The following are questions for providers who have little or no experience with Billing Services

Q: Are payments sent to Tru Medical Billing LLC, or to the provider?
A: All payments are sent directly to the provider. chiropractic billing medical billing

Q: Can we still have direct access to our billing information?
A: Yes! We have software available that allows providers to have remote, password-protected access to their billing information 24/7. chiropractic billing medical billing

Q: How often do you send out patient statements?
A: When you contract for this service, we discuss your preferred billing schedules. Normally, patients are billed on a monthly basis for any balance due, after an EOB has been received from their insurance carrier. chiropractic billing medical billing

Q: If our patients have a question on their bill, can they call you?
A: Definitely! We are here to courteously answer questions and assist patients with billing concerns.

Q: How do you handle past due accounts? chiropractic billing medical billing
A: Patients will receive past due notices every 30, 60, 90 days along with offers for payment plans. We apply “soft collections” attempts and after these have been exhausted, we consult with you to determine if the account should be turned over to a collection agency.

Q: Is there a practice set-up fee to get started billing with Tru Medical Billing LLC?
A: Yes. We charge a one-time, up-front fee to cover the expenses incurred with setting up your practice. These expenses include, but are not limited to the following: data entry, procedure and diagnostic codes entry, fee schedule(s), patient data, insurance companies and electronic clearinghouse enrollment. The fee is determined after we complete a thorough review of your Office Profile. chiropractic billing medical billing

Q: What is the easiest way to send our billing information to you? chiropractic billing medical billing
A: There are many available options for transferring data.  Providers fax patient demographics, insurance information, superbills or charge tickets to Tru Medical Billing LLC. Some providers prefer to mail the information once a week. The choice is yours. We then enter, review and forward claims to the insurance company, electronically whenever possible.
chiropractic billing medical billing
Q: Yes! We want Tru Medical Billing LLC to do our billing! How long does it take to get started?
A: The time required is based on the size and needs of your office. The average time for initial set-up is one to four weeks. After an initial evaluation of your practice, we provide you with detailed estimate of time requirements. On average, we can have you submitting electronically to commercial carriers within days. It takes approximately six to eight weeks for BCBS and Medicare.
Psychology Billing * Psychology Billing * Psychology Billing

 

What does "Patient Billing" mean?

"Patient Billing" means that the billing service logs in the co pays that each patient pays at the date of service. When the EOB comes in, the billing service then enters the payment into the data, does the ‘contractual write off’, and if there is an outstanding amount due, that amount will be reflected in the patient’s transaction page.

Each month the provider will receive an Accounts Receivable report. This report will list all of the amounts that are due to the provider from the patient, as well as overpayments.

If the patient owes any amount to the provider, the billing service will send the patient a statement.

The co pays are included in the revenue collected and will be included in the percentage fee rate.

The benefits of this service are:

The provider will have an account of all money received and owed. The provider will have a complete record of all accounts receivable.

If the patient needs a record (for their tax return, ECT) of monies spent in health care, you the provide will have an easy print out to give to the patient.

If the provider is audited by an insurance carrier, the provider will be able to ‘prove’ that he/she followed the contractual obligations set down by the insurance carrier by collecting the required co pays.

What does "Insurance Billing Only" mean?

"Insurance Billing" means that the billing service does not log co pays into the data, only the insurance charges are noted. When the EOB comes in, the billing service enters the amount paid and writes off the remaining amount. If there is an amount applied to the deductible, the write off will be called "Applied to Deductible." The ‘Applied to Deductible" amount will be included in the revenue received since the provider has collected that amount as a result of the billing service submitting a claim to the insurance company.

There are no records of co pays or accounts receivable in the billing service’s data base.

The benefit of "Insurance Billing only" is:

        Lower fee for the provider

______________________________________________________________________________________________________________

Definition of "Insurance Verification"

Insurance verification is the first and most important step in being confident that your claims will be paid in a timely fashion with little difficulty. It is paramount that SOMEONE verify the insurance coverage and that they do it properly. Improper or no insurance verification creates problems for the doctor in the form of delayed or non payments and it creates problems for the biller in the form of extra and unnecessary work.

