How can I benefit from outsourcing?

Reduced cost:
We can reduce your cost up to 50%.

Increase in Turn around time:

Experience:
Our highly qualified graduate work-force is trained using a comprehensive training curriculum and has minimum experience of 5 years in medical field.

Staff turnover:
Our services provide a huge dollar and emotional saving on recruitment and training costs resulting from the high staff turnover in your business.

Free your resources:
By outsourcing your back office work, you are free to redirect your resources- People, Hardware and software cost, time and asserts towards other productive activities.

Our fees and pricing structure

Our commitment is to collect all your due receivables resulting in a practice running with maximum efficiency and profitability. Our pricing is very competitive and our service is exceptional.

How can we provide service at competitive rates?

By doing things right the first time, we are better able to cut costs and maximize our efficiency. By outsourcing to us you are benefited with professional expertise for a fraction of what it would cost to hire a full time staff. 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 and communication equipments that allow us to receive billing information from our physicians without having any of the billing documentation ever leave their offices.

Switching over to Medipro is easy

How it works is simple. You decide how much or how little we will help. We start by handling a portion of your claims or take on all your billing functions at once. The initial setup for electronic claims is about 2-4 weeks, varying by insurance carrier. Once you are a client, Medipro begins processing your claims Electronically.

What medical specialties do you handle?

We are capable of handling any medical specialty. At this point in time, we are providing medical billing services for the following medical specialties: Radiation therapy, Radiology/ Oncology, Ambulatory surgical services and General Medicine.

Will my claims really get paid faster?

Definitely since Electronic claims are always processed before paper claims, and because of the electronic tracking methods in place, the insurance companies can’t claim they never received your claims.

How fast will I know if the claims have been accepted?

You will know that the insurance companies have accepted your claims within 24 hours.

Are all claims filed electronically?

All claims will be sent electronically whenever possible. If not, paper claims will be computer generated.

Where will the insurance companies send the payments?

All the checks and EOBs (Explanation of Benefits) will be sent directly to your office. 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?

Unless the non-payment is for a valid reason, such as a deductible, capitation, on coverage, or duplicate invoice, we reprocess the claim with any needed additional information. If the additional information is not available at Medipro, we will contact your office for the information. We then follow up with an appeal if the claim remains unpaid.

Privacy and security of Patient records

Privacy and security of the Patient record is one of the top priorities at Medipro. All our employees are clearly versed in Confidentiality. Information regarding your return is strictly controlled and regulated. Only you and individuals approved by you will see the Summary collections reports and monthly statements. We have taken extensive measures using the high-end encryption methods to give you peace of mind. We use RSA 128-bit encryption and secure networked transmission methods for transmitting the data files between your office and Medipro.

Are you HIPAA compliant?

We are HIPAA compliant and also our offshore centre complies with HIPAA privacy and security standards. We keep track of all new code and regulatory changes and automatically update the software.

How Does Medipro Service Work?

During the day you scan your SuperBills, Hospital Face Sheets, Patient registration sheets, EOBS, etc. At the end of your day, you run the Shutdown routine in the software. This automatically sends your scanned documents and your database to our secure server. During the overnight hours, we use your scanned documents for the data entry and to perform our services. The data is sent back to our secure server, around 8AM. When you start up in the morning, you run the Startup routine in the software. This updates your database with all the work done by us overnight.

What services do we perform?

Our professional coders code your billing, to convert your descriptive procedures and diagnosis to the appropriate CPT and ICD9 codes.

We do your billing data entry.

We post your payments to patient accounts.

We proofread everything we enter to ensure that what you gave us has been accurately entered.

We run our extensive Validation routines on your claims, fix errors and ensure that the data meets all Insurance company edits.

We validate the payment posting, and ensure that payments are applied correctly.

We queue any secondary claims and patient bills that need to be printed as a result of the payment posting, so you can print them at your convenience with just a few clicks. As an option, we can print, fold, stuff and mail them for you also.

We flag all inconsistencies, missing information, non-payments, exceptions, etc. and present them to you in an easy to read format, and tell you exactly what needs to be done to fix the problems.

We follow up on insurance submissions that receive no response from insurance companies, and take necessary action, which may include informing you of steps you need to take to fix the problem.

In short, we can do up to 90% of the work that is required to maximize your payment collections, and we clearly inform you of what needs to be done by you (the balance 10%). Therefore you ONLY need to deal with the exceptions.

Can data from your existing software be transferred and used?

This depends on how your existing software handles data exports. If your software can export all its data to an electronic format, we may be able to convert it into our formats at a small cost to you. If this cannot happen, but your existing software can print reports of patient demographics and billing/payment information, we can manually enter it into our database for an extra charge. Please call us to discuss your particular situation.

How much does service cost?

The charge for our regular plan percentage of what you collect. It varies depending on your practice specialty and the size of your practice. The charges vary from 5 % down to 3%.

