1. Do all insurance carriers accept
electronically filed claims? <
No.
There are still a few small insurance carriers that are not yet set
up to receive electronically filed claims. In
those cases, we would
manually file your claims and follow up with a personal telephone call
to the insurance company for verification of receipt and payment status
on each claim.
2. Is there an additional charge for
claims that need to be filed manually?
No.
The same billing practice is followed as if the claim were filed
electronically. You are billed when you
receive payment on that claim.
Again, there are no charges for rejected or resubmitted claims.
3. Are there any hidden charges or
clauses?
No.
There are no setup or membership fees.
The agreement you are
asked to sign explicitly states the per paid claim fee.
That is the only
charge for filing claims.
4. What is an open ended contract and why
is it used?
An open ended contract is a contract
which has no time limitation.
What that means is that you are in control of how long you use our
service. We have chosen to use this type of
contract because we are
confident you will be more than satisfied with the results.
This contract
gives you the opportunity to use our service with no financial risk
or obligation.
5. Do I need software / Do I need a
computer?
Of course not. All we need to get you paid is the patient
information,
the date of the visit, the procedure code and diagnosis.
If you don’t have software to put this information on, write it out on paper. We will enter the
information for you into our computers using our software.
There is no
reason for you to have to spend thousands of dollars on equipment
just to get paid within a reasonable period of time.
6. How do the claims get to MEDS?
This depends on you. Whatever means you feel comfortable with is
the way we work. We offer in office pick up
at your convenience,
24 hour fax service, e-mail, website, or we can provide you with postage paid envelopes.
7. How does MEDS decrease the rejection
rate on claims?
Our professional staff is trained to
pick up common errors and
oversights and correct them on the spot. Secondly,
our software
program has numerous validation processes to be completed prior to
submission of the claim to the clearinghouse. Finally,
the clearinghouse
performs an audit check for errors before forwarding to the insurance
carrier. Compared to the average paper claim
rejection rate of 30%,
electronic filing falls below 2%.
8. I have to send x-rays to get paid. How will electronic filing work?
You must send x-rays because you are
mailing your claims in. When
you submit electronically, the procedure is not the same.
The
insurance companies have developed a system called spot-checking,
which is similar to an IRS audit. They
randomly select claims for
x-rays. You only have to submit that x-ray if
it shows up on a
spot-check. The average comes out to be about
one in every
25 claims.
9. What other services does MEDS offer?
Besides claim filing (both manual and
electronic), MEDS offers a wide
variety of billing/bookkeeping services, follow-up on unpaid claims and medical
transcription.
10. How does MEDS fit into our current
process?
Your staff will complete the
superbill as normally done. There is no
training of staff or additional work to be completed.
The only change
will be giving the superbill to MEDS to file instead of mailing it. This
gives the added control over what happens to the claim once it leaves
your office.
11. Why don’t I just use
Medicare’s FREE Software?
It’s common knowledge that
Medicare provides a free electronic claim
processing software program to doctors nationwide. This
software is
very limited and is not a total solution. The
software can only be used
to transmit Medicare claims. The
doctor’s office must first enter the
claim data into their Medicare software and then enter the same data
in the practice management software for their accounting purposes
causing double data entry. Claims sent direct
to Medicare using
Medicare’s software does not edit the claims. There
is no feature to
catch human errors before the claim is transmitted.
Without an editing
process a claim has a higher chance of being rejected.
When a claim
is rejected because of an error, the majority of the claims are returned
to the physician’s office with a report. This
notification of a rejected
claim is sent by US mail, not electronically! |
