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Tips For Hiring An Outside Medical Billing Company

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Anyone running a clinic or medical practice knows that proper medical billing is absolutely essential. While it is possible to hire staff to work in the office and handle medical billing, more clinics and medical practices are opting to hire outside medical billing companies. Using an outside medical billing company allows a clinic or medical practice to focus on patient care while the billing company deals with insurance and fund collection. If your clinic or medical practice is planning on hiring a medical billing company, use the following tips:

Look for Exemplary Coding Knowledge

While the initial coding is the responsibility of medical personnel in a clinic or medical practice, it is important to hire a medical billing company that has an exemplary knowledge of medical coding. When you work with a company whose employees have a deep knowledge of coding, you can count on them to spot coding errors, so they can be fixed before anything is submitted to an insurance company. Your medical billing company may also be able to make recommendations on coding changes that may benefit the clinic or medical practice.

Ask How Claims Are Followed Up

When searching for a medical billing company to contract with, it is always a good idea to ask them what methods they use to follow up with a claim. Make sure that you completely understand how a medical billing company handles common issues, such as appeals, denials, re-submissions, and tertiary and secondary claims. 

Know What Management System Is Used

Before hiring a medical billing company, you need to know what management system or software the company uses. Having this information will help you ascertain whether or not the management system or software used is compatible with your clinic or medical practice. In the event that you hire a medical billing company that will have remote access to the management system that your clinic or medical practice uses, make sure that they medical billing company is completely compliant with all security and privacy regulations.

Ask about Their Success Rate

While re-submissions, appeals, and denials happen from time to time, no medical practice or clinic wants to deal with numerous problems with an insurance company. Thus, you should ask a medical billing company what their success rate is when it comes to having claims approved on the first try. The higher success rate a medical billing company has, the faster a clinic or medical practice will be paid by the insurance company.

To learn more, talk to companies like Premium Medical Billing Inc.


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