BC Advantage - 2014 Issue 5
9 Must Ask Questions in Choosing the Right Billing Service
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Article Overview
This article is a practical buyer’s guide for healthcare providers comparing third-party medical billing services. It covers the general areas that affect billing performance and practice management, such as claim turnaround, compliance documentation, reporting, communication, access to funds, aging follow-up, and patient billing workflows. It is relevant to physicians, therapists, practice managers, and anyone selecting or reviewing a billing vendor.
Why This Topic Matters
Choosing a billing service can affect cash flow, compliance posture, reporting visibility, and day-to-day communication. The article helps readers understand the broad categories of questions to ask before entering a billing arrangement.
Article Sections
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Introduction
Introduces the growing use of outsourced medical insurance billing and frames the purpose of evaluating billing services before contracting with one.
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1. What is the turnaround time for submitting claims?
Discusses claim submission timing as a vendor performance and workflow consideration.
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2. Do they have a compliance plan and a business associate's agreement?
Covers compliance documentation, privacy-related agreements, and the role of written policies and procedures in third-party billing operations.
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3. What reports do they provide?
Describes the importance of reporting capabilities and outlines several broad categories of practice and billing reports.
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4. Will I be able to communicate directly with the person who does my billing?
Addresses communication structure between the provider and the staff member handling the account.
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5. Do they answer the phone, and if not, what time frame do they return calls?
Focuses on responsiveness and general communication expectations between the provider and billing service.
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6. Do they require using their billing service forms?
Looks at whether the billing service requires its own forms and how that may affect office workflow.
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7. Do they have access to your money?
Reviews payment handling arrangements and the general issue of financial control in a billing relationship.
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8. How often do they work aging reports?
Covers follow-up frequency for aging reports and the operational importance of regular review.
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9. What is their system for patient billing?
Discusses patient statement processes and whether the billing service supports collections-related workflows.
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Closing guidance
Summarizes the need to evaluate billing services thoroughly, ask questions up front, and check references before choosing a vendor.
What You Will Learn
- How to evaluate a medical billing service at a high level
- Which operational areas commonly matter when comparing billing vendors
- Why compliance, reporting, communication, and patient billing processes are important
- What types of general questions to ask before outsourcing billing work
Who Should Read This
- Physicians
- Therapists
- Practice managers
- Medical office administrators
- Billing and revenue cycle decision-makers
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