Choosing Desired Medical Billing Company for Your Practice
                     
Choosing Desired Medical Billing Company for Your Practice
Outsourcing your revenue cycle operations to a medical billing company is the right move toward securing the 
financial stability of your practice. However, choosing any medical billing company could cause more 
headaches than benefits. Medical Billers and Coders is a leading medical billing company providing complete 
medical billing and coding services. While interacting with our potential clients, we found difficulties that are 
faced by healthcare practices while choosing the desired medical billing company.
Evaluate Your Practice’s Pain Points
As you are seeking external help in Medical Billing and Coding for your practice, there are some pain points 
that are badly affecting your practice’s revenue. List down all those pain points and try to evaluate if that 
medical billing company can provide solutions to those pain points. Major pain points for any healthcare 
practice include hiring and retaining skilled (and experienced) staff, training costs, non-availability of a certified 
coder, submitting paper claims, difficulty in transition from paper claims to electronic claims, Insufficient 
knowledge of practice management software, denied claims, receiving fewer reimbursements and many other. 
Once you have a list of your preferences and challenges, you will be more easily able to communicate them to 
potential medical billing companies.
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Choosing Desired Medical Billing Company for Your Practice
Questions to Ask Prospective Billing Companies
How often do you submit claims?
If you submit claims quickly, you will get paid quickly. So, ask the medical billing company, how often they 
submit claims for your practice. Ideally, it should be less than 24 hours while some companies would take up 
to 5 working days to submit a claim. Billing and coding experts from MedicalBillersandCoders (MBC) submit 
claims within 24 hours after patient visit details are shared by providers. 
What’s your clean claim percentage?
Just submitting a claim is not sufficient, all the details mentioned in that could be accurate i.e., a clean claim. 
It’s quite obvious for any practice to have less than 80 percent as a clean claim ratio. The standard is 90 
percent while MedicalBillersandCoders (MBC) achieves more than 95 percent of the claim ratio for all our 
clients. 
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Choosing Desired Medical Billing Company for Your Practice
How do you handle rejections?
Entering any inaccurate information while submitting insurance claims will lead to claim rejections. It’s 
acceptable practice to have up to 5 percent of claim rejections as patient demographics and insurance 
information get updated, focusing on how the medical billing company handles rejections. 
MedicalBillersandCoders (MBC) crosschecks provided patient and insurance information against the payer 
database before submitting a claim. 
Do you have certified, specialty-specific medical coders?  
Inquire how many certified coders they currently have on staff and how many will be dedicated to your 
account. Ensure that these certified coders have good experience in coding in your medical specialty.
MedicalBillersandCoders (MBC) appoints certified coders to your account and adjusts the number of coders on 
your account as per workload. 
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Choosing Desired Medical Billing Company for Your Practice
Which billing software do you use?
Will you continue to use your own practice management software (PMS) or does your vendor have their own? 
If the billing company is going to be working on your current system, inquire who will cover the cost of the 
clearing house and if there are any fees that you will be picking up. If you will be using the vendor’s PMS, be 
sure to establish guidelines in the contract that states you have the rights to your billing data and reports. 
MedicalBillersandCoders (MBC) have expertise over all leading medical/ practice management billing software, 
so continue billing from your current software. It also helps in recovering old pending claims that are either 
rejected, denied, or not submitted earlier. 
Who handles queries and concerns?
It is quite obvious to know who is the contact person if you have any questions or concerns about the medical 
billing process. MedicalBillersandCoders (MBC) assigns a dedicated account manager for your practice who 
acts as the single point contact for all your queries and concerns. This account manager is fully aware of what’s 
happening on your account and shares required documents or reports for detailed understanding. 
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Choosing Desired Medical Billing Company for Your Practice
What kind of reports do you provide?
As the billing company claims to handle complete billing operations for your practice, medical reports are a 
great way to understand what’s happening in your account. MedicalBillersandCoders (MBC) shares a variety of 
customized reports as per the client’s requirements. The most common billing reports shared are AR aging, 
payment trends, insurance, and patient collections, KPI indicators, payer analysis, and rejections reports. 
How can you help to grow my practice? 
The desired billing partner should not only be able to handle your payments and claims, but they should also 
be able to counsel you and evaluate the health of your practice. MedicalBillersandCoders (MBC) providing 
complete medical billing services for more than 20 years to assist practices in growing their business while 
ensuring legal compliance. 
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Choosing Desired Medical Billing Company for Your Practice
Knowing your exact needs and then evaluating prospective partners by asking these questions will help you 
find the Medical Billing vendor that will help you maintain a financially successful practice. Contact Medical 
Billers and Coders (MBC) at [email protected]/ 888-357-3226 to share your unique billing 
challenges. We will be happy to provide reliable and cost-effective solutions to your billing challenges.
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