Choosing a billing service can be overwhelming. They almost all have data and statistics that tell you how successful they are, but you won’t really know until you work with them. You are entrusting them with the financial success of your practice, so here are some things to consider when choosing a billing service. I consider these to be MINIMUM expectations that all services should be able to meet.
High Level of Service. How quickly do they get back to you with questions? What kind of information do they provide you each month? You need to have access to all of your information and someone who will answer questions for you when you want to know why something hasn’t been paid. You also need clear reporting that shows how your office is doing and explains what actions the billing company is taking to get you paid.
Industry Experience. Choosing a billing company that knows your particular specialty will ensure they know how to utilize the coding and modifiers that maximize your payments. They should also be able to tell you how they keep that information current each year.
Clear Process for Collections. Make sure they have a process in place that ensures they follow up with insurance companies even when claims are denied. It is easy to make something a patient’s responsibility when rejected by the insurance company, but usually a phone call to the insurance company can get you paid.
Technology that Protects your Information. Make sure that your information is secure by talking with them about the security measures they take with your data and protected health information. If they don’t have strong security measurements in place, don’t work with them.
Capacity for New Business. Before you sign on with a new service, make sure they can handle adding a new practice in their business. They should be able to tell you who will be servicing your practice and how much time they will be able to dedicate to following up on your behalf.