Category/ Medical Billing

Medical billing companies: Helps you streamline your Medical Practice

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Medical billing companies are a helpful resource that can help you streamline your practice and get paid faster. But how do you choose the right one?


There are a few things to consider when looking for a medical billing company. First, decide if you need full-service or do-it-yourself billing. A full-service firm may take over your RCM processes completely, handling the day-to-day and reporting to you regularly. Or you can hire an independent biller—someone who will find potential errors and reconcile bills for you on a monthly or quarterly basis. Either way, you’ll want to make sure your prospective firm has experience with your type of practice.


medical billing company can help healthcare providers adjudicate claims and provide many other services. Claim-related tasks include entering data, checking a claim’s details, and filing it electronically or on paper. Many companies also provide RCM support, including claims patient billing, follow-up and appeals, and cash posting.


A medical billing company specializing in this area is likely to provide software and services to help with all of the above and more comprehensive solutions. These might include credentialing software, schedule management, and electronic health records.


Medical Billing companies offer services in a variety of ways at different levels. In some cases, full-service firms handle your RCM needs completely and provide regular reports to you. You may also find companies that offer software and solutions to help with the billing process. Other companies provide hybrid solutions that employ solutions that enhance your workflows and engage professionals to help with overflow.


Benefits of Medical Billing Companies

There are several benefits available to medical billing companies. With a medical billing company, you can focus on your clients, which is the most important part of your business. You can give them the best service possible by handing off the billing and collections process to the medical billing companies. This allows you to grow your business in several ways.


Medical billing companies offer two primary services. The first is to help doctors and physicians save time and money by managing their practice, including the mechanics of submitting claims to insurance companies. The second service is the creation of invoices and statements that show a patient how much they owe. This can be useful for helping a patient budget their expenses, or it can be helpful for patients who are paying their bills over time. The following are some options:


Expertise at your fingertips: Medical billing companies help medical offices with the more labor-intensive aspects of running a medical practice, from electronic claims filing to payment collections. Whether your office is a single provider or you have thousands of medical professionals on-site, medical billing companies can lighten the load.


A scalable capability: Most medical practices are small enough that the doctor and staff can handle the paperwork themselves. There are many advantages to working with a medical billing service, especially in a busy practice like yours. They’re much better at filing claims than you are because they have more workforce and years of experience under their belts.


Your office will be more efficient: Many small medical offices don’t have the time to track medical billing but also to check and verify the accuracy of bills received, determine insurance coverage, and follow up on underpayments or late payments. A medical billing company can provide all these services, freeing up your staff to focus on patient care. 


Medical billing companies are in high demand. If you run a medical practice, this is your opportunity to provide a convenient and affordable billing service to your patients without investing in a large set of resources.

What to Look for in a Medical Billing Company

Medical billing services are something that professionals in both the medical and for-profit arenas need. Medical billing services providers can vary greatly; however, choosing the right one for you is crucial to both your health and your business’s success. To feel comfortable trusting the provider with your patients’ data and revenue, you should make sure you get satisfactory answers to the questions listed below.


Medical billing companies house a wide range of pricing models. Understand whether you’re getting charged per claim or hour, a flat rate for services, or a percentage of revenue collected. While the terms can vary from company to company, the most important thing to know is that healthcare professionals are typically charged per claim, not on an hourly basis.


If you’re looking to hire a medical billing company, consider two things: their skills and their experience.


The best medical billing companies will have a staff that includes Medical Billing Coders and Certified Medical Assistants. They’re trained to properly document all of your patient visits, emphasizing coding and insurance reimbursement.


Medical billing companies should always have these experts available 24/7 to get help with an insurance claim, especially if your patient is about to be discharged from the hospital or in the office for a regular visit.


While you can train your personnel to do medical billing, it’s not always feasible. Many medical billing companies can provide you with emergency help if you need to care for a patient coming in after-hours or being admitted as an emergency case.


Do your staff do some of the work before the billing partner takes over, and how is the data translated between the two parties?


Medical billing companies need to be HIPAA-compliant as a part of medical billing compliance. HIPAA compliance is necessary for the medical industry, but what do you know about HIPAA and its effect on your business?


To ensure patient confidentiality, your medical billing company needs to be HIPAA-compliant.

“Finding the right medical billing company can be a challenge.” Your business is unique. When it comes to medical billing, you need to find a company that understands how your workflow works and how to file claims in your specialty.


The Cost of Medical Billing Company

Fees for medical billing and coding companies vary widely. Flat fees, hourly rates, and contingency are the most common means of billing for medical billing and coding companies. Flat fees have no relation to the time spent on a specific case. The flat fee may be charged on a per-transaction or per-claim basis. Some companies may charge a set amount for work done by an individual scribe, while others may charge a set amount per total claim processed, regardless of how many hours or transactions it took to process the claims. Not all companies charge the same fees, which is something to look into before selecting one.


