Frequently asked Questions
Answers
Will your billing service increase my income?
YES! Simply put, we do not get paid unless you do! Our knowledgeable staff knows exactly how to get claims paid correctly in order to optimize your cash flow.
YES! Simply put, we do not get paid unless you do! Our knowledgeable staff knows exactly how to get claims paid correctly in order to optimize your cash flow.
Will your services eliminate the need for office staff?
It all depends on the size of your practice. Working with PMB will replace your need for billing staff, however you may still want to keep administrative help for scheduling, filing, verifying insurance, collecting copays, and obtaining authorizations. With less time spent on billing, your employees will be able to focus on these other support tasks.
What if I don't have office staff?
No need to worry! Many of our clients are solo practitioners with limited or no office staff. They do have to do their own scheduling, but in this case, we would coordinate billing directly with you!
It all depends on the size of your practice. Working with PMB will replace your need for billing staff, however you may still want to keep administrative help for scheduling, filing, verifying insurance, collecting copays, and obtaining authorizations. With less time spent on billing, your employees will be able to focus on these other support tasks.
What if I don't have office staff?
No need to worry! Many of our clients are solo practitioners with limited or no office staff. They do have to do their own scheduling, but in this case, we would coordinate billing directly with you!
Will I stay informed about my practice?
Absolutely! Every month we will send you fincancial and statistic reports that summarize your practice. These reports, and any other questions, may be requested at any time via phone or e-mail. We respond to our providers immediately.
Absolutely! Every month we will send you fincancial and statistic reports that summarize your practice. These reports, and any other questions, may be requested at any time via phone or e-mail. We respond to our providers immediately.
What is the fee for your services?
If you decide to use PMB in house billing software, there is a $99.00 setup fee that is passed down to us from the claims clearinghouse. If you have your own billing software there are no additional set up or registration fees. Our monthly fee is based on a percentage of what we collect, in states that allow percentage billing. This percentage is negotiated on a practice by practice basis depending on the type of practice and billing volume. In states that do not allow percentage billing, we use a volume based fee schedule.
Are there any other hidden fees?
No, all fees that may apply are completely transparent and explained in our contract.
If you decide to use PMB in house billing software, there is a $99.00 setup fee that is passed down to us from the claims clearinghouse. If you have your own billing software there are no additional set up or registration fees. Our monthly fee is based on a percentage of what we collect, in states that allow percentage billing. This percentage is negotiated on a practice by practice basis depending on the type of practice and billing volume. In states that do not allow percentage billing, we use a volume based fee schedule.
Are there any other hidden fees?
No, all fees that may apply are completely transparent and explained in our contract.
Are you HIPPA compliant?
Yes. All of our staff follow HIPAA guidelines regarding protected health information (PHI) and patient privacy. Our software vendor and clearinghouse for billing electronic claims are also certified HIPAA compliant.
Yes. All of our staff follow HIPAA guidelines regarding protected health information (PHI) and patient privacy. Our software vendor and clearinghouse for billing electronic claims are also certified HIPAA compliant.
How do I send you the data you need to complete my billing?
Clients send us data in several different ways. If you are currently using an EMR/EHR system we can pull the data from your medical records program. If you do not currently use an EMR system, we have a secure fax and e-mail system that can be utilized to send us the data.
What information is needed for you to generate a claim to bill?
We require the following:
What kind of forms do I use to communicate with you?
If you do not already have forms you like to use, we supply daily diaries, patient payment forms, and new patient information forms, personalized for your specific practice, that will list everything we need in order to complete your billing.
Clients send us data in several different ways. If you are currently using an EMR/EHR system we can pull the data from your medical records program. If you do not currently use an EMR system, we have a secure fax and e-mail system that can be utilized to send us the data.
What information is needed for you to generate a claim to bill?
We require the following:
- New Patient Information Form and Assignment of Benefits/Release of Information
- Credit card Autopay forms, if applicable
- A copy of the patient’s insurance card (front and back)
- The daily diary/super bill/treatment form/schedule that includes the patients name, CPT Code, and ICD-10 Diagnosis code.
What kind of forms do I use to communicate with you?
If you do not already have forms you like to use, we supply daily diaries, patient payment forms, and new patient information forms, personalized for your specific practice, that will list everything we need in order to complete your billing.
Are all the payments sent to my address?
We encourage and help our clients set up direct deposit whenever possible, but as far as paper checks go, you will receive those at the address you prefer, all we ask is that you send us a copy of every eft deposit list, check and EOB you receive.
We encourage and help our clients set up direct deposit whenever possible, but as far as paper checks go, you will receive those at the address you prefer, all we ask is that you send us a copy of every eft deposit list, check and EOB you receive.
Will someone be available when I have questions?
As long as it is during our business hours, we are always available and we make it a priority to respond to client questions as soon as possible. You may call, e-mail, or even fax us.
As long as it is during our business hours, we are always available and we make it a priority to respond to client questions as soon as possible. You may call, e-mail, or even fax us.
How often will our patients be billed?
We bill all patients with outstanding balances on a monthly basis. This statement will include their current balance along with any notes about termed insurance policies and no shows. It will also have a section to fill out credit card information to mail back, a phone number to call with payment information, and a website where they can go to pay their bills online.
How do you handle non-payments from patients?
On a monthly basis we will recommend what accounts we believe should be sent to collections and upon the providers approval, we will forward the accounts to the collection agency that we work with or a collection agency of their choice.
We bill all patients with outstanding balances on a monthly basis. This statement will include their current balance along with any notes about termed insurance policies and no shows. It will also have a section to fill out credit card information to mail back, a phone number to call with payment information, and a website where they can go to pay their bills online.
How do you handle non-payments from patients?
On a monthly basis we will recommend what accounts we believe should be sent to collections and upon the providers approval, we will forward the accounts to the collection agency that we work with or a collection agency of their choice.
Is there a long term contract?
Initially there is a one year contract required in order to sign up. After a year, this contract will renew unless we receive a 60 day written notice.
Initially there is a one year contract required in order to sign up. After a year, this contract will renew unless we receive a 60 day written notice.
How do I get set up and how long will it take?
You would start by contacting us to discuss a start time. We will explain everything from there. As far as how long it will take, it can take anywhere from 1 week to a couple months, depending on the individual circumstances surrounding each client. We will give you a more specific time frame once we talk with you and understand your practice better.
You would start by contacting us to discuss a start time. We will explain everything from there. As far as how long it will take, it can take anywhere from 1 week to a couple months, depending on the individual circumstances surrounding each client. We will give you a more specific time frame once we talk with you and understand your practice better.