Medical Billing Services Fees | Rates | AR Collection Charges and Cost

Medical Billing Pricing Structure

Medical Billing Service Highlights	X Billing Company	BillingParadise's 24-hour RCM	EMR's RCM	In-house Billing Team
		Recommended
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
		Get Quote

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) 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!!

Paid EMR subscription fees
Free credentialing services
Free payer negotiation services
Free PMS integration
Free Practice analysis with RCM Support

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.

Medical Billing Service Cost

Transparent and Affordable Medical Billing Fees