Frequently Asked Questions

What are the fees for your services?

Total Healthcare Billing offers competitive rates. We provide a full service approach without nickel and diming our clients. Our charges are based on a percentage of collections once payment is received by the provider office. This method ensures that we operate as partners with your office to follow through with all claims because we aren’t paid until you are.

How long does it take to begin billing once an agreement is signed?

Once the service agreement is signed, for billing purposes we need to collect information regarding your practice to begin the insurance enrollment. This process can take a few weeks to complete.

What services are included?

We customize our services according to the providers needs.  We offer all the services listed below but the provider has control to choose what services they would like to utilize.

  • Charge Entry
  • Electronic Claim Submission
  • Payment Posting
  • Authorization Submission and Follow-up
  • Patient Account Inquiries
  • Collections Calls
  • Insurance Denials
  • Patient and Insurance Refunds
  • Monthly Patient Billing Statements
  • Reporting: (Charge Report, Payment Report, Insurance Aging Report, Patient Aging Report)

What major insurance companies you have worked with?

Our company has worked with all the major insurance companies both local and national. We have listed a few of the major insurance companies as a reference.

  • Aetna
  • Anthem
  • BlueCross BlueShield (all states)
  • Cigna
  • Coventry Health
  • Health Partners
  • Humana
  • Medica
  • Medicaid
  • Medicare
  • RR Medicare
  • Tricare
  • UCare
  • United HealthCare

What type of medical billing does your office have experience with?

We have experience with all different types of medical practices. In our 15 years of billing we have worked with Mental Health, Interpretation, Laboratory, Family Practice, Pediatric, Varicose Veins, Facility Billing for Surgical Centers and Workman’s Compensation.

How often does Total Healthcare Billing process provider’s claims?

We process all claims daily to make sure that our providers receive consistent reimbursement.

Can all claims be billed electronically?

In our experience payments are generated much faster from electronically submitting the claims. That’s why we choose to submit electronic claims whenever it’s possible. We also keep a few HICFA forms on file for those insurance companies that require paper claims.

How are insurance denials or non-payments handled?

Upon receipt of the insurance explanation of benefit we will begin investigating the claim to determine the reason for the denial. We then decide on the appropriate action for seeking reimbursement. We will either contact the insurance company to dispute the denial, correcting and re-file the claim or submit a written appeal. We will continue to follow-up with the insurance carrier until the payment is received.

How do you handle patient collection follow-up?

We work with our providers to customize a collections policy that fits their business needs. While we are not a collection agency, we make friendly payment reminders calls and set up payment plans to resolve outstanding balances. With your permission, we can also assist with researching to help you find a medical collection company that will help to collect on the difficult balances unpaid to your office.

How are insurance and patient payments processed?

You retain control over all of your insurance and patient payments. The payments will continue to be sent to your office and you will transfer the data to our office via fax, encrypted email or an electronic shared drive. We will post the payments received to the appropriate accounts.

What monthly reports are provided to our clients?

We provide a number of monthly reports to track the practice collections, charges, payments and outstanding AR. Custom reports can also be designed for an additional cost to meet your practice needs.

Will I need to purchase hardware?

Not likely, the only hardware required is a computer, scanner or fax machine to send your documents.

Can I afford to hire a medical billing company?

The question is can you afford not to? Hiring the wrong employee causes wasted time, money and frustration. Avoid the experience of reoccurring costs due to employee separation, training, low productivity, poor work quality and the increased cost of insurance coverage.

Is Total Healthcare Billing HIPPA compliant?

Yes, we are fully compliant with all HIPAA privacy and security regulations. Your patient information is kept secure and protected.