Why Choose Us

Our medical billing experts provide billing and coding services for your practice. We take care of every aspect of your account to ensure claims are filed timely and accurately. With a proven track record of reliability and effectiveness, we offer a full range of medical billing services to support any practice size.

Differences between Physician Billing and Hospital Billing

Physician Billing vs. Hospital Billing: Understanding the Key Differences


Physician billing and hospital billing are the two types of medical billing that prevail in the healthcare industry. But what is the difference between hospital billing and physician billing?
This post will cover some essential points regarding the difference between physician billing and hospital billing, which will help you understand what factors come into play while learning about these two types of healthcare claims.


With physician billing and hospital billing, there are specific differences to tackle. For instance, physician billing is based on the percentage of the remuneration earned through procedures or a price for different services rendered. As for hospital billing, its based on the pricier reimbursement model, where the hospital charges the patients insurance plan for the services required and received.


Professional billing relates to physician billing, and institutional billing refers to hospital billing. In the healthcare industry, professionals differentiate between these terms depending on the purpose of the billing process and the services involved. The two methods, however, fall under the general medical billing process.


To highlight the key differences between physician and hospital billing, lets find out how they are used in both cases.


Physician billing: What is it?

Physician billing, or professional billing, refers to the billing process. Where claims submitted by physicians and healthcare providers are reimbursed when performing medical services or procedures on patients covered by insurance, once you decide to become a physician billing service provider, you must help the physicians or healthcare providers with claim submission and other related billing and collection tasks.

CMS-1500 or 837-P is the claim form used for physician billing. The only difference between these forms is that the CMS-1500 is a paper document, and the 837-P is an electronic document.
•    Some insurance companies, like Medicaid, Medicare, and others, only accept electronic claims as payment methods. P stands for professional configuration on the 837-P claim form, an electronic version of CMS-1500. Most of the time, expert physician billing services have more to do than institutional or hospital billing services.
Billing a doctor is an important administrative task that controls many other tasks in a medical office, like making appointments, greeting patients, registering patients, and collecting payments. 
To make sure that the organizations overall financial and operational goals are met, people who work in medical billing and coding need to know a lot about the policies and practices of physician billing. Because physicians bill insurance companies directly for patient services, a medical offices billing department relies on the accuracy of coding and claims processing to ensure that payments are made promptly. 
The organizations ability to stay in business depends on how much money it gets for each service it provides. Medical professionals can improve their ability to collect payments by learning the basics of physician billing.
•    Both inpatient and outpatient services can be billed under physician billing; both types can only be billed after patient verification.
•    All outpatient and inpatient services will be billed based on the patients insurance policy, so its important to check.
•    It is important to keep in mind that physician billing includes medical billing and medical coding as well.
Therefore, medical billers need to learn both billing and coding procedures. Healthcare professionals offices and hospitals employ medical billing and coding teams to handle everyday billing.
The process of physician billing is complicated and detailed. It is also time-consuming and requires a lot of effort and time. Scribe Align makes it easy by connecting healthcare providers with hospitals and insurance companies so they can focus on patient care instead of insurance claim submission. By outsourcing the billing process to a healthcare billing service provider like Scribe Align, you can focus on the doctors practice and patient care instead of worrying about getting paid for the medical services.

Hospital billing: What is it?

•    The hospital or healthcare provider submits claims for inpatient and outpatient services in hospital billing. For the same reason, hospital billing can also refer to institutional billing.
•    A hospital billing system also accounts for the services provided by skilled nurses. They also bill claims for medical facilities and medical claims for laboratory services, medical equipment, radiology, supplies, etc.
•    An institutions configuration is indicated by I. Hospital billing is performed using forms UB-04 or 837-I. In contrast, the UB-04 is a paper-based form, while the 837-I is a computer-based form.
•    A physicians billing is similar to a hospitals billing, except that hospital billing only deals with the medical billing process; it does not deal with medical coding. However, physician billing also includes medical coding.
•    The hospitals appointed medical biller is only responsible for billing and collection in hospitals. It is challenging to handle hospital billing as compared with physician billing.


Billing for Physicians and Hospitals: how to increase revenue?

•    Hospitals and physicians have different billing models when it comes to revenue reimbursements. But their processes have a significant impact on preventing denials and fraud.
•    Keeping track of unbilled and unmissed claims and services becomes the physician billers priority. However, the staff should be aware of any billing or coding errors when submitting claims. Technical errors can also cause mistakes for various reasons.
•    Outsourcing healthcare billing and coding services is often the best option for hospitals and healthcare providers to avoid errors and payment losses.
•    The hospital billing process is quite different from physician billing. A hospital or institutions billing function includes collection and billing.
•    As a result, institutional cases are handled only by coding experts because hospital coding is considered more complex than physician coding.

It is essential to avoid violating HIPAA privacy and security rules since physicians and hospital billing staff have access to private and confidential patient health information.
Thank you for reading about Physician Billing and Hospital billing. I am pleased to provide you with information on physician and hospital billing.

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