HMB TRANSISTION PROCESS

To facilitate a streamlined transition process, HUMAN MEDICAL BILLING and the physician/client work together to understand each other's needs and conform to each other's requirements.

Set-up account with HUMAN MEDICAL BILLING preferred  clearinghouse:
      We gather the necessary account set-up information, including Physician’s names, Tax ID’s, PIN #’s, passwords and usernames and input them onto a secure network using advanced encryption technology.

Arrange for conversion of existing billing data to HUMAN MEDICAL BILLING software:
      If you are currently using billing software that is different from HUMAN MEDICAL BILLING software, we arrange to have your data converted to our software. We always advice inputting the new data from scratch so we don’t incur any data loss.

Set-up Physician’s office computers for remote access and file- transfer system:
      HUMAN MEDICAL BILLING.com provides the physician with full access to all your billing information. We will come to your office and configure your office computer to access your billing information.

Determine requirements for financial reports:
      HUMAN MEDICAL BILLING offers a variety of financial reports based on your needs. We will give you the selection of available financial reports and help you determine which reports you are interested in receiving.

Coordinate roles and responsibilities:
      We will sit down with you and your office staff and coordinate the roles and responsibilities on both sides. We handle the entire process for you, leaving you free to concentrate on your practice.
Once your system has been configured and installed, HUMAN MEDICAL BILLING provides the following complete medical billing services on an on-going basis.

Enter patient demographics:
      We enter the details, as provided by your office, on all patients entered into the billing system.

Enter charges for office visits and procedures:
      We enter all super bills/encounter forms into the billing system.

Transmit electronic claims and/or mail paper claims:
      We transmit claims electronically where possible. If the insurance company doesn’t accept electronic claims, we print the claim and mail it to the insurance company.

Receive audit reports within 24 hours of electronic submission:
      Our billing software receives audit reports from the clearinghouse with notification of errors or omissions in the claims

Track unpaid claims and resubmit when necessary:
      If we have not received an EOB within 30 days of the last billing date, we resubmit the claim.

Notify your office regarding “incomplete claims” that did not process:
      We notify your office immediately if claim information is incomplete. Once your office submits amended claim information to us, we resubmit immediately.

Follow-up with insurance companies on unpaid claims:
      If an EOB has not been received within 60 days of the initial billing date, we will follow-up with the insurance companies after that period. As for claim denials, our insurance contact specialist reviews the EOB’s and subsequently initiates follow-up calls with the insurance companies, contacts your office in the event of missing information, or bills the patient.

Balance bill patients: Four statements are sent to the patient in a 120-day period:
      After 180-days, we send your office a patient aging report and you can decide how you would like to proceed.

Enter and reconcile insurance and patient payments:
      We post all payments that are received by your office. Checks are sent directly to your office and your office staff is required to send the copy of the EOB or check to our office so we can post the payments to our billing system.

Provide monthly financial reports:
      You have a vast selection of financial reports to choose from. Based on your initial selection of the reports you would like to receive, we send you those reports monthly. If your need additional reports, your Account Executive will go over those needs with you at any time.

Hold regular meetings with Account Executive to review billing and collection activity:
      At your discretion, we encourage you to meet with your Account Executive on a monthly basis. He/she will sit down with you and discuss the specifics on your account, and will help you get the most out of the unique services at HUMAN MEDICAL BILLING

Review fee schedule:
      HUMAN MEDICAL BILLING then performs a complete review of your fee schedule to fully understand your charges versus typical payments by various insurance companies.