Coding & Medical Billing

What medical billing services do you offer?

We offer a full range of medical billing services that include coding and billing, claim submission to insurance companies, denial management and follow-up, and detailed financial reporting.

How do you handle claim denials and appeals?

When a claim is denied, our team reviews the reason for the denial, corrects any errors, and resubmits it as quickly as possible. If necessary, we also handle the appeal process, providing all the necessary documentation and justifications to resolve the claim.

How quickly are claims submitted to insurance companies?

We strive to submit claims to insurance companies within 24 to 48 hours after receiving all the necessary information. This helps ensure a quick and efficient cash flow for your practice.

How do you ensure accuracy in claim submissions?

We use a multi-stage verification system where our coding and billing experts review each claim to ensure all information is accurate and complete before submission. We also employ advanced technology to detect common errors and ensure accuracy.

What types of financial reports do you provide?

We provide detailed financial reports that include revenue reports, accounts receivable analysis, payment trends tracking, and practice performance analysis. These reports are designed to give you a clear and comprehensive view of your practice's financial status.

How do you handle patient data privacy and security?

We take patient data privacy and security very seriously. We comply with all HIPAA regulations and use encryption systems and advanced security measures to protect sensitive information.

What is the process for starting to use your services?

The onboarding process is straightforward: first, we conduct an assessment of your specific needs. Then, we sign a service agreement and begin the system setup. Our team will work closely with you to integrate our services seamlessly with your practice.

Do you offer medical coding services?

Yes, we have certified medical coding experts who ensure that ICD-10, CPT, and HCPCS codes are used correctly, reducing the risk of denials, and increasing reimbursement efficiency.

What is your pricing structure?

Our pricing structure is transparent and competitive. We offer rates based on a small percentage of the claims processed amount. Additionally, we do not charge hidden fees or unexpected additional costs.

How can doctors and their staff contact you for support?

We offer continuous support through various channels, including phone, email, and an online portal. Our support team is available to assist with any questions or issues that may arise.

Credentialing

Why is insurance credentialing important?

It allows medical providers to have access to a fountain of patients within the area of practice increasing the practice volume and receive payments from insurance companies for services rendered to their insured patients.

How long does the credentialing process take?

The process can take between 90 to 120 days, although this time can vary depending on the insurance company and the complexity of the case.

What documents are needed for insurance credentialing?

Generally, medical licenses, specialty certifications, work history, professional liability insurance, and any other relevant certifications are required.

How long does the credentialing process take?

Generally, medical licenses, specialty certifications, work history, professional liability insurance, and any other relevant certifications are required.

Can I practice while waiting for credentialing?

Yes, but you cannot bill insurance companies until the credentialing process is complete.

What happens if my credentialing application is denied?

It’s important to review the reason for the denial, correct any issues, and resubmit the application. Common issues include incomplete documentation or errors in the application.

What are the costs associated with insurance credentialing?

Costs can vary but may include administrative fees, processing fees, and in some cases, renewal fees.

How many insurance companies should I credential with?

It depends on your practice and location. Credentialing with multiple insurance companies can increase access to insured patients and diversify revenue sources.

Does insurance credentialing need to be renewed?

Yes, credentialing must be renewed periodically, typically every two to three years, depending on the insurance company.

Can I use an external service to handle my insurance credentialing?

Yes, many medical practices hire external services to manage the credentialing process and ensure all requirements are met efficiently.

What is the average cost for insurance credentialing if done by an external company?

The average cost for insurance credentialing through an external company can range from $500 to $1,000 per provider, depending on the complexity and the number of insurance plans. At BilliMD, we offer the best rates in the market, with plans starting at $1,500 per month and including unlimited insurance credentialing for up to 5 providers.

What does an insurance credentialing service include?

An insurance credentialing service typically includes collecting and submitting required documentation through to completing applications. At BilliMD, we offer a complete service ranging from Provider Enrollment and Credentialing, Re-credentialing and Maintenance, Primary Source Verification, Provider Data Management, Automated Credentialing Processes, and Contracting.

How many insurance credentialing plans does BilliMD offer?

At BilliMD, we have 3 plans that cater to the needs of our providers, including individual, clinics, and groups. You can find more details at www.billimd.com/pricing.

Do you provide credentialing for any insurance operating within the United States?

Yes, at BilliMD, we have excellent relationships with major private insurers, Medicare, and Medicaid, which facilitates and guarantees the best service for our clients.

How can we contact you to learn more about your plans and services?

To contact us, you have 3 quick and easy options:

  1. Visit BilliMD.com and fill out our contact form.
  2. Call us directly at 877-245-5163.
  3. Send us an email at [email protected].
What are the benefits of being credentialed or in-network provider:

Being listed as a participating provider on an insurance web portal increases visibility and credibility, attracting more patients. Payer credentialing can also help doctors to obtain more insurance benefits for their patients, making care more affordable and accessible.