• Med­ical billing clear­ing­house soft­ware catches errors that you may have made dur­ing the data entry process.
  • Once a clear­ing­house catches those errors they let you know in real time where the mis­takes were made for each and every med­ical claim so you can cor­rect them, thus reduc­ing the chances of receiv­ing rejected claims.
  • You sub­mit your claims to a clear­ing­house elec­tron­i­cally so the clear­ing­house that you pick should also trans­mit your claims to the insur­ance car­ri­ers elec­tron­i­cally, which will dra­mat­i­cally reduce your reim­burse­ment time to less than ten days. I guar­an­tee you that your clients will love you to death and pay on time each and every month.
  • Using an elec­tronic med­ical billing clear­ing­house elim­i­nates the need for you to re-key data over and over for each payer, which saves you hun­dreds of hours in data entry. Plus, because they already have the insur­ance car­ri­ers’ infor­ma­tion in their sys­tem, you can worry less about human errors being made when trans­mit­ting claim information.
  • A med­ical billing clear­ing­house allows you to sub­mit all your claims at the same time, rather than sub­mit­ting them sep­a­rately for each indi­vid­ual insurer. Again, the faster and more cleanly your claims are sub­mit­ted to the car­ri­ers, the faster pay­ments are received by your med­ical billing client.
  • A med­ical billing clear­ing­house gives you a sec­ondary loca­tion from which to man­age all your elec­tronic claims — in addi­tion to the back ups that you cre­ate of your work on a daily basis, such as those on your com­puter, on CD/DVD, tape dri­ves, etc.
  • A med­ical billing clear­ing­house saves you from spend­ing valu­able hours of your time wait­ing on hold fol­low­ing up on claim errors or rejec­tions with sev­eral dif­fer­ent insur­ance carriers.
  • Elec­tronic med­ical billing clear­ing­houses dras­ti­cally reduce or elim­i­nate the need for you to print paper forms, envelopes and spend money on postage.

Sim­ply put, when you use a good med­ical billing clear­ing­house, your clients get paid faster so you can con­tinue to ser­vice your clients needs, which, in turn, will make your clients refer more busi­ness to you with­out your hav­ing to ask. As a result, your ROI (return on invest­ment) and prof­its will sky­rocket. In short, a med­ical billing clear­ing­house, espe­cially today’s elec­tronic med­ical billing clear­ing­house, can give your med­ical billing busi­ness a com­pet­i­tive advan­tage over your com­peti­tors who do not use them.

The Med­ical Billing Clear­ing­house You Choose Should:

  • Pro­vide you with a huge payer list from which you can choose.
  • Be nation­wide, NOT regional.
  • Pro­vide sync sup­port for the type of med­ical billing soft­ware you are using to cre­ate, batch and sub­mit claims.
  • Have an easy-to-get-out-of contract.
  • Pro­vide excel­lent cus­tomer ser­vice and support.
  • Give you online access to update, track and man­age the claims you have submitted.
  • Not charge exces­sive monthly fees that are beyond the indus­try norm.

The med­ical billing clear­ing­house you select should also pro­vide you with the abil­ity to process the fol­low­ing (Note: Some of these ser­vices can be offered to your clients at an addi­tional charge thus increas­ing your prof­its per client):

    • Eli­gi­bil­ity verification
    • Sent file status
    • Claim sta­tus reports

Rejec­tion analy­sis Drop and mail paper claims if needed Sec­ondary claims processing

  • Elec­tronic Remit­tance Advice (ERA)
  • Patient state­ment services
  • Pay­ment pro­cess­ing reporting
  • Trans­ac­tion sum­maries and reports of all your clear­ing­house activity

A home-based med­ical billing and cod­ing busi­ness is one that pro­vides physi­cians with sev­eral lev­els of ser­vices and a med­ical billing clear­ing­house does the same for the med­ical billing busi­ness owner. Be absolutely cer­tain that you shop around for med­ical billing clear­ing­houses that best fit your needs and bud­get — but DO NOT choose one strictly based on cost.

Elec­tronic med­ical billing clear­ing­houses must pro­vide at least the ser­vices I’ve men­tioned ear­lier. If you have to wait due to cus­tomer ser­vice issues at your clear­ing­house you will lose money, your per­sonal and busi­ness cred­i­bil­ity, and finally your valu­able clients.

Last, pay spe­cial atten­tion to the med­ical billing clearinghouse’s startup and enroll­ment fees that you may have to pay for each prac­ti­tioner or prac­tice you will be sub­mit­ting claims for. Those charges can eat into your prof­its. There are med­ical billing clear­ing­houses in the mar­ket­place that charge flat fees regard­less of how many physi­cians you bill for now or in the future, so proper research is the best way to keep your clear­ing­house expenses to a bare minimum.

Writ­ten BY: P.G. Hackett