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    Welcome to the ClaimCare Medical Billing Blog. We strive to provide content that improves the overall quality of medical billing efforts across the US. If you have any specific topics that you would like to see addressed in this medical billing blog please post the topic in the Medical Billing Questions & Answers Forum. If you have an article that you would like considered for publication in the medical billing blog then please email your article to resources@claimcare.net.

    MEDICAL BILLING BLOG

    Provider Relief Fund Deadline Extended to August 3

    Posted by Carl Mays, ClaimCare President/CEO on Mon, Jul 27, 2020 @ 06:30 AM

    Provider Relief Fund Deadline Extended to August 3

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    It’s not too late to apply for financial emergency assistance from the Provider Relief Fund if you have not yet done so. The deadline to apply has been extended to Monday, August 3.

    For in-depth information from HHS about this extension, visit CARES Act. Included with the latest update on the application process is information about a webcast on Monday, July 27, 2020 at 3:00 p.m. ET.    

    You may also want to revisit an earlier ClaimCare blog concerning Four Options to Boost Your Practice’s Cash on Hand Balance.  

    Another site of interest in this matter is HealthCare Law Diagnosis.

    Meanwhile, we have discovered through our clients that some patients, especially senior adults, remain hesitant about going into a medical office or facility since COVID-19 is on the upswing in certain areas.

    Therefore, being proficient in telemedicine is still highly important. We have posted several earlier blogs regarding telemedicine, which include:

    Keep Revenue Flowing During Pandemic (03-27-20)

    Serving Patients Through Telemedicine (03-31-20)

    Update to Telemedicine (04-03-20)

    Also, regardless of the state in which you have your practice or facility, here is an informative and very extensive article by the Texas Medical Association about telemedicine and more.

     

    About ClaimCare ®                        

    ClaimCare has 30 years of medical billing experience. We have an established 100% USA-based medical billing team that has been assembled through a thorough pre-employment screening. All personnel participate in on-going training and strong process management to ensure they deliver only the highest quality medical billing services to clients.

    AwardclaimcareClaimCare has once again been named a “Top 10 Medical Billing and Coding Company.” The honor this time comes from MD Tech Review. The magazine’s Augmenting Medical Billing and Coding Operations article presents solid reasons why ClaimCare has been chosen for this 2019-2020 recognition.

    For more information, phone (855) 376-7631 toll-free, or contact sales@claimcare.net, or visit the ClaimCare Medical Billing Company website. We can assist your practice and/or facility in numerous ways, including complete certification processing

     

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    100% USA-Based HIPAA-Compliant Medical Billing Company

     

     

     

    Tags: HIPAA, best medical billing companies, telemedicine, CARES Act, Healthcare Cash Flow, Provider Relief Funds Extension

    What You Need to Know Before Hiring a Medical Billing Company

    Posted by Carl Mays on Tue, Jan 14, 2020 @ 11:00 AM

    What You Need to Know Before Hiring a Medical Billing CompanyClaimCare Medical Billing, 100% USA-based, has once again been named a ‘Top 10 Medical Billing and Coding Company.’ The honor this time comes from MD Tech Review. The magazine’s Augmenting Medical Billing and Coding Operations article presents solid reasons why ClaimCare has been chosen for this recognition.

    Finding the right medical billing company can be challenging for practices or facilities that are dissatisfied with their current billing situation - or for those just starting up new practices or facilities. At the same time, medical billing and coding remains one of the most important aspects of medical- provider organizations.

    It is a proven fact that has been documented by medical practices and facilities, and by various patient surveys, many patients will switch healthcare services due to their discontent with an in-house or outsourced billing staff. And, the discontented patients often go online to air their frustrations, as well as share their dissatisfaction with family and friends. Obviously, this proves to be very costly to medical providers.

    Medical billing and coding is an ever-changing and always demanding job that requires highly-knowledgeable and laser-focused professionals. This is why ClaimCare rises above the basics of medical billing and coding with a mission statement that reads: “To collect the maximum for your practice as fast as possible while helping to alleviate costs and hassle for your organization.”

    Regardless of whether you currently have in-house or outsourced medical billing, it is vital to ensure your service contains the absolute basics needed to please the government, keep the patients content and the cash flow coming. If you do choose to outsource your service to any medical billing company, we recommend you pay attention to these 4 tips:

    Tip No.1: Check to see if the company is HIPAA compliant

    “If you think compliance is expensive, try non-compliance.”

    There is a good reason why the Government sets rules of compliance for various organizations. This is to protect consumers from unreliable service providers, including medical billing companies that have an unsecured online infrastructure.

    Thus, it is important to check to see if the medical biller you are dealing with, or want to deal with, is HIPAA compliant. If not, then it is best to look for someone that is compliant to the HIPAA rules and regulations.

    Tip No 2: Consider the company’s medical billing experience

    “Claiming is one thing, but proving is another thing.”

    Any company can easily say they offer the best services. But how can you know if they do?

    Their years of service in the industry says a lot about their work. After all, an organization cannot last long unless they deliver exceptional medical billing services to their clients. Thus, it is extremely important to know how long they have been in the industry.

    Tip No. 3: Ask about the company’s reporting system

    “All technologies are not equal.”

    One thing that sets medical billing companies apart from one another is the additional features they deliver, such as their reporting system.

    While some companies may just give you log-in details so you can process your medical bills, others will include a monthly, weekly, or real-time dashboard report. Thus, it is best to choose a company that can give everything you need to make your practice more efficient. This includes:

    • 24/7 access to your medical billing data
    • Automated insurance verification
    • Easy to use dashboard reports
    • Electronic medical record software
    • Practice analytics and recommendations
    • Practice management system
    • Scheduler

    Tip No. 4: Confirm the company’s client reviews

    Reviews are a gold mine when looking for the best medical billers. However, don’t simply believe everything you read online or hear from the company.

