Medical Billing FAQ
Maximize Reimbursements, Reduce Claim Denials, and Streamline Billing Operations with TriumpHealth’s RCM Expertise
1. What is included in TriumpHealth medical billing services?
Our revenue cycle management service includes handling all your outbound claims and inbound remittance and payments, both electronic and on paper. We proactively address claim appeals and manage denials on your behalf. And by continually expanding our billing services, we’re taking administrative tasks off your hands. We make your claims our business, so your business can move faster.
2. How can we get the necessary billing paperwork to TriumpHealth?
There are several ways for your office to get us your billing information, including:
- Providing access to your EHR and practice management system
- Scanning and uploading paper charges to our HIPAA compliant portal
- Encrypted emailing
3. How often should we send our new billing to you?
As often as you choose to! We normally recommend, that our clients send us their new billing on a daily basis.
3. What happens if we accidentally omitted something from the billing information that we already sent to your office?
You will receive a Weekly Claims Exception report highlighting the missing information needed to process the claim. Once you review and get the information back to us, we will file the claims immediately.
4. How often will our patients receive statements?
The patients will receive statements for any balance due, once a payment has been received by their insurance carrier. Depending on your workflow, the patient statements are normally sent once a week and up to once a month.
5. How do you handle non-payments from an insurance carrier?
We must first determine if the denial, whether in part or in full, is valid. If the denial is not valid, we will request the payer to reprocess the claim. For instance, if the denial is for diagnosis or modifier we will correct and rebill the claim. If the denial is for medical necessity we will send the medical records, and appeal if needed. Depending on the payer, we may file multiple appeals, including administrative appeal, and follow-up till the claim is paid or we receive a decision in writing otherwise.
6. How do you handle non-payments from a patient?
We will send up to two statements, and make follow up phone calls. After 120 days we recommend that the account be turned over to collections and that the patient is denied future treatments until their account has been paid. If you are not already affiliated with a collection agency near you, we can recommend a collection agency.
Maximize Your Revenue. With Expert RCM Services
Schedule a consultation today to achieve financial success and regulatory compliance. Let us help you improve patient outcomes while increasing your revenue.