Cardiology billing services revenue has decreased dramatically because of new medical reforms. Echo services such as Doppler and color flow underwent significant alterations, as did the other categories. Understanding the new code set requires proper training, which practices’ in-house billing teams lack in clinics. Outsourcing cardiology care services is an excellent choice, but many cardiologists wonder why they pursue it. Here are five questions to ask your potential Cardiology Billing partner to get a good solution in your practice.
Questions to Ask Your Potential Cardiology Billing Partner
Here is a compilation of some of the best questions for your cardiology billing partner. Here are five questions to choose a good cardiology billing company:
1. What experience and reputation does a cardiology billing partner have?
It is among the most crucial inquiries before working with a cardiology billing company. How long have they operated as a company? Did their customers have a positive experience? It suggests that they have discovered an effective strategy for maintaining happy customers.
A cursory lookup for reviews won’t do. There are dishonest people in the market who could cause you to lose time and money. Don’t let that be the situation for you. Examine the Cardiology billing partner in-depth by reading reviews from experts in the field rather than the general public.
2. How do cardiology billing partners handle reports and analytics?
You need to inquire about their delivery method and how their job gets split among their personnel. While some may assign you a single biller who can give you their full attention, others may assign you to multiple billers so you can complete more tasks faster.
It is crucial to ascertain the reporting methodology and metrics to gauge success or denial rates. Find out if the company uses MGMA or a comparable benchmark to measure its performance.
It’s crucial to understand their communication style before signing the contract. These include how quickly they will answer your calls or requests and what to do in an emergency. You should receive weekly or monthly updates on all of the claims from the company, or you can get online access. Note the frequency of their audits and manage a monthly process for performance reviews.
3. What technology and tools does the Cardiology billing partner utilize?
Cardiology billing companies must stay current with the newest systems and software, so you should be upfront. To ensure a smooth transfer of patient accounts and financial data, they will be utilizing software that is compatible with yours. If not, see if they provide training to help you become comfortable using their program. Find out how they resolve technological problems and what they recommend doing to enhance or automate procedures.
4. How does the Cardiology billing partner handle compliance and regulatory requirements?
All healthcare organizations are required to follow the established guidelines. You can ask for a list of the company’s compliance procedures if there are no breaches of the law. Examine the staff’s knowledge of ICD-10, HCPCS, and CPT codes, the company’s ISO certification, and compliance with HIPAA (Health Insurance Portability and Accountability Act).
Ask about their rate of rejected claims and how they handle the denial of their claims. They should have a process for resubmission to ensure there is no loss of revenue.
5. What is the billing partner’s communication and support structure?
Effective collaboration between the Cardiology billing partner and the healthcare practice requires open lines of communication. Clear communication ensures that all parties are on the same page regarding billing procedures, updates, and any problems that might arise.
Good account management and customer service are signs of a billing partner’s commitment to providing its customers with complete support. Healthcare facilities should evaluate the billing partner’s level of customer service, including the knowledge and demeanor of their support personnel. To further guarantee seamless cooperation and fruitful billing results, assess the partner’s account management procedures, such as routine performance reviews and account updates.
Outsource Cardiology Billing Services
When looking for a Cardiology Billing Company that can meet the criteria given above, you will notice that most organizations fall less in one or more areas. Medical Billers and Coders are an exception to the rule, as they not only exceed the five criteria.
We achieve superior quality and operating standards by focusing on client satisfaction and positive feedback. These have helped us maintain long-term business partnerships, and if given the opportunity, we would be happy to perform a sample project for you so that you can see for yourself.
To improve the revenue cycle of your cardiology practice, look for a trustworthy billing partner. Make well-informed decisions by asking the appropriate questions. Start right now!
FAQs:
1. What experience and reputation does the cardiology billing partner have?
Look for a partner with a proven track record in cardiology billing and positive reviews from satisfied clients.
2. How do cardiology billing partners handle reports and analytics?
Ensure they provide comprehensive reporting and analytics, and understand their communication protocols for updates and emergencies.
3. What technology and tools does the cardiology billing partner utilize?
Confirm they use up-to-date software compatible with your systems and offer training and support for seamless integration.
4. How does the cardiology billing partner handle compliance and regulatory requirements?
Verify their compliance procedures, knowledge of industry codes, and certifications, and how they handle claim denials and resubmissions.
5. What is the billing partner’s communication and support structure?
Ensure clear communication channels are established, and assess their customer service and account management processes for effective collaboration.
