Frequently Asked Questions

Medical billing services typically cost between 4-10% of collected revenue, depending on practice size, specialty, and claim volume. Some companies charge a flat monthly fee ranging from $1,000-$5,000.

At Medical Billing Group, we offer competitive percentage-based pricing that ensures you only pay when you get paid. This aligns our incentives with yours - we're motivated to maximize your collections.

Contact us for a free customized quote based on your practice's specific needs.

Outsourcing medical billing often provides better results for most practices. Key benefits include:

• Reduced overhead costs - No salaries, benefits, training, or software expenses
• Access to certified experts - Specialized knowledge in coding and payer requirements
• Improved collection rates - Professional follow-up and denial management
• Faster claim submission - Claims submitted within 24 hours
• Better denial management - Expert appeals and resubmissions

Studies show outsourced billing can increase collections by 5-15% while reducing billing costs by 30-40%.

Revenue Cycle Management (RCM) is the complete financial process healthcare providers use to track patient care episodes from registration to final payment.

The RCM process includes:

• Patient scheduling and registration
• Insurance verification and eligibility
• Charge capture and coding
• Claim submission
• Payment posting
• Denial management and appeals
• Patient billing and collections

Effective RCM maximizes revenue while minimizing the time between service delivery and payment.

Physician credentialing typically takes 60-180 days (2-6 months) depending on the insurance payer and completeness of documentation.

Typical timelines by payer type:

• Medicare: 60-90 days
• Medicaid: 90-120 days
• Commercial payers: 90-180 days

We handle the entire credentialing process, including application submission, follow-ups, and corrections, to ensure the fastest possible approval. Learn more about our credentialing services.

We submit claims within 24 hours of receiving complete encounter data, 7 days a week.

Electronic claims are transmitted daily to clearinghouses and payers. Fast claim submission is critical for:

• Maximizing cash flow
• Avoiding timely filing denials
• Reducing accounts receivable days

We also follow up on unpaid claims within 30 days to ensure prompt payment.

We provide medical billing services for all healthcare specialties including:

• Primary Care & Internal Medicine
• Family Practice
• Psychiatry & Psychology
• Mental Health & Counseling
• Cardiology
• Orthopedics
• Dermatology
• Optometry & Ophthalmology
• Pediatrics
• OB/GYN
• Urgent Care
• And many more...

Our certified billers have experience with specialty-specific coding and payer requirements.

Common causes of claim denials include:

• Incorrect patient demographic information
• Coding errors (wrong CPT, ICD-10, or modifier codes)
• Missing prior authorization
• Duplicate claims
• Timely filing issues
• Coordination of benefits errors
• Non-covered services

Claims can be reduced by 30-50% through proper insurance verification, accurate coding, clean claim submission, and proactive denial management.

Our team achieves a 98% first-pass claim acceptance rate through rigorous quality checks before submission.

We maintain strict HIPAA compliance through multiple security measures:

• Encrypted data transmission - SSL/TLS for all communications
• Secure cloud systems - AES-256 encryption for data at rest
• HIPAA-trained staff - Regular compliance training
• Business Associate Agreements - Signed BAAs with all clients
• Regular security audits - Annual risk assessments
• Access controls - Role-based permissions and audit logs
• Secure disposal - Proper destruction of PHI

All our processes meet or exceed HIPAA Security Rule requirements.

We provide comprehensive monthly reports including:

• Revenue summary and collection rates
• Accounts receivable aging (by payer and patient)
• Claim status reports
• Denial analysis and trends
• Payment posting summary
• Practice performance metrics
• Customized reports based on your needs

You'll have complete visibility into your practice's financial health at all times.

Yes, we integrate with most major practice management and EHR systems including:

• AdvancedMD
• Athenahealth
• DrChrono
• eClinicalWorks
• Kareo
• NextGen
• Practice Fusion
• And many others

If you don't have billing software, we can recommend and help implement a solution based on your practice size and specialty needs.