Frequently Asked Questions
Can you help with walk-ins or same-day registrations?
Yes. We handle same-day registrations and flag incomplete data before claims are submitted.
Is your team HIPAA compliant?
Absolutely. All staff are trained in HIPAA and work on secure systems with full access controls.
Do you verify insurance and benefits during registration?
Yes. Our process includes complete eligibility and benefits checks for every scheduled patient.
Can you work with our existing EHR or practice management system?
We work with most major systems including Athena, Kareo, eClinicalWorks, and more.
Is your team trained in HIPAA?
Yes. All staff receive HIPAA compliance training and follow secure workflows.
Do you work with large provider groups?
Yes. We support multi-location practices, specialty groups, and high-volume healthcare organizations.
Do you support pre-registration before appointments?
Yes. We begin the registration process 24 to 72 hours before the visit, depending on your schedule and volume.
How quickly can your team verify coverage?
We complete most checks within 24 to 72 hours before the visit, with urgent support available on request.
Can you help with peer-to-peer coordination?
Yes. We assist with scheduling and documentation for peer-to-peer reviews when required.
Can you support specialty services like radiology or behavioral health?
Yes. Our team is trained in specialty-specific policy rules and limitations.
What specialties do you support?
We work with providers in radiology, behavioral health, pain management, neurology, cardiology, and more.
How fast do you submit requests?
We typically submit within 24 hours of receiving the order. Urgent cases are handled same day.
Do you handle both medical and pharmacy authorizations?
Yes, we support both types of prior authorizations across all payer types.
How do you keep our team updated?
We send daily referral status logs and alert your team of any missing or delayed items right away.
Do you work with fax-based and electronic referral systems?
Absolutely. We adapt to both traditional fax and integrated EHR-based referral workflows.
How fast do you process new referrals?
We begin working on referrals within 24 hours, and same-day handling is available for urgent cases.
Can you contact patients for scheduling?
Yes. If you prefer, we can contact patients on your behalf to schedule referred visits.
Do you work with all EHRs?
We work with most major systems, including Epic, Athena, eClinicalWorks, and several custom platforms.
Can you help with coding too?
Yes. We offer integrated coding services or can coordinate with your in-house coder if needed.
Can you help with coding audits or compliance reviews?
Yes. We support internal audits, OIG reviews, and help you stay compliant with all major guidelines.
How quickly can you return coded encounters?
Our typical turnaround is 24 to 48 hours, depending on volume and specialty.
Do your coders hold certifications?
Yes. All coders are certified through AAPC, AHIMA, or equivalent organizations and have experience in real practice settings.
How do you ensure charge accuracy?
We use a two-step review process that includes code validation and demographic checks before saving.
Are your workflows HIPAA compliant?
Yes. All team members undergo regular HIPAA training and data is exchanged securely.
Do you handle same-day charge entry?
Yes. For scheduled visits, we complete charge entry within 24 hours — often the same day.
What systems do you work with?
We work with most major EHRs and billing platforms, including AdvancedMD, Kareo, Athena, DrChrono, and others.
Do you flag issues before submitting?
Yes. We run pre-submission QA and will notify your team if a claim is incomplete or risky.
How fast do you submit claims?
Most are submitted the same or next business day, depending on charge receipt time.
Can you identify the cause of recurring rejections?
Absolutely. We log every issue and provide trend reports to help your team avoid repeat problems.
Can you submit to both government and commercial payers?
Absolutely. We handle Medicare, Medicaid, Tricare, VA, and all major commercial plans.
Do you support both incoming and outgoing referrals?
Yes. We handle referrals your providers send out as well as those sent to your practice.
How fast do you scrub and return claims?
Claims are typically reviewed and returned within 24 hours — same-day turnaround is available for most practices.
What adjustment codes do you use?
It is the process of recording insurance and patient payments in the billing system to keep accounts accurate and up to date.
Can you handle scanned or paper EOBs?
Absolutely. We support manual posting from physical documents or scanned PDFs.
Can you work with our in-house billing software?
We work with most major platforms, including AdvancedMD, Kareo, Athena, eClinicalWorks, and more.
How fast can you post ERAs?
We typically post ERAs within 24 to 48 hours of receipt.
Do you post both insurance and patient payments?
Yes. We post all types of payments and clearly separate patient responsibility.
What if a denial is provider-dependent?
We’ll coordinate with your team for any missing documents, signatures, or clinical notes.
How quickly can you file appeals?
