of course, but if you are reading this, the answer is probably yes. Ask yourself these questions: do you know when your claims are sent and even if they've been sent? Can you check the status of your claims online day or night, or do you need to wait for a monthly report? Do they handle patient invoicing? Are they communicating effectively with you, and, more importantly, with your patients? How fast are their collection times?
We offer to you the use of our system to check the status of patient visits, claims, and patient balances anytime at your convenience. You are free to run reports in addition to the monthly reports we send. We are courteous and helpful in answering you and your patients questions and we do not delay in sending out your claims and then following up on denials or non-payments.

What about medicare and medicaid? How do you switch that?

First we file an EDI application which usually takes two to three weeks to process. In the meantime, you continue to see those patients and send us the encounter forms. Once we receive a confirmation of the EDI set-up, we release all the accumulated claims at once to the payer for fast payment of a bulk check or automatic deposit.

What is the start-up cost if I switch?

There are no start-up costs. We've performed the EDI set-up many times and will ask you for the information we need to do it for you. We take care of the entire process and make certain there is no revenue interruption.

Am I locked into a contract if I switch?

No! You are never locked. A contract is signed for work to begin, of course, but this contract is from month to month, and it will explain all of the agreed upon details