Medical Billing Service Cost


Transparent and Affordable Medical Billing Fees

Medical Billing Pricing Structure

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Medical Billing Service Highlights X Billing Company BillingParadise's
24-hour RCM		 EMR's RCM In-house Billing Team
Operation Hours 8-10 hours & 5 days a week 24 hours & 7 days a week 8-10 hours & 5 days a week 8 hours & 5 days a week
Eligibility & Benefit Verification $800-$1200/FTE/Month No cost $2500-$3500/FTE/Month
Medical Coding $3-$4.5/FTE/Month No cost $25-$30/FTE/Month
Medical Coding Analysis Certified & No cost
Creating Clean Claims 80-87% 97% 70-75% 80-85%
Claims Scrubbing YES YES
Claims Transmission After 2 days from DOS Within 12 hours After 2 days from DOS After 3-4 days from DOS
Clearing House Management After 2 days from Rejection Within 6 hours After 2 days from Rejection After 3-4 days from Rejection
EOBs & ERAs After 3 days Within 24 hours After 3 days After 4 days
Firstpass Claim Payment Below 70% 95% Guaranteed Below 67% Below 65%
Reimbursement Velocity Above 45 days 25 Days Above 49 days Above 40 days
Denial Management After 30 days Within 24 hours After 45 days After 2 weeks
Insurance Follow-up After 60 days Right after Claim Processing Time After 60 days After 90 days
AR Recovery $2000/FTE/MONTH YES at no cost
Patient AR Management Outside US YES within US YES YES
Patient Call YES within US - Toll-free Phone YES YES
Real-time Revenue Tracking App Yes via BillingBridge (iPhone/Android)
Provider Credentialing & Contracting YES at no cost
MACRA Consultation YES YES
MACRA Support YES YES
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Frequently asked questions, answered.

EMR

Q) Describe level of experience with our EHR (years of experience by the team assigned to our organisation)

Ans: BillingParadise has been working with major EHRs since the 2006. The assigned team to your organisation will have a minimum of 5 years of experience in your EHR.
Specialty

Q) For how many specialty medical practices does BillingParadise currently furnish claims submission and related billing services?

Ans: BillingParadise had done end­to­end Billing & RCM service for specialty practices and all have appreciated our service. BillingParadise’s team has more than 15 years experience in almost all the specialty. BillingParadise’s Certified Coders and several Project Managers as high as 19 years of experience in managing specialty clients.
Business growth/Brand position/Brand Experience/Violations

Q)For how many years has BillingParadise been in business?

Ans: Since 2001

Q)Has Billing Paradise operated under another name(s) and, if so, then what name(s)?

Ans: BillingParadise d/b/a MedicalBillingStar. BillingParadise has its own transcription unit under the name of iSource Solutions Inc.

Q)Describe the nature/scope of any internal compliance plan(s)?

Ans: Please see our compliance document.

Q)Has Billing Paradise ever been the subject of a state or federal "fraud and abuse" investigation and, if so, then what was the outcome?

Ans: No, BillingParadise never underwent any such investigation.
HIPAA compliance/ Violations

Q) Describe how Billing Paradise complies with privacy and security standards promulgated under HIPAA and HITECH, including regularly upgraded and/or updated firewalls, anti­virus software, encryption and restricted access protocols

Ans: BillingParadise has a compliance document known and shared with clients.

Q) Provide a copy of standard HIPAA Business Associate Agreement, if any?

Ans: BillingParadise can email the HIPAA BAA.
Workflow/procedures/audits

Q) Describe the nature/scope of any internal audit system?

Ans: We can e-mail you our compliance document.

Q) Does Billing Paradise undergo periodic audits by a qualified independent third party and, if so, then is there a current auditor's report or summary available?

Ans: BillingParadise has a several internal independent team who work on diferent accounts. The team cross-audits each other progress on a quarterly basis.

Q) Describe the process and timing of the startup phase, including the mechanics of establishing VPN connectivity to the EMR system and training our staff personnel

Ans: To setup your EMR it takes just a few hours for BillingParadise. To enroll your practice with the associated Clearing House, BillingParadise completes the enrollment paperwork and submit it to the supported Clearing House within a day. Some Clearing House, example, Trizetto take upto 15 days to get your practice enrolled for Electronic Data Interchange (Electronic Claim Transfer, Electronic Fund Transfer and Electronic Remittance Advice)
Certifications

Q) Does Billing Paradise have certified coders on staff and, if so, then how many?

Ans: BillingParadise has certified coders and the total count is 25.
Training

Q) Describe the nature/frequency of staff training?

Ans: BillingParadise's Certified Coders undergo training once in a month. The agenda for the monthly training is to audit & study the reimbursement of top 25 procedures.

Q) Describe the nature/scope of pre-hiring background checks for staff?

Ans: BillingParadise runs a credit check, fraud & abuse check, criminal check and refers with the previous employer.
Insurance recovery

Q) Describe the types and coverage limits of commercial insurance (e.g., errors and omissions and theft, dishonesty and defalcation)

Ans: BillingParadise has Errors & Omission insurance for a coverage upto $1million.

Our AR rates include:

  • $7 an hour
  • 5% collected aging A/R 61 to 90 days
  • 7% collected aging A/R 91 to 120 days
  • Experienced and certified professionals
  • Cost effective AR calling rates

What we Offer!!

Why aren't your claims getting paid?

We find your lost revenue and with our low cost AR package your practice will finally bet ahead of the game.

Know more about our 24/7 RCM solutions

Ever wonder where your revenue has gone?

It is time for change. BillingParadise offers to bring back lost revenue to your practice.

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