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A billing service is one of the most cost
efficient tools a healthcare provider can utilize in his/her
office today. An outside billing service allows the staff more
time to devote to patient care and to the day-to-day activities
that require on site staffing.
We want to work with the small group practices that cannot
afford or do not want to spend the money on computer software and
equipment . Our goal is to be an extension of your office staff
and to collect what is rightfully yours per your
contracts or agreements with insurance carriers. We also want to work
with your patients so that they feel obligated to pay their portion
of your bill without feeling hassled. We understand you have contributed
much to the quality of care you provide to your patients and we expect
to continue that philosophy though the collection process.
 All
claims are filed electronically the first time they are submitted
to an insurance carrier. Claims that require documentation will
be printed on paper. Any claims that require an appeal will be
sent on paper along with a letter of appeal and any required documentation.
Patient statements will be sent electronically and/or on preprinted
laser forms.
We work each claim until it has been paid or a reasonable denial
for nonpayment has been given.
You will assign a staff person from your office
to be our contact person. He/she will be responsible for either the
daily data entry functions or for sending us the required information for insurance
and patient billing,
as well as any payment information.
Assuming we do the data entry, the first time a
patient is entered into our system, we will need a copy of your new
patient form, a copy of their insurance card and a copy of your
encounter/super bill. Anytime you change/update information on a patient
and/or contract with a insurance carrier, we require that you send us the new
information in order to expedite the process. We will need
the hospital face sheet and your encounter/super bill form for
hospital patients. This information assists us in filing an accurate
claim that results in faster reimbursement.
You may enter the information directly into our software program. Or
you may send your information to us by fax, FedEx, UPS, DHL, or Lone Star Over-Night
A courier may be available depending on your location.
We send out electronic claims every day. Paper
claims and appeals are mailed on an as needed basis. Each time
an Explanation of Benefits (EOB) is received on a patient and
there is a patient due portion, a separate bill is sent to that
patient along with a copy of the EOB. Patient statements are sent
electronically on a monthly basis unless other agreements are
made.
All payments are sent directly to you. The contact person in your
office will be responsible for providing us with payment and EOB information.
 If you choose
to use our software you have instant access to reports. Otherwise you
will receive a daily report detailing the days activities including
charges, payments, and adjustments. Monthly reports such as aged
accounts receivable by patient and by insurance company, procedure
productivity reports, and financial summaries will be provided.
Others can be requested according to the terms of our agreement.
We charge a one time set up fee to process the necessary business
information in our system to be ready to do your billing. Once
we have you set up, we charge a percentage of collections to process
your claims and follow through with them.
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Call us at (512) 789-7701 or email us at info@emedicalsystems.com.
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