What Questions to Ask Before Hiring a Medical Billing Company

November 3, 2022 Sahil

The decision of whether or not to use the services of a medical billing company is often impacted, for a great number of medical professionals and other providers, both by cost and by the specialty of the firm. You need to be sure that you are working with a medical billing company that is capable of managing this important aspect of your organization. There are a number of options available. You are free to have your own bookings, but please allow us to be of service.

You will want to be prepared for the possibility that your claim may be denied or limited. What kinds of tracking reports will be created, and how straightforward will it be for you to get into your account? It is important to consider the following questions before selecting medical billing services.

Important Questions Providers Should Ask Before Hiring A Medical Billing Company

Before choosing a medical billing business, every provider should ask the following questions.

1. How long has the medical billing service provider been in business?

It is essential to get knowledge regarding the length of time that the medical billing company has been in business. Have they already collaborated with practices comparable to yours in terms of their size, breadth, and/or specialty? Is there a list of references that can be accessed, or do you have to get in touch with someone individually to get one?

2. What will the cost of the service be?

This is a question that is always on everyone’s mind. What services are you receiving in exchange for your billing charges? The rate should be less than 8% of the total charges collected. Because the percentage normally drops as your collections rise, a percentage is better than a fixed charge. Inquire about any start-up, termination, or data conversion fees, as well as any other hidden expenses. Some companies charge extra for patient collecting follow-up and other services.

3. What billing services do you get for your billing expenses?

It is essential to have a solid understanding of the services that will be provided to you as well as the fees that will be charged by the company.

4. Who has access to your billing information?

Who has access to your billing information? If you wish to transfer services or bring billing in-house, you should be able to take your billing information with you.

5. What type of training do employees get?

Are they authorized? What type of continual training do they receive? Are they making use of all current resources and reference books (for example, CPT, HCPCS, and so on)?

6. Is there a Strategy in place to Guarantee Compliance?

Is HIPAA compliance guaranteed? What are their security precautions?

7. Are they a member of any Professional Organizations?

Is the service provider or any of its employees a member of any professional organizations, such as the HBMA? Or is the billing business connected to any approved institution?

8. Is it feasible to obtain an assurance of transparency?

How frequently will you be updated on your company’s financial state and the billing service’s progress? How will they communicate with you, and what role will you play in the billing process?

9. How will the medical billing service handle refused or rejected claims?

Is the medical billing business trustworthy enough to handle rejected or refused claims? Will they be able to resolve your complaints? To fight for your money on your behalf.