    Do some investigation. Contact these clients to inquire personally about the services provided to them by their medical billers. This ensures you choose an honest and reliable medical billing company.

     

    Conclusion

    There are other factors you will need to consider when choosing the right medical billing company for your practice or facility. This includes the cost, staff, and contract issues you will need to clarify with them. However, it is vital that you begin by considering these 4 tips as the first step to help you decide if the medical biller will fit your needs.

    Do you need to learn more about medical billing? Subscribe to our blog to receive regular updates, tips, and recommendations.

    About ClaimCare

    ClaimCare has 30 years of medical billing experience. We have an established 100% USA-based medical billing team that has been assembled through a thorough pre-employment screening. All personnel participate in on-going training and strong process management to ensure they deliver only the highest quality medical billing services to clients.

    ClaimCare has a proven track record of increasing client collections by 10 to 20 percent.

    For more information, contact sales@claimcare.net, or phone toll-free at (855) 376-7631, or visit the ClaimCare Medical Billing Company website.

    Tags: medical billing, best medical billing companies, medical billing process

    3 Types of Medical Billing Companies to Fit Your Needs

    Posted by Carl Mays on Fri, Apr 26, 2019 @ 11:01 AM

    3 Types of Medical Billing Company to Fit Your NeedsThe AMGA 2017 Medical Group Operations and Finance Survey reported that operating costs losses per physician jumped from a 10 percent loss of net revenue in 2016 to a 17.5 percent loss a year later. Thus, the total losses per physician during this two-year period went from $95,138 to $140,856.

    With these increasing revenue losses, to help reduce operational costs more and more healthcare providers are choosing to outsource their medical billing rather than keeping it in-house.

    If you are considering a move to outsource your billing, it behooves you to understand the 3 types of medical billing companies. This basic knowledge will help you decide which type best fits your needs, allowing you to focus on your core operations.

    Medical billing companies vary with the services they offer, and are categorized as such:

    1. Light Service Medical Billing Companies

    These are billing software vendors. Their services include handling of coding validation and working rejections due to authorizations, eligibility, and patient demographics.

    Due to the limited services such companies deliver, which include processing the front end billing process and processing your claims, they are designed for practices that have an expert in-house medical billing staff in place.

    2. Full Service Medical Billing Companies

    These are the traditional medical billing companies that initiate their services during the earlier stages of your revenue cycle. They are equipped and skilled to:

    • Provide your practice with technology tools and training for demographics, card issuance information, and eligibility verification, which is most helpful during the check-in process
    • Work with rejected claims and assist you on how to avoid this from happening in the future
    • Communicate with practices regarding how to manage rejections.

    They have the capacity to handle all of your medical billing concerns. This makes them the ideal choice for medium to large practices aiming to focus on their core operations.

    3. Boutique Medical Billing Companies

    Sometimes what’s required is a medical billing company that can provide more specific assistance to your specialized practice. This is where boutique types of medical billing companies are extremely valuable.

    Boutique medical billing companies can deliver customized services to specialized practices and facilities that wish to go beyond the common simple payment postings, claims submissions, and account receivables follow-up. However, this also means a higher service fee because of their unique customized approach to medical billing.

    Which type of medical billing company would best suit your practice or facility?

    It depends on your requirements. If you have a limited in-house billing staff, choosing a full-service or a boutique billing company would be ideal. However, if you have the resources to handle most of this on your own and only require a software to assist you, then a light service medical billing company could help you achieve your goals.

    About ClaimCare

    ClaimCare has over 17 years of medical billing experience with all employees being 100% U.S.A.-based. Our services include denial management, electronic medical record implementation, fixing of broken medical billing processes, and expedited billing service. Subscribe to our blog or call us toll-free at (855) 376-7631 for any of your medical billing queries and concerns.

    Tags: medical billing operations, best medical billing companies, improving medical billing, medical billing resources, Medicaid billing

    ClaimCare Named One of the Nation's Top 5 Medical Billing Companies

    Posted by ClaimCare Resources on Wed, Jan 25, 2012 @ 10:41 PM

    best medical billing companiesIn kicking-off 2012, Money & Business, the online magazine that provides comprehensive coverage of business and personal financial matters, named the ClaimCare Medical Billing Company among the top five online medical billing companies. Independent researcher/writer Michele Wyan, listing the top five companies in alphabetical order, was impressed with ClaimCare’s track record, extensive experience and proven ability to serve all medical specialties nationwide.

    The researcher, mirroring ClaimCare’s mission “To collect the maximum revenue for your practice as fast as possible while helping to alleviate costs and hassle for your organization,” spotlighted a couple of ClaimCare’s many positive attributes:

    1. A guarantee that 85% of charges will be resolved within 60 days and that 95% of charges will be resolved within 120 days.
    2. The submission of claims within one weekday of receiving documentation of a patient encounter. If ClaimCare misses a claim submission deadline, the client is reimbursed for the missed claim.

    ClaimCare’s CEO/President Carl Mays II says, “This recognition is greatly appreciated because it reflects the dedicated hard work and the consistent, conscientious attention to detail that ClaimCare employees provide in order to serve our clients and to accomplish our mission. We are also quite proud of the fact that we have the ability to work on all major medical billing systems such as Centricity, eCW, NextGen, eMDs, Sage, Greenway, Misys, etc.”

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    Copyright 2010 by ClaimCare Inc. The author, Greg Weremowicz, is VP of Sales for ClaimCare Medical Billing Service, one of the largest medical billing companies in the United States.

    Tags: medical billing, medical billing companies, ClaimCare News, medical billing services, selection process, best medical billing companies, improving medical billing

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