Q&A for Medical Billing and Collections

Who is MOS?

MOS or Managed Outsource Solutions is a US company headquartered in Oklahoma providing both domestic and offshore outsourcing services. We provide outsourcing services in the USA, UK and Australia utilizing resources from various locations, including the USA, India and the Philippines. Globalization has increased and opened a multitude of resources to creatively improve your bottom line. Proper outsourcing requires, time, investment, identifying the right organization, testing, developing a working relationship, follow up, training and more. Our outsourcing service will take the guess work out of this process. Our service is a managed solution to your challenge, whatever it might be. With "Solutions and Beyond"; we go beyond just finding solutions, we continue to work with you with ongoing management, providing support to be sure of a positive impact on your business.

Why should I outsource Medical billing and collections through MOS?

MOS has a very seamless system that ensures that outsourcing your medical billing and collection are taken care of without any problems. Unlike other outsourcing companies we are a US company which has offshore interests. We work for you and make sure that our team provides you with the support that is necessary in US and offshore.

What is your Medical billing Process? You team is offshore, can you explain

We follow a structured medical coding process. For a more detailed picture please click here.

How do we know that your staff will maintain the quality standards that are expected off a medical billing and collections service?

We realize that it is important for you to understand the health of your practice at any given time. To make sure that we keep you update we provide you with weekly and monthly status report in billing and collections with updates in reports that are customizable. We also generate QA reports which are available to you. These reports track the work logs of every individual in the office.

What are the reports that you can provide us?

We provide you with reports which will contain, call status, billing status, AR report with Code analysis, Global pending problems and expected collections, focusing on outcome measurements. We also generate QA reports with work logs for each department and these are available on request.

What about staffing adequately for my account, what are their qualifications?

We are very conscious about the need for proper staffing on each account. To make sure that this is properly maintained we follow

• Our billing and collections staff is well qualified and hold a minimum of bachelor degree.
• All team leaders have a minimum of 4 years experience in their respective areas of expertise.
• One team is assigned to your account and the team members never change.
• Our staff does not work more on more than one clinic.
• We will inform you on the number of staff members who are working on your account.
• We encourage you to give us feedback and evaluation of our staff on a regular basis.
• All callers are trained in people skills and negotiation skills to maximize the reimbursement.
• We use up to date coding and billing books, literature and web research to ensure proper up to date standards.
• We follow HIPAA regulations in order to assure turn around time.
• Our professionals follow the rules set by your office in medical billing and collection.
• Our coding staff has received extensive training under coding experts in the US and has AACP certification.

Which specialties do you presently have experience in?

We are presently providing service in the following specialties are skilled and provide high quality results within the stipulated period of time for multi-specialty clinics and handle Infectious Diseases, Internal Medicine, Pathology and Oncology, Nuclear Medicine ,Heart Catheterization Laboratory, Imaging Services ,Radiology, Imaging Services, Neurodiagnostics Laboratory, Urological Diagnostics, Diagnostic Blood Laboratory, Enhanced Counterpulsation Therapy, Osteopathic Manipulation Therapy, Audiology Services, Diabetes Education, Chiropractic, Internal Medicine ,Family Medicine, Cardiology, Ear Nose and Throat, Endocrinology, Gastroenterology ,General Surgery, Neurology, Orthopedic Surgery, Podiatry, Pulmonary Medicine, Rheumatology, physical therapy and Urology

What do you mean by full financial cycle billing and collections? What are the various modules in it?

We consider medical billing and collections as a process that is divided in to different areas and needs to be monitored by specific individuals that has expertise in this area.

• Patient Enrollment
  1. Demographic information
  2. Insurance information
• Verification department
  1. Insurance verifications
  2. Authorizations
• Coding
• Billing and Reconciling of Accounts
  1. Charge entry
  2. Cash posting
  3. Reconciliation
• Accounts Receivable Collections
  1. Insurance collection
  2. Patient collection
  3. Old AR follow up and collections

What is the education of your coders?

• Certified by AAPC (American Association of Professional Coders) and have experience in the specialty that they will be working in.
• CPT, ICD-9, and HCPCS coding across various specialties
• Payer-specific coding requirements
• Multiple software coding knowledge.
• Insurance regulations and Payer specific coding regulation knowledge.

