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Plus, you can find most answers to your questions right on this page.
We’re all about using top-notch tools like Office Ally or Kareo to handle our billing business. But here’s the real tea – no matter how fancy and shiny your software is, it’s only as good as the people using it and the processes they follow. Our team is savvy in using over 30 different softwares.
When you send us your information, we promise to kick into high gear and have your claims prepped within a speedy 24 business hours. But hey, life happens, right? If we need any extra details from your practice to make sure everything’s squared away, we won’t waste any time. As soon as we’ve got all the necessary info, we’ll dive right in and get those claims processing right away.
The processing time for medical billing claims can vary depending on several factors, including the complexity of the claim, the efficiency of the billing process, and the responsiveness of the insurance company or payer. In general, it can take anywhere from a few days to several weeks for a claim to be processed and for reimbursement to be received.
A denied medical billing claim is a claim that has been rejected or not paid in full by the insurance company or payer. Common reasons for claim denials include inaccurate or incomplete information, lack of medical necessity, coding errors, and policy limitations. When a claim is denied, it needs to be reviewed, corrected if necessary, and resubmitted for reconsideration.
Let me break it down for you in plain, TRACIE-style language. 😉
Step 1: Document like a champ! Be meticulous and make sure every T is crossed and every I is dotted (figuratively, of course). Accuracy and completeness are crucial. 📝✅
Step 2: Crack the coding code! Use the right guidelines and follow them religiously. Trust me, it’s like deciphering a secret language, but once you get the hang of it, you’ll be a coding pro! 💻💯
Step 3: Stay in the know! Payer requirements and regulations are like a rollercoaster ride that never ends. Stay updated, my friend, because those rules can change faster than a chameleon changes colors! 🎢🦎
Step 4: Update, update, update! Keep those policies and procedures fresh. Just like fashion trends, billing rules evolve, and your documents need a wardrobe makeover from time to time. Don’t be caught wearing last season’s billing attire! 👗👠
Step 5: Audit like a boss! Regularly dig into your billing records to find any errors or hiccups. It’s like being your own detective, searching for clues and nipping potential problems in the bud. Case closed! 🕵️♀️🔎
We’re like the Usain Bolt of claims – speedy as heck! We’ll prep your claims for processing within 24 business hours of receiving them. But hey, if we need a bit more info from you, no worries! We’ll reach out and get all the details we need to get your claims moving.
Option #1, We can send them straight to your current mailing address. It’s like getting a little surprise gift in your mailbox.
Option # 2, If you’re all about embracing the digital age and want those payments to zip right into your bank account, we’ve got you covered too. Electronically! It’s like having your own personal money courier who swiftly transfers those funds directly to your financial fortress.
Claims can be submitted to our office via:
Every month, we’ll provide you with a Practice Management Report that breaks down all the nitty-gritty details. It’s like having your own personal report card, but better.
But we don’t stop there. Every six months, we’ll provide a Practice Analysis Report that’ll give you a deeper insight into how your practice is doing.
Every twelve months, we’re going to hook you up with a detailed Practice Analysis Report and a Year End Report that you can give to your accountant. Can I get a woohoo?
At ORS, LLC., we know that numbers can be overwhelming and confusing. But don’t worry, my friend, we’ve got you covered with these reports. Think of us as your personal business report-translators (we just made that term up, but we’re running with it). We’ll make sure you have all the info you need to make informed business decisions and scale your revenue.
It is important to send new billing information to your medical billing company regularly. For Oasis Rx Solutions, daily would be ideal but no later than weekly. Regularly providing updated billing ensures timely submission, reduces the risk of claim denials, and enhances efficiency in the billing process.
Oh, It’s super important, trust me! Picture this: You’re running a business, and those sweet insurance payments start rolling in. But if you don’t report those payments to your medical billing office, it’s like trying to solve a puzzle without all the pieces. We need accurate reporting to match up those payments with the claims you’ve submitted. It’s like making sure your socks actually match before stepping out of the house – total game-changer!
You see, reporting insurance payments does more than just make our lives easier; it helps with proper tracking, verification, and reconciliation with accounts receivable. We want those numbers to add up like magic, my friend! So don’t leave us hanging – send us those juicy payment details so we can keep the party going.
And here’s another fun fact: reporting insurance payments promptly helps with accurate financial reporting. Because let’s face it, no one wants their financial statements to look like a math class gone wrong. We’re all about preventing discrepancies and delays in reimbursement. So get those payments reported, my friend, and let’s keep the cash flowing smoothly. Cheers to financial harmony and avoiding those awkward financial mishaps!
When non-payment happens, we jump into action. We’ll review the claim, hunt down any errors or discrepancies, and talk to those pesky insurance folks to figure out what went wrong. Our team works their magic, persistently following up until that sweet payment lands in your pocket. Clear communication and dogged determination are crucial in overcoming non-payment woes.
Picture this: you’ve got the insurance companies and the healthcare providers sitting down, signing contracts, and hammering out the nitty-gritty details. These negotiated rates are like the ground rules for a game of financial tug-of-war. They define the maximum amount that the insurance company will cough up for specific services. It’s like setting a budget for your shopping spree – you gotta know your limits!
But what about the dreaded deductibles and co-pays? The patients are responsible for these costs, and they can affect how much money the insurance company will actually cough up.
Once the claims hit the insurance company’s desk, they put on their detective hats and start scrutinizing. They review the services provided, dig deep, and whip out those contractually agreed rates. They also take into account any deductibles or co-pays that apply. It’s like their own little math class, figuring out the final reimbursement amount like a bunch of number wizards.
Negotiated rates, deductibles, and co-pays all play a role in this wild ride we call insurance reimbursement. It’s like a crazy dance of finances that keeps us on our toes.
If you’re already rolling with your own software and not planning on switching EHRs, we can get you set up super quick. I’m talking 48-72 hours, give or take, depending on how speedy you are with sharing all the details we need to get things rolling. We’re all about thorough preparation here at Oasis. That means configuring billing software, gathering all the necessary paperwork, and even establishing some fancy-pants communication channels with your practice. We’ve got your back!
Now, here’s the twist. If you need us to set up some software for you, well, that can take a bit longer. Think about 72 hours to 1-2 weeks. Trust me, I know, it’s like waiting for the next season of your favorite TV show to drop. But hey, good things take time, right? We want to set you up for success, so we’ll make sure everything’s running smoothly on our end before we hand over the keys to your shiny new software.