cMed VIrtual Staff | FAQ | American-Based Medical Billing Outsourcing

FAQ

Do you follow-up on unpaid medical claims?

Constantly. Of course we follow-up on all inappropriate denials. But in addition, we know how quickly each insurance carrier pays and our system creates automatic reports of all claims that remain unpaid past the expected payment date. We follow-up on all of these medical claims to ensure that they are in process, and we fix them if they are not.

How do you structure your medical billing fees & pricing?

For smaller practices needing full service billing, we charge a percentage of what we collect. For larger practices who have billing software and staff, we charge a fixed, hourly rate. We do not charge monthly maintenance fees or start-up costs.

You do not need to purchase medical billing software to use either our Full Service Billing or our Targeted Service Billing. Our Full Service Medical Billing includes hosted medical billing software at no extra charge. Our Targeted Service Billing works with your existing medical billing software.

What if I’m unhappy with your services?

Client referrals are the life-blood of our business so it’s critical that we perform at a high level. If you are unhappy, we will fix what it is you believe needs fixing or you can terminate our services at any time without a termination fee. If we don’t do a great job for you, we don’t deserve your business.

How do I know you’re doing a good job?

Importantly, you’ll have access to the billing system and all of your billing data at all times. We will also meet with you on a monthly basis to answer specific questions and share best practices guidance.
We’ll provide the data on the financial performance of your practice – from high-level charts and graphs to detailed reports on every patient, every claim and every charge. You will be able to see exactly what we’re collecting and what we’re not. You will always have all the data you need to review our work and know exactly where your practice stands.

How soon could you get started?

We need your patient demographic information and your insurance provider numbers. We usually start billing within a week.

Can you handle all medical insurances?

Yes, including Medicare, BlueCross/Blue Shield, Medicaid and workers compensation.

Do you work with many different medical specialties?

Yes, we provide billing services to most specialties and sub-specialties form internal medicine to orthopedic surgery to ophthalmology.

Do you send out patient statements?

Yes, we send statements weekly.

What do you do if patients don’t pay?

We send a cycle of invoices to each patient. In some cases, we make personal calls to the patients. If we are still unable to get payment from the patient, we will provide you with a list of delinquent patients and recommend to you that you send them to collections. We will not send any patient to collections without your approval.

Do you handle patient inquires?

Yes. Your staff should send all billing-related inquiries to us. The patient statements we send have our phone and fax numbers for all billing inquiries. Patients can also communicate with us by email using an email address specific to your practice.

How do I get my daily fee tickets to you?

Most clients scan and upload their data to our system. You will also have your own dedicated fax number. We do provide a USPS or UPS mailing process if a traditional method is better for you. You send us your fee tickets. We take it from there.

Will my insurance payments be sent to eMed Partners?

Your checks and EOB’s will continue to come to you. You send us the EOB’s so that we can post payments and follow-up on the claims.