Frequently Asked Questions (FAQs)
Expert answers to your Billing & Credentialing Questions
Frequently Asked Questions (FAQs)
Our services cover medical billing, coding, A/R management, and credentialing to support the full revenue cycle of your practice.
1. How can I be sure my practice stays fully HIPAA-compliant with your medical billing service?
All HIPAA and regulatory guidelines are followed to ensure your practice stays fully compliant. For New York providers, this also includes alignment with NYS Department of Health regulations and payer-specific billing requirements. This protects patient data with strict security protocols and encrypted systems.
2. What does the onboarding process look like, and how quickly can we get started?
Getting started with the onboarding process is quick and straightforward. The focus should be on the five golden steps of onboarding, which are Pre-boarding, Orientation, Training, Integration/Role Transition, and Ongoing Development. This onboarding process ensures a smooth start so your practice can continue running seamlessly. As part of onboarding, we also support credentialing services to help providers enroll or revalidate with payers efficiently.
3. Is it easy to switch from my current billing provider without losing data or revenue?
Switching from your current billing system is effortless because we handle data migration, claim verification, and integration with your existing workflow. You won’t lose any patient information or revenue during the transition. This makes changing providers a smooth experience for your practice, including transitions involving New York Medicaid and major commercial payers.
4. Can I change my health insurance at any time? What if I change insurance in the middle of a claim?
If you change insurance while a claim is in progress, your previous insurer is usually responsible for that claim since the service occurred under their coverage. Your new insurance typically applies only to future services, but you should notify them to ensure continuous coverage if additional care is needed.
5. Will I still have full control and visibility over my practice’s billing operations?
You always remain in control of your practice’s billing operations through our dashboards, real-time reports, and approval workflows. You can monitor claims, payments, and revenue without relying solely on our team, staying informed every step of the way. It ensures you maintain oversight while we handle the heavy lifting. This level of visibility is especially important for New York practices managing complex payer rules.
6. Can I cancel the medical billing service anytime if it doesn’t meet my needs?
Yes, you can cancel our medical billing and coding services at any time without any hassle. We make the exit process smooth and straightforward while respecting your decision, and there are no hidden clauses or surprises. Our goal is to provide flexibility and peace of mind for every practice we work with.
7. Are there any hidden termination fees if I decide to end the medical billing service?
We are transparent about any applicable termination fees upfront in your agreement to avoid unexpected charges. This ensures you know exactly what to expect if you choose to end the service. Our focus is clarity and fairness so that you can make decisions confidently without hidden costs.
8. How to increase revenue in a medical practice? Can you help me improve my revenue?
Our team improves revenue cycle management by optimizing claim submissions, reducing denials, and actively managing A/R to accelerate collections. Many practices see measurable increases in revenue within the first few weeks of working with us. We focus on maximizing your practice’s financial performance while minimizing administrative burden. In addition to billing optimization, our medical credentialing services help prevent revenue delays caused by enrollment or revalidation issues.
9. How much does it cost to outsource medical billing? What exactly should I expect in return?
The average medical billing services pricing typically costs between 4% and 10% of a practice's monthly net collections; it varies by company. What you should expect in return is accurate billing, timely payments, detailed reporting, and support from the team. Our goal, as a billing company, is to maximize your revenue while keeping you informed at every step. This typically includes billing operations, A/R management, reporting, and ongoing support.
10. How do you ensure patient data is secure while implementing medical billing and coding solutions?
All patient data is encrypted and stored securely in protected systems, with access limited to authorized personnel and monitored continuously. We maintain strict security protocols to safeguard your data at every stage. This ensures patient information remains private and medical coding services are compliant with all regulations.
11. Will I need to provide training or hire additional staff to use your service?
No additional staff is required, as we provide full training and ongoing support so your existing team can manage billing efficiently. This ensures smooth operations without increasing your costs or workload. We’ve designed our system to integrate with your current workflow with ease.
12. Can I view my practice’s revenue in real-time?
Yes, our platform offers dashboards and reporting that update in real-time, allowing you to track claim status, payments, collections, and other key metrics anytime. This visibility helps you make informed decisions quickly. You’ll always have full control over your practice’s financial performance.
13. How quickly will I see results after I begin using your medical coding solutions?
Most practices notice improvements in claim accuracy, faster payments, and reduced denials within the first billing cycle. Our team works immediately to optimize revenue and streamline operations. You’ll see measurable benefits and better financial clarity early on, helping your practice run more efficiently.