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Q. Why should I outsource my billing?
A. It will save your practice time and money.
Q. How can my practice benefit from your service?
A. Our medical billing experts will take the burden of insurance processing and replace it with improved cash flow and leave your practice with more time for the care of your patients.
Q. How fast is your billing turnaround?
A. The timeliness of our process is unparalleled. We enter the information, create a claim and send it out within 36 business hours of receiving your complete information.
Q. Are the claims filed electronically?
A. Over 90% of insurance carriers can accept electronic claims, all claims than can go electronically will be sent electronically. If a claim can not be sent electronically a paper claims will be computer generated.
Q. What about my patient’s confidentiality?
A. Top Solutions Medical Billing Services, Inc. is a fully HIPAA compliant company and all information provided to Top Solutions is handled with the strictest confidentiality. A abide by a strict code of conduct.
Q. Do you need to remove patient charts from our office?
A. No. Patient charts will never leave your facility. Occasionally notes maybe needed to appeal a claim or in some cases required with claim submission. If one of those situations arises we will let you know what the insurance company is asking for in order to have the claim processed correctly.
Q. What kind of information do you need in order to submit claims on our behalf?
A. Superbill containing the date of service all CPT and ICD-9 codes and any modifiers. Patient information sheet containing all the patients’ demographics. Copy of the front and back of the patient’s insurance card. Referring physician ID if necessary.
Q. What if there information missing from the superbill?
A. We will contact your office to request the required information so we can send the claim out promptly.
Q. How should we send the needed information?
A. Information can be sent to us in a multitude of ways. The information can be sent via mail, fax, courier service or e-mail (you must be able to send encrypted-mails).
Q. How often should we send our new billing to you?
A. That decision is yours. At very minimum bi-weekly, but we do recommend your practice get into a daily or weekly submission routine.
Q. How do you handle non-payments from an insurance carrier?
A. We do what ever is necessary to get the claim paid.
Q. Can you handle clients anywhere in the country?
A. Yes. Technology has made it simple to handle clients from coast to coast.
Q. Do you send out secondary claims?
A. Yes. Secondary resubmissions are included in our service.
Q. What kind of follow-up do you do?
A. Upon receipt of the EOB we will follow up on any denied or rejected claims. In addition, if we have not received an EOB within 30 days, we will initiate a follow-up with the insurance company. Any claims that require an appeal will be sent on paper along with a letter of appeal and any required documentation. We work on each claim until it has been paid or a reasonable response for nonpayment has been given. If an appeal needs to be filed, we will file the appeal.
Q. Where do our insurance payments go?
A. All remittances / payments will go directly to your Practice.
Q. How quickly can you have us up and running?
A. We can start submitting electronic claims in 2 – 3 days however, some carriers require special paper work and that can take a few weeks (Medicare, Medicaid, BC/BS are the major ones) depending on the carriers. In the mean time we can submit those claims on paper.
Q. Is there a set-up fee?
A. Yes. There is a one-time initial setup fee ranging from $300.00 - $1000.00 depending on the size of your practice and the services you require.
Q. Do you accept credit cards?
A. Yes, we do.
Q. Is there an agreement necessary for enrolling in the service?
A. Yes, the agreement can be cancelled anytime with a thirty day written notice.
Q. Will I need to purchase any software?
A. No. Top Solutions Medical Billing Services has purchased all the software needed to automate your office. You are not required to purchase any billing software while you are using our services.
Q. Does our practice have to be a certain size?
A. No. We welcome all practices big and small, new and established.
Q. Can you be HIPAA Compliant when Outsourcing your billing?
A. Yes. Billing centers have the same obligation that you do in terms of protecting PHI .
Q. Is Top Solutions Medical Billing Services HIPAA Compliant?
A. Absolutely! HIPAA is a very important subject, which we take seriously. We have taken great efforts in developing a compliant office with computer password protection, encrypted emails, locked cabinets, secured fax as well as other things like shredding any PHI documents that needs disposing and keeping our employees educated on HIPAA policies.
Q. I am ready to get started what do I do know?
A. You can contact us via phone or send us an e-mail and we will contact you?