Most appeals are submitted within 24 to 48 hours after denial review.
What payers do you support?
We manage appeals for Medicare, Medicaid, and commercial payers across all 50 states.
How do you send appeal letters?
We submit appeals via payer portals, fax, or mail based on payer requirements and provide reference numbers for tracking.
Can you handle medical necessity or clinical appeals?
Absolutely. We coordinate with providers for documentation and can support peer-to-peer processes.
Can you handle old denials too?
Absolutely. We’ll review your backlog and recover whatever is still within timely filing limits.
Do you write and submit appeal letters?
Yes. We create custom letters and submit them based on the payer’s preferred method (portal, fax, or mail).
Do you work with denials from all payers?
Yes. We manage denials from Medicare, Medicaid, commercial insurers, and third-party payers across all 50 states.
Can you help reduce write-offs?
Absolutely. We identify which claims are salvageable and take quick action to recover revenue before timely filing limits expire.
How often do you follow up?
We work claims based on payer timelines — typically every 7 to 10 business days unless urgent
How secure is the data sharing process?
All audits are conducted in a HIPAA-compliant environment with secure data access and storage protocols.
How often will we receive updates?
We provide weekly updates and real-time alerts when actions are needed or statuses change.
Can you audit specific providers or service lines?
Yes. We can break down performance and issues by location, provider, or specialty.
Do you offer one-time audits or ongoing reporting?
Both. We offer one-time compliance or revenue integrity audits as well as monthly reporting services.
Can you help with CAQH updates and attestation?
Yes. We set up, update, and manage CAQH profiles for all providers.
What systems do you support?
We support most major EHR and billing platforms including AdvancedMD, Kareo, Athena, and more.
Do you only help with new credentialing?
No. We also manage recredentialing, revalidation, and group changes.
Which payers do you support?
We handle enrollment and credentialing for Medicare, Medicaid, and all major commercial payers nationwide.
Do you offer part-time or project-based assistants?
Yes. We offer both part-time and full-time options, including short-term support for special projects or backlogs.
What time zone do your assistants work in?
We match your time zone and working hours based on your practice location and preferences.
Can we communicate directly with our assistant?
Absolutely. You can assign tasks, request updates, and communicate through your preferred platform.
Are your virtual assistants trained in healthcare?
Yes. All VAs are trained in healthcare workflows, terminology, and tasks like eligibility checks, authorizations, and billing support.
Do you work on all claim types?
Yes. We scrub professional and institutional claims (CMS-1500 and UB-04) across all specialties.
Do you work on older claims too?
Yes. We work across all aging buckets, including claims over 120 days old..
How do you access our billing system or claims data?
We securely connect through VPN, RDP, or shared access — whatever setup you’re comfortable with.
How much do medical billing services charge?
Most billing companies charge 4% to 8% of collected revenue, but the exact rate depends on your specialty, volume, and services needed.
What are medical billing services?
Medical billing services manage your claims, track payments, and follow up with insurance companies to help you get paid faster and avoid costly mistakes.
Will I still have control over billing if I outsource it?
Yes. You’ll still see reports, track claims, and stay involved. The billing team just does the work — you stay in charge.
How do I know if it's the right time to outsource my billing?
If you're seeing late payments, billing mistakes, or staff overload, it may be time to switch. Outsourcing helps fix these without slowing your practice down.
Do you support institutional and professional claims?
Yes, we submit both CMS-1500 and UB-04 forms depending on your billing setup.
Do you verify government plans like Medicare and Medicaid?
Yes, we verify both commercial and government coverage across all 50 states.
What format are reports delivered in?
We offer reports in Excel, PDF, or dashboard format — depending on your preference.
Do you track outcomes?
Yes. Every appeal is tracked through to resolution, and results are logged and reported.
Do you provide reports on your performance?
Yes. We share daily claim updates, weekly AR aging reports, and monthly recovery summaries.
Do you support multi-location or high-volume practices?
Absolutely. We scale our team based on your encounter volume and provider count.
How do you ensure coding accuracy?
Every batch goes through a second-level review before delivery. We also provide regular QA and reporting.
Are your credentialing specialists HIPAA compliant?
Yes. All staff are trained in HIPAA and maintain strict data security standards.
How much do denial management services cost?
Pricing depends on your denial volume, specialty, and how far back the backlog goes. Most practices choose a monthly service or a recovery-based model. We review your denial mix and recommend the simplest option.
How do you ensure reconciliation?
