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Medical Billing Company
   

Much more than a medical billing company, MTBC has redefined the meaning of claims processing and practice management

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Frequently Asked Questions

What is the cost of your Medical Billing Service?
How are you able to provide your Medical Billing Service at such competitive rates?
What services do you provide?
What services are included in the 4% fee plan?
What services are included in the 5% fee plan?
What are the benefits of using an EMR?
What medical specialties do you handle?
How would I send my billing information to you? 
What medical specialties do you handle?
How does MTBC®communicate with its clients? 
How does MTBC file claims?
How many Direct Submitters does MTBC deal with electronically?
What is the benefit of filing claims electronically?
Are there any extra charges for electronic transmission of claims to the clearinghouse?
Where will the insurance companies send the payments?
Do you follow-up on unpaid claims?
What is "soft collection" service?
Can i check my billing status/balance?
How long is the set-up process?
Is there any set-up free?
Where can patients call for billing questions/inquiries?
Will i be asked to pay any other costs or charges?
What if there is any information missing from the scanned work that i send to your office?
Are there any System Requirements in order to use your billing services?

What is the cost of your Medical Billing Service? TOP

MTBC offers its clientele two equally comprehensive Medical Billing plans to choose from:

Under the Standard Plan, we charge only a one-time initial setup fee of $1,000 and 4% of the collected amount of your practice. This 4% fee includes commercial and government pays, co-pays, self-pays, capitation payments, etc. Our service fee is markedly lower than what it costs you to perform your own medical billing. (According to the American Medical Association, an average physician's practice with in-house medical billing spends 10% of its $300,000 income on billing related expenses. MTBC's 4% medical billing can save your practice up to $18,000 annually!) Learn More.

Under our Premium Plan, we charge 5% of collections, and a one-time setup fee of $1000. In addition to all of the services offered in the Standard Plan, the Premium Plan offers a toll-free number for patient calls, as well as patient eligibility verification. Learn More.

How are you able to provide your Medical Billing Service at such competitive rates? TOP

By doing things right the first time, we are better able to cut costs and maximize our efficiency. Our state-of-the-art proprietary software tracks each and every claim through the entire billing process, thus reducing the cost of overlooked claims. We also use cutting edge technology, such as high-speed scanners, that allow us to receive billing information from our physicians without having any of the billing documentation ever leave their offices.

What services do you provide? TOP

The following state-of-the-art services are included in both the 4% Standard Plan and our 5% Premium Plan:

  • Free Electronic Medical Records (EMR) software
  • Real-time financial reporting
  • Accurate electronic claims submission and tracking
  • Daily billing and follow-up
  • Quick turnaround on payments
  • Claims re-submission for finding lost dollars
  • Our online services include:

    • Secure web-login
    • Web accessible patient information
    • Online financial reports
    • Practice analysis
    • Cash Register/IOU
    • Customized office forms available online 24/7:

    Hospital Superbills
    Office Superbills
    Registration Forms
    Sign-in Sheets

    Other great value-added features include:
    • User-friendly scheduler to manage your time and appintments online.
    • Online Pending Transactions List, to promptly update missing information.
    • The Cash Register/IOU feature provides customized transcation receipts for funds collected in the office, while helping reduce patient billing.
    • Electronic Remittance Advice (ERA)
    • Electronic Funds Transfer
    • Recovery of lost funds through collection agency

    The ERA not only serves to notify you of your payments, but also simplifies identification of EOBs or checks misplaced in the pipeline. Timely filing of claims to secondary insurances and re-filing of denied or rejected claims become simpler; while EFT provides for fast, secure and efficient electronic payments and collections .saving you the trip to your bank.


    What services are included in the 4% fee plan? TOP

    Our comprehensive medical billing services cover all of your billing needs. Our services include electronic claims submission, insurance follow-up, the appeals process (when necessary), "soft collection" service for patient billing, etc. The free EMR is a value added bonus in that it saves your practice the costs associated with transitioning to an expensive EMR without sacrificing any features. Also included is secure online web-access to all of your billing information, from either your home or office, which is available 24 hours a day and 7-days a week. We also assist you in setting up your high-speed scanner in your office.

    What services are included in the 5% fee plan? TOP

    In addition to the services provided under the Standard Plan, MTBC has introduced several exceptional features in its Premium Plan. These features include the Online Eligibility Verification, which is a powerful tool for doctors with which to eliminate the rejection of claims due to non-eligibility. Used with our Online Scheduler, the Online Eligibility Verification system informs you if your patient is covered for the date of service. If the eligibility is in doubt, you may either request payment of fees at the time of service, or obtain new insurance information. Eligibility is also available in real-time so that you may confirm a new patient's insurance. Either way, you save on the several weeks it would have taken for the claim to run its natural course. Physicians who opt for the 5% plan also receive a toll-free number for the Patient Help Desk.

    What are the benefits of using an EMR? TOP

    Although a fully functional electronic medical record (EMR) program can cost as much as $25,000, MTBC provides an its EMR, which includes all of the features available in expensive systems, free of charge-no strings attached-to any practicing physician.

    Physicians who use MTBC's integrated EMR fully incorporate all of MTBC's billing, transcription, and practice management solutions into one cohesive package. The services available in MTBC's 4-by-4 plan, including 4% Medical Billing, 4¢ Medical Transcription, and now a free EMR, complement one another as a complete practice management solution.

    Our EMR includes modules for automated billing, scheduling, claims tracking, document management, fax functionality, prescription management, template modules, and electronic encounter documentation, with complete HL7 (Health Level 7) security compatibility.

    The EMR creates a synergy of medical billing, transcription, and charting solutions in one comprehensive package and is available to any practicing physician. Download the EMR today, and go paperless.

