How to Choose a Medical & Dental Billing Company?

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Outsourcing documentation, indexing, billing and revenue cycle management to a medical or dental billing company allows the healthcare providers to focus on treatment. Mountains of paperwork and processes can get in the way of patient care. So, choose a good RCM company to take over this challenge of billing tasks, prevent errors or insurance denials as well as streamline data management. How to choose?

How to choose a Medical and Dental Billing Company

Following are some tips to select the best medical/dental billing services:

1. Determine the Scale and Complexity of your Practice

It is essential to evaluate your project size, accepted insurance carriers and budget. Consider hiring a billing company that is equipped to handle it. The company would also be required to assign billers to your account based on the number of tasks.

There are 3 types of medical and dental billing to choose from:

(a) Small Scale Medical Billing Services

If you are on a budget and have small data volumes, then a small-scale or home-based billing company will suffice. They usually charge per task. So if you only outsource certain billing aspects, then it can save you money.

Not all small-scale companies provide coding and billing services, so find out what expertise they have on offer. And you have to ensure they have enough experience in the billing department before assigning any project.

(b) Professional Medical Billing Business

Larger billing companies have a lot of additional features to take more burden off your shoulders. You can really focus on patient treatment and care. Find out what plans they have on offer, the cost of additional facilities, and other features.

These require you to allocate a bigger budget for your coding and billing requirements. Usually preferred by larger practices and specialties.

(c) Physician Practice Management Company

Most practices require this type of billing company. They are capable of handling all the administrative tasks entirely since they have a larger workforce. The cost of outsourcing can run in thousands of dollars as they handle large volumes of data and tasks efficiently.

2. Look For Reputation and Past Experience

Ask the right questions while choosing a medical or dental billing company.

– How long have you been in business?
– What experience do you have in my specialty?

A company that has been around for a while means they have been able to serve and retain their clients.

Searching for reviews online and through other practitioners, can help you decide which company is worth going into business with.

3. Establish Expectations of Communication and Transparency

Do not settle for anything less than transparency and clear communication. The billers assigned to your account should be promptly available and responsive. This will save any hassles for your patients and keep your processes organized.

The financial health of your practice can take a deep dive if all the data is not maintained, secured, and made accessible to you when required. A billing company that uses cloud-based services has an advantage as they will be able to provide you with the data on billing and claims 24/7.

4. Perform Cost Assessment

Make sure to ask for a breakdown of costs, hidden charges if any, charges for additional services, and more.

Compare quotes and choose a reliable medical billing company that suits your budget. Don’t leave scope for surprise bills. Ask for discounts if any in case you have a large number of tasks to be outsourced.

5. Verify Company Compliances

Healthcare practices and their processes need to be strictly compliant with government rules and regulations. Ensure you opt for the medical or dental billing services of a company that is HIPAA compliant, ethical, and follows the rules.

This is absolutely non-negotiable. It can put an end to your practice otherwise. Ask the company to provide you with proof and a list of procedures they follow to ensure compliance.

6. Check for Software Compatibility

If you are already using software to maintain patient data, finance, and other back-office tasks, then switching to a new one can cost you money and time. Instead, go for a billing company that uses software that is compatible with yours.

7. Ask How they Handle Claim Denials

Rejected claims can be a huge loss of revenue and many medical or dental billing companies never resubmit them. Ask the company how effectively they process, handle and support such an event. Ask what their claim denial rate is. All these questions will assure you get your hard earned money on time.

If you have any questions about medical billing and revenue cycle management, feel free to get in touch with our experience team at Astron EHS!

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