Frequently Asked Questions
Medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for services provided by a healthcare provider.
Medical billing involves submitting and following up on claims to insurance companies, while medical coding involves translating medical diagnoses, procedures, and services into standardized codes.
We offer comprehensive medical billing services, including claim submission, payment posting, insurance verification, denial management, patient billing, and accounts receivable follow-up.
You can get started immediately by filling out our information request form, by calling us toll free at (877) 289-1732 or by emailing us at providerservices@camedicalbilling.com.
Yes, California Medical Billing can handle the process of obtaining your credentials with all major insurance companies. We follow the process from start to finish so your paperwork does not get left on a desk or lost in a paper shuffle.
Our process includes patient registration, insurance verification, coding of procedures, claim submission, payment posting, and follow-up on denied or unpaid claims. We also provide detailed reporting and analysis.
We need patient demographics, insurance information, encounter documentation, and access to your practice management system. We will guide you through the setup process to ensure a smooth transition.
Our team of certified medical billers and coders undergoes regular training and auditing to ensure high accuracy and compliance. We also use advanced software tools to minimize errors.
We have a high first-pass claim acceptance rate, typically over 95%. Our focus on accuracy and thoroughness ensures that most claims are accepted on the first submission.
Our medical billing services are charged as a percentage of the total collections we manage on your behalf. This model aligns our incentives with your revenue goals and ensures that we are fully invested in maximizing your collections. The specific percentage rate is determined based on various factors, including the volume of claims, complexity of services, and the scope of work required.
Depending upon the services that are needed, California Medical Billing handles everything from data entry and insurance verification to coding and claim submission. We process all charges and post all payments in the practice management software. Our professionally trained staff performs all claims follow-up and appeals. We also mail monthly patient statements to patients with outstanding balances. Our fee always includes a dedicated staff to assist you and your staff with any questions.
No, we believe in transparent pricing. All fees and charges will be clearly outlined in our service agreement, and there will be no hidden costs.
An EOB is a document sent by the insurance company explaining what medical treatments and services were paid for on their behalf.
First, review the EOB to understand the reason for denial. You can then correct any errors and resubmit the claim, or appeal the decision if you believe it was unjustly denied.
A copay is a fixed amount you pay for a healthcare service at the time of the visit. A deductible is the amount you pay out-of-pocket before your insurance starts covering expenses. Coinsurance is the percentage of costs you share with your insurance company after meeting your deductible.
You may be billed for copays, deductibles, coinsurance, or services not covered by your insurance. It’s also possible there was an error in the billing process.
Ensure all information is accurate and up-to-date, understand your insurance policy, verify services provided, and keep records of all communications with your healthcare provider and insurance company.
We use leading medical billing software that integrates seamlessly with most Electronic Health Record (EHR) and Practice Management (PM) systems. We can work with your existing system or recommend one if needed.
Yes, our system is designed to integrate with a wide range of EHR and PM systems. We will work with your IT team to ensure smooth integration and data transfer.
We use robust encryption, secure servers, regular security audits, and strict access controls to protect your data. Our staff is trained to handle sensitive information confidentially and securely.
We only back up data which we store on our servers.
We are not responsible for data on the vendors software which includes EHR, Practice Management, Clearinghouse software.
All patients call our toll free number with any questions that they may have regarding their claims or statements. Questions are answered courteously, and every effort is made to expedite a settlement. Patient support is never compromised.
Yes, we offer training sessions for your staff to help them understand the billing process, use our systems, and address common issues that may arise.
Our medical billing services are charged as a percentage of the total collections we manage on your behalf. This model aligns our incentives with your revenue goals and ensures that we are fully invested in maximizing your collections. The specific percentage rate is determined based on various factors, including the volume of claims, complexity of services, and the scope of work required.
Depending upon the services that are needed, California Medical Billing handles everything from data entry and insurance verification to coding and claim submission. We process all charges and post all payments in the practice management software. Our professionally trained staff performs all claims follow-up and appeals. We also mail monthly patient statements to patients with outstanding balances. Our fee always includes a dedicated staff to assist you and your staff with any questions.
Yes, California Medical Billing can handle the process of obtaining your credentials with all major insurance companies. We follow the process from start to finish so your paperwork does not get left on a desk or lost in a paper shuffle.
All patients call our toll free number with any questions that they may have regarding their claims or statements. Questions are answered courteously, and every effort is made to expedite a settlement. Patient support is never compromised.
We only back up data which we store on our servers.
We are not responsible for data on the vendors software which includes EHR, Practice Management, Clearinghouse software.
You can get started immediately by filling out our information request form, by calling us toll free at (877) 289-1732 or by emailing us at providerservices@camedicalbilling.com.
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