We balance each batch against deposit totals and provide detailed reports with any discrepancies flagged.
Is your team HIPAA compliant?
Absolutely. All team members are trained in HIPAA and follow strict privacy protocols.
Do you help with rejected claims too?
Yes. We offer full rejection handling and can coordinate with your denial team if needed.
Are your VAs HIPAA-compliant?
Yes. Every assistant is trained in HIPAA regulations and follows secure workflows.
Yes. We handle same-day registrations and flag incomplete data before claims are submitted.
Absolutely. All staff are trained in HIPAA and work on secure systems with full access controls.
Yes. Our process includes complete eligibility and benefits checks for every scheduled patient.
We work with most major systems including Athena, Kareo, eClinicalWorks, and more.
Yes. All staff receive HIPAA compliance training and follow secure workflows.
Yes. We support multi-location practices, specialty groups, and high-volume healthcare organizations.
Yes. We begin the registration process 24 to 72 hours before the visit, depending on your schedule and volume.
We complete most checks within 24 to 72 hours before the visit, with urgent support available on request.
Yes. We assist with scheduling and documentation for peer-to-peer reviews when required.
Yes. Our team is trained in specialty-specific policy rules and limitations.
We work with providers in radiology, behavioral health, pain management, neurology, cardiology, and more.
We typically submit within 24 hours of receiving the order. Urgent cases are handled same day.
Yes, we support both types of prior authorizations across all payer types.
We send daily referral status logs and alert your team of any missing or delayed items right away.
Absolutely. We adapt to both traditional fax and integrated EHR-based referral workflows.
We begin working on referrals within 24 hours, and same-day handling is available for urgent cases.
Yes. If you prefer, we can contact patients on your behalf to schedule referred visits.
We work with most major systems, including Epic, Athena, eClinicalWorks, and several custom platforms.
Yes. We offer integrated coding services or can coordinate with your in-house coder if needed.
Yes. We support internal audits, OIG reviews, and help you stay compliant with all major guidelines.
Our typical turnaround is 24 to 48 hours, depending on volume and specialty.
Yes. All coders are certified through AAPC, AHIMA, or equivalent organizations and have experience in real practice settings.
We use a two-step review process that includes code validation and demographic checks before saving.
Yes. All team members undergo regular HIPAA training and data is exchanged securely.
Yes. For scheduled visits, we complete charge entry within 24 hours — often the same day.
We work with most major EHRs and billing platforms, including AdvancedMD, Kareo, Athena, DrChrono, and others.
Yes. We run pre-submission QA and will notify your team if a claim is incomplete or risky.
Most are submitted the same or next business day, depending on charge receipt time.
Absolutely. We log every issue and provide trend reports to help your team avoid repeat problems.
Absolutely. We handle Medicare, Medicaid, Tricare, VA, and all major commercial plans.
Yes. We handle referrals your providers send out as well as those sent to your practice.
Claims are typically reviewed and returned within 24 hours — same-day turnaround is available for most practices.
It is the process of recording insurance and patient payments in the billing system to keep accounts accurate and up to date.
Absolutely. We support manual posting from physical documents or scanned PDFs.
We work with most major platforms, including AdvancedMD, Kareo, Athena, eClinicalWorks, and more.
We typically post ERAs within 24 to 48 hours of receipt.
Yes. We post all types of payments and clearly separate patient responsibility.
We’ll coordinate with your team for any missing documents, signatures, or clinical notes.
Most appeals are submitted within 24 to 48 hours after denial review.
We manage appeals for Medicare, Medicaid, and commercial payers across all 50 states.
We submit appeals via payer portals, fax, or mail based on payer requirements and provide reference numbers for tracking.
Absolutely. We coordinate with providers for documentation and can support peer-to-peer processes.
Absolutely. We’ll review your backlog and recover whatever is still within timely filing limits.
Yes. We create custom letters and submit them based on the payer’s preferred method (portal, fax, or mail).
Yes. We manage denials from Medicare, Medicaid, commercial insurers, and third-party payers across all 50 states.
Absolutely. We identify which claims are salvageable and take quick action to recover revenue before timely filing limits expire.
We work claims based on payer timelines — typically every 7 to 10 business days unless urgent
All audits are conducted in a HIPAA-compliant environment with secure data access and storage protocols.
We provide weekly updates and real-time alerts when actions are needed or statuses change.
Yes. We can break down performance and issues by location, provider, or specialty.
Both. We offer one-time compliance or revenue integrity audits as well as monthly reporting services.
