To start medical billing process, it may take between 1-3 months from when you sign the contract to go live.
JS Medical Billing team works with new client every step of the way to make transition as painless as possible.
JS Medical Billing’s team member will work with your office staff to design a system to deliver us the information we need to expedite your billing in the fastest, more accurate way possible. We guarantee to simplify your work and improve cash flow and total return. Medical billing process is very complicated but our sophisticated system ensures all claims are received by insurance in a timely manner. We immediately contact payer on any denied or paid less than expected rate of claims.
For data entry, we offer several options that may decrease your cost with us. Some offices prefer us do all of the data entry for them. Others prefer staff to enter basic demographics, verify insurance eligibility, CPT codes, ICD-10 codes, and other encounter information.
With web-based technology, we can send primary and secondary claims to more than 3,000 government payers and commercial insurance carriers nationwide.
Some insurance claims such as those that require additional paper attachments, must be submitted on paper claim forms. We use electronic medical billing software to configure different claim forms for primary and secondary billing scenarios.
For most insurance companies, we use the CMS 1500 Form with support for the new National Provider Identifier (NPI) numbers. For certain payers, we also tap into the library of state-specific and workers’ compensation claim forms.
Claim Processing Reports
Electronic medical billing software provides multiple levels of reporting as the claims make their way through the claim submission and adjudication process.
Once JS Medical Billing submits your claims, the systems automatically review all of the claims and return internal validation reports to highlight claims with missing information such as missing provider or group numbers, missing patient information, or incorrect policy numbers.
Once the claims pass the internal validation, we forward your claims through one of several clearinghouse partners who also review your claims and return daily reports that highlight claims that have been rejected for various payer-specific reasons.
Once the electronic claims are delivered to payers, the payer may respond with reports highlighting claims that have been rejected for various reasons prior to the adjudication process.
Finally, we may receive electronic remittance advice (ERA) reports once payers process the claims and issue payment.
Rejections and Denials
Electronic medical billing software automatically posts and tracks information about rejections and denials that have been reported back to JS Medical Billing on claim processing and electronic remittance reports from insurance companies.
We then use rejection and denial management reports and our collections tools to efficiently resolve rejections and denials by gathering missing information, correcting data entry errors, and resubmitting claims within each payer timely filing deadlines.
We strive to provide outstanding customer service and communication because these are two most important factors of good billing service. Every practice is assigned to a billing team fully responsible to handle support required by practice and patients.
Most of our clients want us to manage their patient bills for them. We keep track of any amount owed by patients including co-pays, deductibles, etc., and mail out bills monthly to patients.
When patients have questions about a bill, they are provided our office phone number and our professional staff will review all aspects of the invoice with them and answer all of their questions. This relieves a huge burden on your office staff, as they no longer have to answer patients’ questions about their bills.
We base our medical billing service fees on a percentage of the amount you receive, both from insurance and patients. The only other fee is a one-time start-up fee. This is $250.00 per clinician, with a maximum charge of $1,200.00 for 7 or more clinicians. In order to qualify for our standard pricing plans, you need to meet the following criteria.
1. Bill out at least 100 claims per week
2. Receive at least $75 per claim (amount received, not amount billed out)
If you meet these two criteria, your cost would be between 5% and 7% of the amount received from insurances and patients. There are some other factors which determine whether you would be charged 5%, 6% or 7%. See our standard price quote. In all cases, this is based on the actual amount you receive, not the amount billed.
We do not get paid until you do!