Why should outsourcing benefit my practice?

• Will be cost efficient.
• We guarantee 98% accuracy and compliance with in all our departments.
• QA in all departments makes sure that the work is constantly monitored and claims are always clean.
• Customer service that will take care of all your needs.
• Proper and regular feedbacks with emphasis on changes in the industry, work logs, utilization reviews, No pay EOB analysis and day to day activities.
• Worry free operation with consider amount of effort in accuracy and projections.
• You will see improved production we guarantee it.
• We work for you with you as an extension of your practice.

What are your charges?

Our Medical billing and collection charges as low as 3% for full cycle medical billing and collections. Of course every specialty is different but we are very confident we can save you 40% by working through us by increasing productivity and reducing your expenses.

What are the billing software applications that you work on?

MOS has experience with several billing software, like Medic, Medics II, Medisoft, Lytec, IDX, Misys, NextGen, Eclipse, hypersoft and so on. We understand that every office may have different software and we have been known to be quick learners and can be working on them with training. We are confident of our ability to handle all software.

How can I ensure a smooth transition of my process offshore?

Our Senior Solutions Mangers will make sure that every detail that needs to be taken care of will be taken care of before the transition takes place. Some of the steps we take are as follows

• Information gathering from your office. This will include all aspects of your present billing and collections cycle.
• We have meetings to go through your present process, understand the weakness and strengths that you are presently experiencing.
• This will be followed by chalking out a plan that we believe will be most appropriate.
• We will then educate your staff on the processes, discuss with you on your needs and finalize it.
• You will also be in touch with your staff that will handle the operations from India and know each and everyone who is assigned to your office. We will make sure that our billing and collection department understand every rule that you have set in your office and learn everything that concerns your practice, participating insurances and your state.
• A few dry runs will be conducted to make sure every area in billing and collections do function properly.
• When the transition takes place we will be ready with staff, software and every need to make sure that a smooth transition will take place.

Why should I choose you over other companies?

Experience and expertise, we provide solutions and beyond. Our teams including the owners have been in this industry for more than 30 years. We have run hospitals, provided practice management, run small and large clinics in multiple specialties. MOS Medical billing and Outsourcing Collections team understand the need for a comprehensive plan and execution with a no nonsense attitude to prevent even a single claim fall through the crack. Our team has worked for and with US medical facilities for more than 30 years in various faculties including managing medical billing departments, improving reimbursement through various strategies even dealing with providers and educating them on treatment strategies and coding. We understand the importance of turn around time, gathering information up front, preventing problems by taking care of loop holes and do constant analysis and QA to prevent them from occurring.

Moreover, we now have systems and processes that will actually increase your medical billing revenue by guaranteeing reduced claim rejections!

What makes you different from other companies?

We provide you with effective means of communication through our US office, direct communication via phone, chat and e mails with the offshore work force. Knowledge is important and we understand that you need to know what is happening at any given time with your accounts and we will make sure that this is available to you at all times.

Are you just a Medical Billing and Collections outsourcing company?

No, as an outsourcing company we started off in the business of medical transcription. As our website can give you more information (www.managedoutsource.com) we provide other services to the health care industry such as information technology services, medical animation, website designing, document conversion, call center support, in-house and outsourced staffing support, EMR (electronic medical records) and so on.

Where do you primarily outsource the medical billing and collections to?

We have two options for you. We have vendors in USA who can take the work and provide you with our quality service. We can also provide the same service through our offshore entities in India. Price implication will definitely be there. But we make sure the quality is maintained.

How will you improve my collections?

We can give you the following details to answer your questions.

• Improve your upfront data collection
• Proper verification and authorization
• Cross check and verify coding and billing before they are processed
• Proper denial management and EOB reviews
• Immediate action past 30 days on all claims processed.
• No write offs unless authorized by client or specific criteria is set.
• Try and keep all accounts under 90 days of payments unless there is a global issue.

Still more questions?

We understand that every situation is unique and every office is different. Please contact us and we can answer your questions.