Yes. We set up, update, and manage CAQH profiles for all providers.
We support most major EHR and billing platforms including AdvancedMD, Kareo, Athena, and more.
No. We also manage recredentialing, revalidation, and group changes.
We handle enrollment and credentialing for Medicare, Medicaid, and all major commercial payers nationwide.
Yes. We offer both part-time and full-time options, including short-term support for special projects or backlogs.
We match your time zone and working hours based on your practice location and preferences.
Absolutely. You can assign tasks, request updates, and communicate through your preferred platform.
Yes. All VAs are trained in healthcare workflows, terminology, and tasks like eligibility checks, authorizations, and billing support.
Yes. We scrub professional and institutional claims (CMS-1500 and UB-04) across all specialties.
Yes. We work across all aging buckets, including claims over 120 days old..
We securely connect through VPN, RDP, or shared access — whatever setup you’re comfortable with.
Most billing companies charge 4% to 8% of collected revenue, but the exact rate depends on your specialty, volume, and services needed.
Medical billing services manage your claims, track payments, and follow up with insurance companies to help you get paid faster and avoid costly mistakes.
Yes. You’ll still see reports, track claims, and stay involved. The billing team just does the work — you stay in charge.
If you're seeing late payments, billing mistakes, or staff overload, it may be time to switch. Outsourcing helps fix these without slowing your practice down.
Yes, we submit both CMS-1500 and UB-04 forms depending on your billing setup.
Yes, we verify both commercial and government coverage across all 50 states.
We offer reports in Excel, PDF, or dashboard format — depending on your preference.
Yes. Every appeal is tracked through to resolution, and results are logged and reported.
Yes. We share daily claim updates, weekly AR aging reports, and monthly recovery summaries.
Absolutely. We scale our team based on your encounter volume and provider count.
Every batch goes through a second-level review before delivery. We also provide regular QA and reporting.
Yes. All staff are trained in HIPAA and maintain strict data security standards.
Pricing depends on your denial volume, specialty, and how far back the backlog goes. Most practices choose a monthly service or a recovery-based model. We review your denial mix and recommend the simplest option.
We balance each batch against deposit totals and provide detailed reports with any discrepancies flagged.
Absolutely. All team members are trained in HIPAA and follow strict privacy protocols.
Yes. We offer full rejection handling and can coordinate with your denial team if needed.
Yes. Every assistant is trained in HIPAA regulations and follows secure workflows.
Yes. We handle same-day registrations and flag incomplete data before claims are submitted.
Absolutely. All staff are trained in HIPAA and work on secure systems with full access controls.
Yes. Our process includes complete eligibility and benefits checks for every scheduled patient.
We work with most major systems including Athena, Kareo, eClinicalWorks, and more.
Yes. We begin the registration process 24 to 72 hours before the visit, depending on your schedule and volume.
Yes. All staff receive HIPAA compliance training and follow secure workflows.
Yes. We support multi-location practices, specialty groups, and high-volume healthcare organizations.
We complete most checks within 24 to 72 hours before the visit, with urgent support available on request.
Yes. Our team is trained in specialty-specific policy rules and limitations.
Yes, we verify both commercial and government coverage across all 50 states.
We send daily referral status logs and alert your team of any missing or delayed items right away.
Absolutely. We adapt to both traditional fax and integrated EHR-based referral workflows.
We begin working on referrals within 24 hours, and same-day handling is available for urgent cases.
Yes. If you prefer, we can contact patients on your behalf to schedule referred visits.
Yes. We handle referrals your providers send out as well as those sent to your practice.
Yes. We assist with scheduling and documentation for peer-to-peer reviews when required.
We work with providers in radiology, behavioral health, pain management, neurology, cardiology, and more.
We typically submit within 24 hours of receiving the order. Urgent cases are handled same day.
Yes, we support both types of prior authorizations across all payer types.
Absolutely. All team members are trained in HIPAA and follow strict privacy protocols.
We work with most major systems, including Epic, Athena, eClinicalWorks, and several custom platforms.
Yes. We support internal audits, OIG reviews, and help you stay compliant with all major guidelines.
Our typical turnaround is 24 to 48 hours, depending on volume and specialty.
Yes. All coders are certified through AAPC, AHIMA, or equivalent organizations and have experience in real practice settings.
Every batch goes through a second-level review before delivery. We also provide regular QA and reporting.
Yes. We offer integrated coding services or can coordinate with your in-house coder if needed.
