HOME HEALTH CLAIMS ASSOCIATES

"YOU PROVIDE THE SERVICE, IT'S YOUR RIGHTS TO GET PAID."

Q:   How do you handle the confidentiality of my patients' records?

A:    Securing data and management information is fundamental to our business and reputation. 
Compliance to standards instituted by regulatory entities like HIPAA plays a vital role in ensuring customer confidence in our capabilities to handle confidential patient information.     

 

Q:     How much do you charge?

A:     We charge our clients by percentage basis & it depends on the census or volume of the provider's patients.

Q:   What are the benefits of your billing service compared on hiring an in house biller/employee?

A:   Try to think of this, hiring an in house biller that you need to train him/her first, then pay hourly wage, insurance fees, or payroll taxes, not to mention bonuses, we don't, and beside we gonna work hard because we want to see cash pile up. You gain not only in increased collections but also in reduced overhead.

 

Q:     How often do you invoice us?

A:    Twice a month.

Q:     Will I need to purchase any computer equipment or software programs to utilize your service?

A:     No. Home Health Claims Associates services to accommodate your home care management needs in a non evasive manner we want your experience to as cost free and educational as possible.

 

Q:   How do you process the Medical Insurance Claims by electronic means?

A:   We have a step-by-step procedure on how to process Medical Insurance Claims:

    1. We will gather the vital patient information that required for the encoding of the Carrier Company. We have two options. First, if you already have a software billing programs we will retrieve the database & copy it to our system. Second, if not available, we will provide you a blank spreadsheet in Excel format to fill-up the necessary information required by the carrier. Accuracy is crucial in this matter, the provider or client must provide us the most current information of the patient. Failure to do so will result in denials of claims. We can assist you with this if problems arises, we know its tedious to pull out charts, communications, authorizations & the like.
    2. We will input the patients' information in our database. In the next billing cycle is much easier than the first and so on.
    3. After you pay the providers for their service rendered ,  we will electronically bill the carrier right away directly to their system. This will take 24hrs & 48hrs is the most to run them through there check generating programs then it will take 10-14 days to claim your  reimbursement or EOB(End of Benefits). While versus in paper claim this will take 30 to 72 days to receive your EOB. See Table 1 below for comparison.
    4. In times of rejection/denied claims we will analyze the reason for rejections & contact the carrier through phone for more details. If the main cause of the error is clear now, then  we will re-bill them on their system directly. The processing is faster than sending paper claims. Every carrier have its own time limit for filing & resending claims, usually it takes 90 days. (Note: We will not send HCFA-1500 or CMS-1500 claim & appeal unless they requested) why? it will confuse the mind of the person whose handling the claims. We will continue to follow up rejected/denied claims till you get paid, and we mean it. Remember our tag line, " You Provide the service, it's your rigths to get paid" 
    5. To finalize, we will recheck the whole billing period for confirmations.

Reminder:   Please let us know if the patient's information had been updated.

                                                    

                                                                         Table 1                                                  

Paper vs. Electronic Filing

Paper Filing

Electronic Filing

Reimbursement takes 30-72 days with an average of 70 days.

Reimbursement takes 10-14 days.

Some carriers report that it can take 12-24 days just to move claims from the mailroom to the appropriate department.

Claims are received, processed and paid in a few days.

It can take an additional 30 days for claims to be processed and the check mailed to the provider.

Provider typcially receives payment within two weeks.

If a claim is rejected for errors, it typically takes even longer for reimbursement to be received.

Errors are identified and corrected within 24 hours prior to sending them to the carrier.

The error rate for paper claims averages 20-30%.

There is no need for resubmission of claims due to errors.

Additional expenses on billing forms & printer inks.

No cost for electonic filing.