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Tips for Choosing a Surgical Medical Billing Service November 22, 2016

Surgical Team Discussing Medical Billing

Outsourcing medical billing services for surgical practices can help maximize claims payments and keep your practice compliant. This is accomplished through aggressive collection practices, efficient and accurate execution of billing tasks, and current knowledge of documentation regulations.

In this post, we outline important tips to keep in mind when searching for the right medical billing company to handle your practice’s accounts receivable.

Do They Focus on Your Specialty?

Each surgical discipline requires distinct guidelines, policies, and regulations when it comes to billing. Look for a medical billing company that has existing surgical practices as clients and that also has experience in your specific subspecialty. Make sure the company has certified, professional, and experienced medical coders and billers that will keep your practice compliant with HIPAA and OIG, maximize payments, and drive up revenue.

Do They Work With Your Current EHR Software?

Surgical medical billing services should streamline your practice’s operations. A medical billing company dedicated to making your revenue cycle more efficient, and as a result, your practice’s operations more efficient, should be able to work with your current EMR software.

Working with a medical billing company that can manage your revenue cycle using your EHR is key to achieving long-term profitability and productivity. Additionally, contracting medical billing professionals that can work with your EHR ensures that your office staff does not need to be re-trained on a new software, meaning they can keep doing business as usual.

Do They Invest in Customer Service?

When choosing a surgical medical billing service, one of the most important things to consider is customer service. It’s important to know that you will be able to access support when needed and that your phone calls and emails will be answered promptly the same day. Ideally, the medical billing company you choose will assign at least one individual that will be dedicated to your account.

Important Questions to Ask Before Choosing a Surgical Medical Billing Service

When comparing surgical medical billing services, it’s very important to prepare a list of questions that will provide you the information you need to make the most informed decision.

Some questions you may want to ask when researching medical billing companies include:

  • How many clients are you currently working with within my specialty?
  • How much experience does your personnel have working with my specialty?
  • What systems do you have in place to protect personal health information?
  • How many people will be assigned to my account?
  • What fees do you charge?

Consider 5 Star Billing Services For Your Surgical Medical Billing Services

5 Star Billing Services can help your surgical practice maximize claims payments, drive up revenue, and dedicate more time to value-based care for your patients. To learn more about our medical billing services, contact us online or call us at 480-821-1371.


Three Questions to Ask Your Pain Management & Surgery Center Billing Service Provider October 11, 2013

surgery center billing servicesMaking the decision to outsource your pain management billing to a third-party can be difficult, especially when it comes to choosing the right company that can meet the needs of your practice. After all, the performance of the billing company and their overall ability to handle your revenue cycle processes will determine your practice’s financial health.

Before making a final decision about outsourcing, it is important that you ask each potential medical billing partner the following questions. Getting answers will help ensure that the agency you ultimately choose to work with has your practice’s best interests in mind.

1. Will we have access to our data?

Whether your pain management practice chooses to outsource a few medical billing processes or every aspect of billing and collections, it is important for the third-party agency to be transparent and to share critical information with you whenever you need it. Professional pain management billing services will provide access to their system for monitoring and keep records of communications with patients, for example, so that you can monitor quality assurance at all times. Check with your outsourcing partner to see what they provide.

2. Will you provide detailed monthly reports?

Outsourcing pain management billing can help your practice be more hands-off and devote more time to patients. However, you still want to know how your practice’s finances are. Make sure your billing company provides regular reports about your accounts receivables, including how much they’ve collected and how much is still owed. These reports will help you determine how effective the billing company’s efforts are and which areas need improvement.

3. What kinds of fees or service charges will we incur?

billing services for surgery centersFee structures can vary from one pain management billing service to another; however, most third-party agencies will either request:

  1. a percentage of the total amount that they collect
  2. a flat fee per claim

Agencies that choose to charge a flat rate may also offer other accounting and administrative services that can be of real benefit to your practice. The fee structure that provides the greatest financial benefit to your pain management organization will depend on the amount of money you expect to collect each month. Be sure to review the terms of your contract carefully and ask questions if you don’t understand how something works.

5 Star Billing Services, Inc. has provided professional medical billing, collection and administrative services for pain management practices for many years. Contact us today to start reducing denials, decreasing costs, and improving cash flow.


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