    What medical specialities do you handle? TOP

    We are capable of handling any medical specialty. We provide medical billing services for countless medical specialties, including Ear Nose & Throat, OB/GYN, Pediatrics, Podiatry, Psychiatry, Pulmonology, Rheumatology, Radiologic Technology, Family Practice, Emergency Medicine, Neurology, Orthopedic Surgery and Internal Medicine..

    What would i send my billing information to you? TOP

    There are several ways that a physician can send billing information to our office. The most efficient way is to export the data using our EMR. This allows the office to electronically document encounters while creating a paperless office environment. Another method is a high-speed duplex scanner, which scans the work to our servers where it enters our processing stream.

    How does MTBC communicate with its clients? TOP

    Communication between MTBC and its clients is of primary importance. Therefore, upon signing the contract, each physician receives an e-mail address and secure web-login through www.MTBC.comto send and receive messages between MTBC's billing staff and the physician's office. Our Customer Support staff is also available at 1.866.266.MTBC to answer questions and ensure satisfaction while our Patient Help Desk is available to handle patient inquiries about bills they receive.

    How does MTBC file cliams? TOP

    About 97% of claims are filed electronically with the insurance companies. However, for companies that are not currently setup to receive claims electronically, we use HCFA forms for claims submission. Most insurance companies also respond electronically through Electronic Remittance Advice (ERA), which informs MTBC and the physician of payments in the amount of time.

    How many Direct Submitters does MTBC deal with electronically? TOP

    Our Direct Submitters are spread across 35 States in the USA. A comprehensive list of these Submitters is available at the following link: Direct Submitter

    What is the benefit of filing claims electronically? TOP

    Whereas paper claims submission takes 90-120 days, standard electronic claims filing allows reimbursement from the insurance companies within 7-21 days. Physicians who use all of our integrated services to their fullest capabilities receive payments in as little as 3-5 days. This drastic reduction in time is due to the many included features available in both our Standard and Premium medical billing agreements, which include EMR, eligibility verification, ERA, and EFT.

    Are there any extra charges for electronic transmission of claims to the clearinghouse? TOP

    No! There are no extra charges for electronic transmission of claims to the clearinghouse. In fact, there are no extra charges for any of MTBC's services. At MTBC, we do not have the standard "module mentality" of charging physicians on an a la carte basis for each additional service they utilize. In both the standard plan and the premium plan, there is a one time sign-up fee, and then a low monthly service fee for the life of the contract.

    Where will the insurance companies send the payments? TOP

    All checks and EOBs (Explanation of Benefits) will be sent directly to your office. Since most insurance companies offer Electronic Remittance Advice (ERA), electronic versions of the EOBs, and electronic funds transfer (EFT), physicians can receive electronic EOBs and payments far quicker than the standard paper delivery. This also allows MTBC to receive electronic notification of payments through ERA, making the follow-up process efficient and speedy. For physical copies, you keep the checks and send us scanned copies of the EOBs, so that we can perform effective follow-up..

    Do you follow-up on unpaid claims? TOP

    Yes. Unless the non-payment is for a valid reason, such as a deductible, capitation, no coverage, or duplicate invoice, we reprocess the claim with any needed additional information. If the additional information is not available at MTBC, we will contact your office for the information. We then follow up with an appeal if the claim remains unpaid.

    What is "soft collection" service? TOP

    We perform follow-up on patient bills by sending a series (up to 3) of collection letters to patients, requesting payment of the past due amount

    Can i check my billing status/balance? TOP

    You can check your billing status online, from either your home or office, 24-hours a day and 7 days a week, through the secured portion of our web site www.MTBC.com.


    How long is the set-up process? TOP

    We can start the setup process immediately upon the signing of the contract. Generally, the process takes 3-7 days for most physicians. We can give you a more accurate estimate after reviewing your individual practice.

    Is there any setup fee? 

    Under the Standard Plan, there is a one-time setup fee of only $1,000. In order for us to process your claims effectively and efficiently, we go through a very laborious and time-consuming setup process. This process includes entering all your patient data into our system, creating customized forms, setting up your account with our clearinghouse as well as assisting you to install your high-speed Duplex Scanner. It is important to note that we do not charge you any hidden fee for click charges, postage, business reply mail, etc. You pay only the initial setup fee and 4% of the collected amount.

    Under our Premium Plan, there is a $1000 setup fee.


    Where can patinets call for billing questions/inquiries? TOP

    Ensuring that your patients are satisfied with the billing process is extremely important to MTBC. We have specially trained service representatives at our Patient Help Desk to respond in a courteous and professional manner to patient-billing questions. Under our Premium Plan, patients have access to a toll-free number for their queries.


    Will I be asked to pay any other costs or charges? TOP

    No, unlike other billing companies, we do not charge you any additional fee for click charges, postage costs, forms, business reply mail, etc. All of these costs are included in the 4-5% monthly fee. Our goal is to keep it simple-you pay only the agreed amount.

    What if there is any information missing from the scanned work that I send to your office? TOP

    Forms with missing information are uploaded in a Pending Transactions List (PTL), which you may access by your secure web login. When you log in to your account, you will be able to review and update all the missing information online, which is instantly imported into our system, avoiding any delays in filing your claims. Conversely, in order to positively reinforce a job well done, we have formulated a rating system by which to select and show our appreciation to the offices that prove to be most efficient in uploading their daily work to MTBC

    Are there any System Requirements to use your billing services? TOP

    Yes, you will need a high-speed, Duplex Scanner to upload your Bills and EOBs, and an Internet connection to upload your data to us.


     
     Testimonials
     Legal Corner

    Gregory Rihacek, MD 
    Rheumatology
    Somerset, NJ

    “Since signing up to MTBC’s 4% medical billing service, I have seen a significant increase in my income.”
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