You as the provider have the option of verifying your patient’s insurance coverage or allowing TRU Medical Billing to verify insurance for you. If you opt to do your own verification, you are expected to share your information with the billing service so your biller can send the claims properly. If you do not have an insurance verification form, Tru Medical Billing is happy to provide one for you.

There are a few essential bits of information:

1. What is the co pay?

2. Is there a deductible, how much has been met?

3. How many visits are allowed per year?

4. Is authorization required?

5. How many visits are allowed until authorization is required?

6. Claim Submittal information

1. What is the co pay? Usually the co pay will be listed on the front of the insurance card, but sometimes it is not correct. If you know up front what the exact co pay is, you can collect that co pay at the beginning of each visit and you do not have to bill the patient later.

2. Is there a deductible, and if so, how much has been met? If the plan has a deductible, you want to be informed so you can collect the full amount allowed by the insurance company up front. It is human nature to be lax in paying for a services already received, so collecting the deductible amount from the patient up front will eliminate Patient account receivable writeoffs.

3. How many visits are allowed per year? Some plans have a limit on the number of visits allowed. It is good to know ahead of time how many visits will be paid by the insurance company. The patient should be aware of how many visits they have, but usually they do not, so it is up to you or your biller to know when the the patient has reached his/her maximun number of visits. If you see your patient more times than are allowed by the insurance company, you can collect your fee from the patient at the time the services are rendered, once again eliminating the chance of Patient account receivable write offs.

4. Is authorization required? The provider needs to know if authorization is required. With the insurance companies becoming ridiculously stringent with their requirements, an increasing number of plans are requiring authorizations before the first visit. Insurance verification will tell you if authorization is required. Many times TRU Medical Billing can get the authorizations for you when the insurance is verified. This is part of the "insurance verification" service.

5. How many visits are allowed until authorization is required? Many plans allow 12 visits and then it is necessary to get authorization for more visits. With this information, the biller will alert you in plenty of time to apply for authorization well in advance of the last ‘auth free’ visit. Many insurance companies take over a week to grant authorized visits, so TRU Medical Billing will alert you at least a week prior to the last visit.

6. Claim Submittal Information. Many insurance plans are using third party administrators to process claims, and many times that information cannot be found on the insurance card. The provider or the Biller needs to call the insurance company to find out if claims need to be submitted to a third party administrator.

What is the doctor's responsibility?

If the provider has opted to do their own insurance verification, TRU Medical Billing’s policy is that the provider is required to provide the insurance verification information with each new patient information. If the provider opts to do the insurance verification and the insurance information is not provided to the biller, No claims can be sent until the patient’s insurance has been verified and the information has been provided to the Billing Service. If a claim is rejected due to improper claim submittal and verification information, and the biller has to follow up with the insurance company as a result of incorrect insurance verification, the provider will be billed an additional hourly rate for the claim follow up.

Our goal as a Billing Service is to help the provider receive every cent due from the insurance companies and the patients. These protocols are tested and true and if followed will insure a minimum of lost revenue, time and work. We have streamlined our policies for the doctor’s financial benefit. The provider’s participation, either by hiring TRU Medical Billing to verify insurance, or by providing proper verification information to TRU Medical Billing, is required for total success.

In today’s declining economic environment, insurance companies are looking for every excuse not to pay the provider, and TRU Medical Billing is dedicated to helping the doctor receive insurance and patient funds with a minimum of lost time. Our policies are strong and detailed, with the doctor's financial well-being in mind. When we work as a team, success is assured. Doctors today CANNOT afford a sloppy billing service!

______________________________________________________________________________________

medical billing <> chiropractic billing <> psychology billing medical billing <> chiropractic billing <> psychology billing  medical billing <> chiropractic billing <> psychology billing  medical billing <> chiropractic billing <> psychology billing  medical billing <> chiropractic billing <> psychology billing  medical billing <> chiropractic billing <> psychology billing  medical billing <> chiropractic billing <> psychology billing  medical billing <> chiropractic billing <> psychology billing  medical billing <> chiropractic billing <> psychology billing