AMK Medical Billing - Providing solutions for all of your billing needs

	How do we get the necessary information to you?
	How often should we send our new billing to you?
	What information is needed in order for your office to generate a claim on our behalf?
	How do we report when treatments are rendered, so that you are able to generate a claim on our behalf?
	Do we have to report the insurance payments received in our office to you?
	What happens if we accidentally omitted any of the information contained on the required forms, and we already sent them to your office?
	How do we report payments received from our patients, for both co-payments and patient billing?
	How often will our patients be billed?
	How do you handle non-payments from an insurance carrier? (denials, etc.)
	How do you handle non-payments from a patient?
	We prefer to bill our own patients, but we are interested in obtaining insurance claim processing services from you. Does your company offer this service?
top of page	Q: There are several ways for your office to send in your billing, including the following... Standard Mail - just place your documents into a secured envelope and mail to our main office. Fax - the quickest way to get your billing to us! Just fax each completed document to our office on an as needed basis (after each visit, at the end of each day, once per week, etc). Personal pickup (our preferred method) - we can personally pick up your documents at your office on a consistent schedule set by you! Email
top of page	Q: How often should we send our new billing to you? As often as you choose to! We personally recommend, however, that our clients send us their new billing consistently on either a daily or weekly basis.
top of page	Q: What information is needed in order for your office to generate a claim on our behalf? We require the following... New Patient Information Form A copy of the patient's insurance card (front and back) A copy of the superbill (treatment form) generated by your office
top of page	Q: How do we report when treatments are rendered, so that you are able to generate a claim on our behalf? We must receive a completed superbill (treatment form), which has been signed by the physician rendering the services. This form must contain: Patient's name Name of insurance carrier CPT codes ICD-9 code(s) Referring physician's name and the referral # Any/all applicable modifiers
top of page	Q: Do we have to report the insurance payments received in our office to you? Yes! It is vital to your practice that we receive this information, so that we can enter the insurance carrier's payments and generate the necessary patient statements for those accounts which still may have a balance due.
top of page	Q: What happens if we accidentally omitted any of the information contained on the required forms, and we already sent them to your office? You will receive personal notification by our office requesting the required missing information. This notification will occur either before claim submission to the clearinghouse or after we receive a report from the clearinghouse indicating that more information is needed. Either way, you will receive notification usually within 48 hours.
top of page	Q: How do we report payments received from our patients, for both co-payments and patient billing? You can easily report a patient's co-payment, made at the time of service, on their superbill (treatment form) for that day's treatments. You can also report all of the patient payments received in the mail or in person, by keeping a Payment Log. A payment log enables you to report all payments received in your office, using one simple form. If you do not already use this type of form in your practice, we can custom design one for you. You can also report all of the patient's payments by making a copy of the daily receipts kept by your office.
top of page	Q: How often will our patients be billed? Typically, any patient in our system will receive a bill for any balance due, once a payment has been received by their insurance carrier, if you have contracted for this service. Patients are then billed monthly. However, we would be more than happy to accommodate any schedule you prefer.
top of page	Q: How do you handle non-payments from an insurance carrier? (denials, etc.) We must first determine if the denial, whether in part or in full, is valid. If the denial is valid it must be written off. If the denial is not valid, as in many of the cases, we will request that the carrier reprocess the claim. Unfortunately, many carriers will require that the claim be resubmitted on paper via USPS, which will take longer than electronic filing. Although, this isn't a big problem with our company since we have a LESS THAN 2% rejection rate. Any errors would have been caught by the clearinghouse prior to the insurance company filing.
top of page	Q: How do you handle non-payments from a patient? Ultimately, you will decide on a collection timeline. Typically we will send out bills monthly and make follow up phone calls. After 120 days, if a patient has not made any contact, we recommend that the account be turned over to collection and that the patient be denied future treatments until their account has been paid. We are open to, and strongly suggest a workable (for both parties) payment plan prior to turning accounts over to collections. We strongly recommend that an additional fee be applied to each account which has not received a payment within a 30 day period.
top of page	Q: We prefer to bill our own patient's, but we are interested in obtaining insurance claim processing services from you. Does your company offer this service? We sure do! Please keep in mind however, patient billing is best performed by your biller, who already has access to all account balances and other additional information. If we are already handling the insurance end of things, it only makes common sense to let our system automatically generate the claims on an as needed basis! We can provide you with our Remote Access/Viewing software, which is updated regularly, for an additional fee. This will enable your staff to view patient balances and generate their own statements, among other things.