We use a two-step review process that includes code validation and demographic checks before saving.
Yes. For scheduled visits, we complete charge entry within 24 hours — often the same day.
We work with most major EHRs and billing platforms, including AdvancedMD, Kareo, Athena, DrChrono, and others.
Absolutely. We scale our team based on your encounter volume and provider count.
Yes. All team members undergo regular HIPAA training and data is exchanged securely.
Yes. We run pre-submission QA and will notify your team if a claim is incomplete or risky.
Most are submitted the same or next business day, depending on charge receipt time.
Absolutely. We handle Medicare, Medicaid, Tricare, VA, and all major commercial plans.
Yes, we submit both CMS-1500 and UB-04 forms depending on your billing setup.
Absolutely. We log every issue and provide trend reports to help your team avoid repeat problems.
Claims are typically reviewed and returned within 24 hours — same-day turnaround is available for most practices.
We work with most major platforms, including AdvancedMD, Kareo, Athena, eClinicalWorks, and more.
Yes. We scrub professional and institutional claims (CMS-1500 and UB-04) across all specialties.
Yes. We offer full rejection handling and can coordinate with your denial team if needed.
It is the process of recording insurance and patient payments in the billing system to keep accounts accurate and up to date.
Absolutely. We support manual posting from physical documents or scanned PDFs.
We typically post ERAs within 24 to 48 hours of receipt.
Yes. We post all types of payments and clearly separate patient responsibility.
We balance each batch against deposit totals and provide detailed reports with any discrepancies flagged.
We’ll coordinate with your team for any missing documents, signatures, or clinical notes.
We submit appeals via payer portals, fax, or mail based on payer requirements and provide reference numbers for tracking.
Absolutely. We’ll review your backlog and recover whatever is still within timely filing limits.
Yes. We manage denials from Medicare, Medicaid, commercial insurers, and third-party payers across all 50 states.
Pricing depends on your denial volume, specialty, and how far back the backlog goes. Most practices choose a monthly service or a recovery-based model. We review your denial mix and recommend the simplest option.
Most appeals are submitted within 24 to 48 hours after denial review.
We manage appeals for Medicare, Medicaid, and commercial payers across all 50 states.
Absolutely. We coordinate with providers for documentation and can support peer-to-peer processes.
Yes. We create custom letters and submit them based on the payer’s preferred method (portal, fax, or mail).
Yes. Every appeal is tracked through to resolution, and results are logged and reported.
Absolutely. We identify which claims are salvageable and take quick action to recover revenue before timely filing limits expire.
We work claims based on payer timelines — typically every 7 to 10 business days unless urgent
Yes. We work across all aging buckets, including claims over 120 days old..
We securely connect through VPN, RDP, or shared access — whatever setup you’re comfortable with.
Yes. We share daily claim updates, weekly AR aging reports, and monthly recovery summaries.
We provide weekly updates and real-time alerts when actions are needed or statuses change.
Yes. We set up, update, and manage CAQH profiles for all providers.
No. We also manage recredentialing, revalidation, and group changes.
We handle enrollment and credentialing for Medicare, Medicaid, and all major commercial payers nationwide.
Yes. All staff are trained in HIPAA and maintain strict data security standards.
All audits are conducted in a HIPAA-compliant environment with secure data access and storage protocols.
Yes. We can break down performance and issues by location, provider, or specialty.
Both. We offer one-time compliance or revenue integrity audits as well as monthly reporting services.
We support most major EHR and billing platforms including AdvancedMD, Kareo, Athena, and more.
We offer reports in Excel, PDF, or dashboard format — depending on your preference.
Yes. We offer both part-time and full-time options, including short-term support for special projects or backlogs.
We match your time zone and working hours based on your practice location and preferences.
Absolutely. You can assign tasks, request updates, and communicate through your preferred platform.
Yes. All VAs are trained in healthcare workflows, terminology, and tasks like eligibility checks, authorizations, and billing support.
Yes. Every assistant is trained in HIPAA regulations and follows secure workflows.
Most billing companies charge 4% to 8% of collected revenue, but the exact rate depends on your specialty, volume, and services needed.
Medical billing services manage your claims, track payments, and follow up with insurance companies to help you get paid faster and avoid costly mistakes.
Yes. You’ll still see reports, track claims, and stay involved. The billing team just does the work — you stay in charge.
If you're seeing late payments, billing mistakes, or staff overload, it may be time to switch. Outsourcing helps fix these without slowing your practice down.