Billing & Collection

Medical Billing Associates provides billing and management services specifically designed for anesthesia/pain management practicess. MBA monitors and manages each step of the billing process by using database technology such as an automated comparison of contracted rate versus actual payments.

Billing Collection

 

  1. Information Gathering

    MBA will develop custom design charge tickets or will use an existing one, if available.

  2. Information Transfer

    clients to send billing information directly to MBA.

  3. Data Inputting

    MBA realizes that accuracy in medical claims submission relies on accuracy in data entry. We have a set of checks and balances to ensure that all patient demographics and insurance information is entered exactly as it is submitted to us. If the hospital has the capability then MBA will establish an electronic link for verification of patient demographic and medical record information.

  4. Information Processing

    MBA has experienced personnel assign ICD-10-CM diagnosis and CPT procedure codes to charges. Coders are AAPC Certified or in process of certification. Our coders productivity and accuracy are continuously measured by audits for quality assurance.

  5. Billing

    MBA has discovered that the failure to stay on top of highly complex billing processes at each and every step results in billing delays and therefore, lost income. MBA monitors and manages each step of the billing process by using database technology such as an automated comparison of contracted rate versus actual payments. MBA electronically files insurance claims to a clearinghouse or directly to the insurance carriers on a daily basis. Electronic claims submission speeds claims processing and expedites payments by providers. All secondary and tertiary insurance is filed automatically for all claims. In order to decrease rejections or denials, all claims undergo a scrubbing or editing process for errors and are corrected before being sent. Patient statements are printed and mailed daily.

  6. Payments

    MBA works hard to maintain a positive relationship with your patients while maximizing reimbursements for your medical practice. Our customer service representatives are bilingual and take the time to explain the intricacies of insurance coverage and healthcare reimbursement to your patients who have questions regarding their bill. We find that by going through these additional steps we are often able to collect a higher percentage of revenues from the patient while decreasing the incidence of patient complaints. Payments are credited to patients accounts daily to insure accurate information when handling patient inquires. Once all insurances have been exhausted, the balance is transferred to the patient on a continuous billing cycle. This continuous billing cycle ensures that any patient making regular payments will be considered current. Where appropriate, our medical billing representatives work with your patients to set up monthly payment plans. Although these payment plans represent only a small percentage of your receivables, such policies are invaluable to your public image.

  7. Delinquent Accounts

    MBA's automatic statement cycle ensures that follow-up on patient balances is done in an efficient and timely manner. Services can be fully customized for each practice and allows the client to specify the number of statements their patients receive, the firmness of the dunning notice that appears on statements, the number and severity of pre-collection letters, and the selection of a collection agency that specializes in medical collections.

  8. Reports

    MBA's comprehensive monthly reports provide all of the management information that is required to manage a practice. Reports can be customized to fit your specific data needs to include any type of demographic, patient, or provider information. In addition, MBA has developed a special report to assist in the early detection of any potentially fraudulent billing.