What documents do you need to send you?

For billing
a) you would send us patient demographics and Insurance information. This is required only for new patients, and patients who have had a change in their demographic or insurance information. For Office patients, this information would be on your patient registration form. For Hospital patients, this information would be on the Hospital Face Sheet.

b) For patients seen in the office, you would send us your SuperBills, charge-tickets, etc.

c) For patients seen in the hospital, most doctors just write the procedures and diagnosis on the hospital face sheet, or send us a weekly or daily log of the patients seen.

For posting payments
a) you would send us your EOBs, and stubs from the patient bills. Co-payments will be posted from the information contained on the SuperBills.

Are there any lengthy contractual requirements?

No. While you do need to sign a contract acknowledging that you understand the terms and conditions, there are no long term commitment requirements. You can cancel our service at any time. Upon receipt of the equipment that was supplied to you, provided that it is still in a useable condition, your entire deposit will be refunded to you.

Are there any setup fees?

No. While there are no setup fees, we do require a $2,000 deposit for the hardware that is supplied to you. This is a fully refundable deposit, and will be returned to you, should you cancel our service for any reason.
Are there any minimum fees?
Yes, there is a minimum monthly charge of $400 for the first provider in your practice, and $300 for every additional provider.

Do you have to buy any equipment?

Not necessarily. A production grade, high speed scanner, and a computer server with a flat screen monitor is included as part of the service. If only one user in your office is going to use the software, you do not need to purchase any additional machines. If you need more than one user to access the software, your existing machines can be used as workstations for additional users. The software itself can be installed on as many machines as you chose. There are no restrictions on the number of users that can use the software in your office.

What support and training do we offer?

A one week on-site training period is included. Subsequently, we offer desktop support on an as needed basis.

Who is responsible for data backups?

When you run the End of Day routine on the software, a copy of your days scanned documents and a copy of your database is sent to our servers. This data is permanently stored by us in two distinct locations. Therefore, you do not have to worry about backups. Should your system crash, we will ensure that your data is restored and sent back to you.

If you are not in our geographical location, can you still use our service?

Yes of course! We use the internet to get your scanned documents and your data files at the end of your day, and similarly, the internet is used to return your updated data to you. Therefore, your physical location does not matter. The only requirement is that you have a broadband internet connection.

What specialties do we support?

We have the capability to support all specialties. Please see the About Us page, for a list of specialties that we currently support.

How long does it take to get started?

You can be up and running with our service within 2 weeks of signing the contract.

Do you have control of your data?

Yes! You have TOTAL control of your data, as it is physically located in your office during your working day. The software allows you to make any updates that you require. The software also has the capability to produce any report that you need. You can also do data entry and run the validation routines in your own office, if you desire. It is complete Medical Billing software, with features and capabilities not found in ANY OTHER software on the market today.

Can you just use our software and not our service?

You could technically, but you would incur the minimum monthly fee. It is therefore to your advantage to also use the service, and have us professionally do almost 90% of your work for you.

What happens if your staff goes on vacation or quits?

You will have very little to worry about! As long as you can scan and send us your documents, your work will get done. You can even ask us to temporarily take on the entire Medical Billing process for you.

CPT/ICD9 codes, regulations Change constantly, does our software keep abreast of these changes?

Yes. We keep track of all changes to Codes and regulations and update the software. Whenever changes are made, you will automatically receive a software update.

Is our software Multi-User?

Yes. The database supplied with the software is capable of supporting up to 5 users. Should you have a need for more users, we can supply you with a database that will support unlimited users, at an extra charge. Please call us to discuss this particular issue.

If you are already do your billing In-House, why should you switch to our service?

By using our service, you will be able to:

Have your data entry done and claims submitted on a daily basis, as opposed to on a "when time permits" basis

Have your payments posted to your patient accounts as soon as payments are received

Submit your secondary claims, and balance bill your patients immediately

Reduce the number of employees involved in doing your billing

Reduce the number of hours in a day your employees spend on Billing tasks

Enable your staff to concentrate on the problems instead of being swamped by the data entry tasks

Have access to a staff of professional Medical Billing personnel, for the cost of less than one Full Time employee

In other words, you will be able to substantially improve the efficiency of your billing operations, and collect more of the money due to you.

If you already outsource your billing, why should you switch to our service?

Our service combines the benefits of In-house billing and Outsourcing. By switching to our Virtual Back-Office service, you will gain complete control of your billing operations, as the software and data will be located in your office, under your complete control, during your working hours. At the same time, our service enables you to outsource as much of the work as you choose. Our flexible options allow you to leverage the resources of your existing staff and only pay for services you choose to have us perform.

We also offer some unique features such as proofreading, claim validations and linking of your digitized documents to the data entry, that most other billing services are unable to provide