5% Medical Billing Service – Premium Plan

MTBC’s 5% Medical Billing Service includes all of the features of MTBC’s 4% medical billing service with many added benefits. MTBC’s premium billing clients enjoy integrated solutions for the clinical as well as administrative aspects of patient care. MTBC’s 5% premium billing clients enjoy the same daily billing and follow-up as MTBC’s standard billing plan with added services for electronic prescribing, lab connectivity, and EMR integration.

• 5% Medical Billing Solution includes:
  • All of the features and services of MTBC’s 4% medical billing service:
    • Full charge entry and payment posting
    • Daily submission and follow-up
    • Primary, secondary, and tertiary payer billing
    • Patient billing and call answering
    • Integrated online scheduling
    • Real-time financial reporting
    • Free EMR software
  • Integration with third party EMR software
  • Real-time claims adjudication
  • Toll free number of patient calls
  • Online insurance eligibility verification
  • MTBC’s Clinician:
    • E-prescribing
    • Lab connectivity
  • Medical transcription at 4¢ per 65-character line

The 5% Premium Medical Billing Service allows a practice to integrate a third-party EMR application into the billing process. By utilizing an EMR application along with MTBC’s premium medical billing service, a practice can finally unify clinical and billing functionality under one platform. By working with the third-party EMR vendor, MTBC’s IT executives will allow your practice to submit claims directly from the EMR application.

Benefits of the 5% Premium Plan Vs. 4% Standard Plan

• EMR integration: Are you currently using an EMR? With the support of your EMR vendor, MTBC will build the bridge to your EMR to export billing directly to MTBC without having to scan superbills. On a daily basis, your office will export patient demographics, CPT and ICD codes, patient payments, procedure code units, and modifiers.
• Real-time claims adjudication: MTBC is at the cutting-edge of healthcare and technology. MTBC clients receive fully adjudicated claims in seconds through the partnership of UnitedHealthcare and MTBC. With RTA, clients of MTBC will see within seconds how UnitedHealthcare will pay a claim for its policyholders. More insurance companies are beginning to offer the benefits of RTA so that you can see—in real-time—what the insurance company will pay for a specific clam. RTA allows the patient to pay for the full service before leaving the doctor’s office.
• MTBC’s Clinician: Use MTBC’s integrated E-prescribing and lab connectivity software to send prescriptions directly to a patient’s pharmacy and lab requisitions directly to LabCorp^® or Quest^®. Check for drug interactions, access all prescription information including medical histories and drug formularies, and eliminate the need for script pads in your office.
• Toll-free number for patient calls: MTBC’s billing executives send multiple invoices to patients for their outstanding balance. With MTBC’s 5% premium billing plan, your patients will have a toll-free telephone number to call when there are questions about the bill.
• Insurance eligibility verification: Eligibility confirmations before the patient visit are a vital part of the billing process. MTBC’s Premium billing clients can check insurance eligibility status directly from MTBC’s web-based scheduler. Many providers report 80-90% eligibility confirmations for scheduled patients.

Medical Credentialing (Insurance Credentialing)

Are you opening a new practice? MTBC will provide medical credentialing at no additional charge as part of our Premium Plan.

• Ensure early, proper reimbursement
• Participate with the appropriate insurers
• Speed up the credentialing process
• Save countless hours

Medical credentialing is an essential aspect of every practice, but it takes significant amounts of time, paperwork and follow-up that can be daunting to a physician who is setting up a new office and hiring staff while continuing to care for patients.

MTBC will use your basic practice information to complete and submit your applications to the appropriate insurance companies. On these applications we will include information for Electronic Funds Transfer (EFT) so that participating insurers will pay you electronically, directly into your bank account.

It’s vital to submit complete and accurate insurance credentialing to ensure timely and proper reimbursements. We will follow up with insurers and keep you informed of your timeline.

Start early, save time, and sign up with MTBC!