What payers do you handle?
All federal, state, and private insurance companies.
Does Medcor outsource any billing functions?
We never outsource our billing. All work is completed in-house and in the United States.
How do we get our information to you?
We receive information securely via web access, scanning (ie. electronic), faxing or priority mail.
Do you transmit claims electronically?
Yes, to those companies that have the capability. About 90% of all claims we submit are transmitted electronically. There are still certain payers that only accept claims on paper.
Which EMR/ EHR systems do you specialize in?
Will you also be submitting secondary & tertiary claims?
Secondary and tertiary submissions are included in our service.
How quickly can we begin submitting claims?
Depending on your situation, and mandatory regulations, your practice may begin submitting commercial claims within five business days and governmental claims between two weeks to a month. To ensure that your cash flow is not interrupted during the transition, our team will create a transition plan based on your individual circumstances.
Should we continue to work our previous billings/collections once you take over?
We find it’s more successful if clients continue to work–post payments and re-bill existing accounts receivable. If this is not possible, we can handle them as well.
Will I have a dedicated resource to our account?
Yes. Our team billing approach means that your account will never suffer if someone calls in sick, goes on vacation, or resigns. Having a team to service your account means that someone is always here to assist you when you need it.
How often are my claims processed?
All charges received are entered by the next business day.
Where does my money go?
All monies come directly to your office. We will receive any electronic ERAs. Any paper EOBs that are received at your office can be faxed, sent via courier, or e-mailed.
What specialties do you bill for?
Including but not limited to, FQHC, Rural Hospital, Family Practice, Internal Medicine, Behavioral Health, Dental, Pediatrics Cardiology, Orthopedics, GI, Ob/Gyn, Anesthesia, HMO or managed care, Dermatology/Plastic Surgery.
Can you code our superbills for us?
Coding should only be done by a certified coder or the provider themselves. However, with advance notice, we may be able to make the necessary accommodations to our current staff in order to provide this service for you!
Do we have to collect copayments?
YES, you should! Not doing so is considered to be fraud and/or abuse, and it is also a possible violation of the contract entered between the patient and their insurance carrier…and even the provider and their own contract with the insurance carrier!
Is Medcor affordable?
Our rates are comparable to most. But what do you get for that rate? Are your secondary’s being sent out or is your biller under the assumption that Medicare crosses them all over? What is the rate of collections? Are you paying a lower percentage to collect a lower percentage? Since we are commission based, we are highly motivated to produce.
Does Medcor use billing AI software?
Our billing software application streamlines the billing process, provides detailed reporting, collection notes, and uses ERA (Electronic Remittance Advice) automatic system payment posting.
How about compliance and changing regulations?
Our team is always up to date on all state and federal regulatory changes. We are 100% HIPAA ANSI X12 compliant as is required by all state and federal insurance carriers.