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  • Billing
  • Tracking
  • Reporting
  • Recovery & Rehab
  • In-House vs. Outsourcing
Why Medical Billing?

After your patients' care, the most important aspect of your business is your billing. Outsourcing your billing allows you and your staff to devote time to your patients' care and the growth of your practice, leaving the burden of your billing to the professionals whose only focus is getting you paid.

Medical Billing Connection provides complete medical billing and practice management to ensure optimal billing and reimbursement to Providers nationwide. With MBC, expect great service AND great results! And, MBC is now EMR capable!!

Management Services

Allow us to Manage your Cash Patients

Medical Billing Connection can manage your cash patients for you, providing you with detailed reports for a complete overview of all your patients and income, so you can better manage your practice.

Our Billing adviser services will be helpful for your business if you are searching for ways of raising your profit.

How Medical Billing Connection
can Benefit You!

Medical Billing Connection's knowledgeable team handles the complete medical billing process, including:

*Secure scanning, digital imaging and indexing of all demographic fee slips or superbills, and explanation of benefits (EOBs)

*Submitting claims to primary, secondary, tertiary insurance companies, as well as patient statements

*Following up on each claim until payment is made

*Managing patient queries with the highest level of professionalism and customer service

*Producing various valuable reports allowing our clients to manage their practice with up-to-date and accurate information.
Because no two offices are alike, we custom tailor our service to fit your needs, which may include:

• All aspects of insurance billing.
• Claim tracking and follow-up.
• Patient statements.
• Management of your cash patients.
• Contracting and Credentialing
• Weekly/monthly/yearly custom reports.

Tracking and Follow-Up Services

Follow-up is regularly performed both from software-generated reports and EOBs received from Provider's office.

We have built a trustworthy reputation providing small businesses and national companies with high class Medical Billing Services.

Our financial adviser services will be helpful for your business if you are searching for the ways of raising your profit.

Reporting Services

Weekly/Monthly/Yearly Custom Reports

You will receive an Income Report and an A/R Report each month. At no additional charge, you are welcome to request a variety of special reports at any given time.

We have built a trustworthy reputation providing small businesses and national companies with high class Reporting Services.

Patient Statements

Patient statements are generated once a month with Medical Billing Connection's toll-free number on the statements to answer any patient calls regarding statement questions or insurance status.
30 days past due, we will send a second statement;
60 days past due, we will send a final demand letter;
90 days past due, we will turn the patient over to a collection agency. This frees your office staff up to perform other tasks.

Recovery & Rehab Center Billing Done Right!

As one of the few medical billing companies around with the know-how to bill recovery and rehab centers, MBC prides themselves on excelling in the insurance billing and reimbursement.
Realized by our clients, our knowledge and expertise in chemical dependency, detox and jual-diagnosis speaks volumes when it comes to billing the inusrance companies, either on behalf of the facility, for the patient repayment, or both, and shines through when it comes to reimbursement.

With this type of medical insurance billing, it is critical to first ensure proper verification of benefits followed by proper coding.

MCD has successfully mastered this feat.

Our percentage base fee assures you, if you don't get paid, we don't get paid!

$$$ We have tripled the income of facilities using our services!

The difference is our service... Let MBC make the difference for you!

Services Offered:
Accurate Verification of Benefits (VOB).
Initial Authorization.
Concurrent Reviews.
File Claims on behalf of your facility.

RELIABILITY!
All claims are systematically tracked by our state-of-the-art systems. No claim gets lost in the shuffle

HIPPA COMPLIANT

In-House Billing vs. Outsourcing Billing

In-House Billing / Solo Practice

Monthly In-House Cost California Medical Billing Cost

Employee Salary

$16.50 per hours x 40 hours per week = $660.00

Annually = $34,320 /12 months

$2,860 = one month gross pay

$2,860.00 $2,250.00 Average of $30,000 Net Receivables at 7.5%

Medical Benefits

Average PPO plan $165.00

 

$82.50 NONE
Sick Leave $66.00 NONE
Vacation Leave $55.00 NONE
Retirement Plan - Simple IRA $85.80 NONE
401K Varies NONE
Workers Compensation $27.17 NONE
Payroll Taxes $219.16 NONE
Practice Management Software $150.00 NONE
Electronic Claims Submission Fee $35.00 NONE
Paper Claims (Cost of Supplies & Postage) $32.40 NONE
Patient Statements $29.50 NONE
TOTAL COST PER MONTH $3,642.53 $2,250.00

 

Our Clients spend their time delivering vital medical servcies instead of processing clams, collecting account receivables, and worrying about cash flow.

California Medical Billing provides complete patient and client confidentiality.

Business office personnel experience increased productivity, higher morale and greater job satisfactionas a result of reduced paperwork.

Electronic Claims paid within an average of 14 days after submission.

Detailed monthly reports allow more informedpractice management decisions.

Our fess are affordable and are based on a fixed percent of net receivables.

Elimination of In-House Billing expenses.

The expenses of purchasing, upgrding and maintaining computer equipment and billing software are eliminated.

Courteous and professional telephone assistance given to patients and follow up with insurance companies by our company relieves your medical office staff of telephone traffic and the need to handle correspondence from insurance companies.

Service from a stable, experienced company such as Medical Billing Connection insures the help you need will be available now and in the future.

You maintain absolute control over the financial affairs of the practice, and receive detailed monthly reports.

All clients will receive customized monthly financial reports.

Medical Billing Connection is in complete compliance with HIPAA regulations.


Benefits of Electronic CLMS Processing

Faster payment turn-around time (90-120 days down to 7-14 days)

Requires no staff training or retraining

Allows staff to focus on their patient's rather than their billing

Get paid on more claims because of reduction in errors

Reduces staff work hours and overhead expenses


In a study conducted by the American Medical Association, it was estimated to cost healthcare providers an average of $6 to $12 to file a claim. Using the services of a billing company, a physician will spend around $3 to $6 on each claim with Electronic Claims Processing. After years of discussion, Congress passed legislation on administrative simplification called the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This act signed into law August, 1997 calls for the electronic transmission of core financial and administrative transactions, including billing, electronic claims processing, eligibility, and payment and remittance advice.


Behavioral Health Services

· Billing: Claims are submitted at least once weekly, often more frequently. 95% of our claims (excluding EAP) are submitted electronically.

· Benefit verification & reports for each new patient and each patient who changes insurance plans   How do you know how much to charge your patient at the first session? We take care of this by verifying the benefits with the insurance company. We ask about deductible/status, co-pay, coinsurance, # visits allowed, authorization requirements, pre-existing limitations, allowable CPT codes, network status, and any other special condition of the policy.

· Pre-certification  Why should you have to make a special call to get authorization? We will do it at the time of benefit verification, if allowed by the insurance carrier. No more sitting on hold! Use those precious minutes between sessions to do your notes or make clinically-related calls instead.

· Authorization:  You will be emailed or faxed an authorization report. The report lists patient name, authorization number, company name, # visits used, # visits authorized, start date, end date, and notes (usually populated with the # visits allowed per year or benefit period). The report includes not only patients with authorizations, but also EAP patients and patients with a limited # visits per year but no authorization required.  There is no need to EVER lose money again because you went over on your authorization or a patient maxed their benefit.