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Medical Billing Services

Medical Billing Services

Posted by richardrob
Posting ads for 6 years

Pricing of services is a very sensitive issue as it involves comprehensive understanding of the scope of work. However, some estimates can be made which depends on:

1. Full Service Package
2. FTE Package
3. Data Processing Package
4. Account Receivable Package

Full Service Package - 5% to 7% of the collections

Full Service Health care claims Processing - Demo Entry - Charges Entry ->Payment/cash Posting - AR Follow up - Patient /Insurance Calling.-
The pricing would be in the range of 5% to 7% of the total collections of the practice per month.

How we do & what you get?

What You Get?
We will take care of your entire Healthcare Claims processing activities.

  1. We will dedicate a Phone number for your Patients to call our office customer service 24/7.
  2. We will get you a Toll Free Fax number .
  3. Less than 36 hours TAT upon receiving super bills.
  4. Save about 40-50% of your existing cost or owning billing staff.
  5. Follow up with insurance carriers for all submitted claims to ensure proper payment of claims in a timely manner.
  6. Patient Insurance verification to minimize claims rejection*.
  7. Weekly production report and monthly AR aging report.
  8. Free patient billing and invoicing for three times.
  9. 90 Day payment guarantee for all Primary claims of MCR and other Commercial Carriers MCR Blue cross excludes Medicaid and Trust Funds and Patient balance.

* - If you signup online Appointment scheduling services with us what we do the eligibility of the Pt before the appointment and will notify your office the status.

How We Do?

  1. Super bills are collected from your office daily thru FTP upload or PC Anywhere access.
  2. Patient Demographics and charges are keyed into Online/ offline Medical claims process software will be used to submit claims electronically.
  3. EOB- Explanation of Benefits is updated into billing software on a daily basis.
  4. AR aging reports are carefully processed and sent to your appraisal.
  5. Insurance calling are done on claims based on the AR report.

FTE Package - $8 to $12 per hour

We can dedicate Healthcare Claims processing professionasl on a FTE Model. Our Claims processing staff are certified and experienced. They can perform tasks like Patient Entry/Charge Entry/Payment Entry based on the client requirements.
Our Professional Entry capabilities working at the rate of 8Hrs/Per Day are:

• Demographic Entry - 75 - 100 Face Sheets.
• Charge Entry - 100-150 Charge Sheets.
• EOB Posting - 250 - 300 Line Items.

The pricing would range from $ 8 to $ 12 per hour depending on basic data processing to calling. This is inclusive of Infrastructure and communication cost.

How we do & what you get?


What You Get?
We will take care of your entire Healthcare Claims processing activities.

  1. We will get you a Toll Free Fax number at your office.
  2. Less than 36 hours TAT upon receiving super bills.
  3. Save about 40-50% of your existing cost or owning billing staff.
  4. Follow up with insurance carriers for all claims after 14 days for the Electronically submitted claims (Status Call).
  5. We will F/u with the Insurance carrier for Pending claims and update you the status
  6. Weekly production report and monthly AR aging report
  7. Patient billing and invoicing will be done.
  8. Cost of claims submission is not included.


How We Do?

  1. Super bills will be collected from your office daily thru FTP upload or PC Anywhere access.
  2. Patient Demographics and charges will be keyed into Online/ offline Medical claims process software will be used to submit claims electronically.
  3. EOB- Explanation of Benefits will be updated into billing software on a daily basis.
  4. AR aging reports will be carefully processed and sent to your appraisal.
  5. Insurance calling will be done on claims based on the AR report.

Data Processing Package

This package is designed to help customers who are keen to outsource Data processing involved in Medical Billing.

a) Patient Demographic Entry, Charge Entry & Payment/Cash posting Entry
$ 1.25
per Claim entry.
b) Patient Demographic Entry & Charge Entry - $ 0.75 per Claim entry.
c) Payment/Cash posting Entry $ 0.50 per Claim entry.

How we do & what you get?


What You Get?
We will take care of your Healthcare Claims processing activities as required by client.

  1. Less than 36 hours TAT upon receiving super bills.
  2. Save about 20-30% of your existing cost or owning billing staff.
  3. Ensure Clean claim submission claims within 30 days from the date of service.
  4. Weekly production report.


How We Do?

  1. Super bills will be collected from your office daily thru FTP upload or PC Anywhere access.
  2. Patient Demographics and charges will be keyed into Online/ offline Medical claims process software will be used to submit claims electronically.
  3. EOB- Explanation of Benefits will be updated into billing software on a daily basis.
  4. Does not include Clearing House charges or charges incurred for sending paper claims.
  5. Paper claims submission charges would be $0.50.

Account Receivable Package

This package is designed to help customers who are keen to outsource Account Receivables processing involved in the Medical Billing

How we do & what you get?


What You Get?
We will take care of your Healthcare Claims processing activities as required by client.

  1. Less than 36 hours TAT upon receiving super bills.
  2. Save about 20-30% of your existing cost or owning billing staff.
  3. Ensure Clean claim submission claims within 30 days from the date of service.
  4. Weekly production report.


How We Do?

  1. Super bills will be collected from your office daily thru FTP upload or PC Anywhere access.
  2. Patient Demographics and charges will be keyed into Online/ offline Medical claims process software will be used to submit claims electronically.
  3. EOB- Explanation of Benefits will be updated into billing software on a daily basis.
  4. Does not include Clearing House charges or charges incurred for sending paper claims.
  5. Paper claims submission charges would be $0.50.

Calling Rates:

Per call- inclusive Pt calling --- $ 0.75 per resolutions

300 Resolutions per week. Inclusive Pt calling - Guaranteed Or Calling @ $ 7.00 /hr.

Old AR Productivity:

Old AR Pending -

31 - 60 days 2%

61 - 90 days 3%

91 > 4%

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