Billing Therapists FAQs 2018-05-18T00:34:09+00:00

Paper Claims

  • Get lost in the mail
  • Turn-around time is 45-90 days
  • Handwriting may not be legible
  • No one edits a paper claim
  • The rejection rate is 35-50%
  • Get lost in mail
  • Turn-around time is 45-90 days
  • Handwriting may not be legible
  • No one edits a paper claim
  • Rejection rate is 35-50%
  • Electronically go directly to the payor
  • Turn-around time is 14-21 days
  • Electronic claims are generated in HIPAA Compliant Standards
  • Electronic claims are edited and then processed
  • Rejection rate is less than 2%
The clearinghouse will edit your claims to reduce rejection rates. You receive acknowledgment reports within 24 hours of filing a claim so that any rejected claims may be fixed and submitted expeditiously back through the clearinghouse. This alone will greatly reduce denials, and will significantly increase speed and amount of reimbursement.

Do we still need to keep records at the office?

Yes. All records, including clinical notes, the original superbills or day sheets, and patient demographics must be kept at your office in accordance with State and Federal Record Retention Laws. Advanced Billing Solutions, Inc. also retains copies in accordance with State and Federal Laws.
Yes. All records, including clinical notes, the original superbills or day sheets, and patient demographics must be kept at your office in accordance with State and Federal Record Retention Laws. Advanced Billing Solutions, Inc. also retains copies in accordance with State and Federal Laws.
  • Copies of each patient registration or information sheet (one time only with the exception of any changes)
  • Copies of both the front and back of the patient insurance card (one time only, unless a change in coverage takes place)
  • Superbills, daysheets, or daily charge sheets which include all CPT, ICD-9, modifiers, and HCPC codes.
  • An Insurance Carrier Verification sheet (you should verify benefits at least every 6 months to keep current benefits on file)
  • Copy of the Acknowledgement of Notice of Privacy Practices signed by each patient (needed only once) in accordance with HIPAA Privacy Regulations
  • Copy of the patient’s authorization form if needed

If additional information is needed for a specific case, we will notify you.

30 minutes… At our initial presentation, we will bring all necessary enrollment forms for setup with the clearinghouse for electronic claims. It takes approximately 4-6 weeks for Medicare, Medicaid, and BCBS (Blue Cross Blue Shield) electronic enrollment. However, commercial carriers can take as little as 24-48 hours to accept claims electronically. Also, until all your carriers are set up to file electronically, we will file claims on paper so that you still get these claims filed and money is still coming in. We will make sure that revenue flows even during this initial enrollment process.

We charge just 8-9% of revenue collected, depending upon the particulars of your practice. We base our fee on how much you actually get reimbursed from the insurance carrier and patient, NOT by the billed or charged amount. This is the best arrangement for both of us because the more money we bring in for you, the more money we earn as well. All money goes directly to you. We then bill you on a monthly basis

There is a one time setup fee, which usually ranges from $200.00 to $500.00, depending on the size of the practice. This fee includes setting your office up with the necessary forms and enrollments to get your claims paid. If your information sheets do not have all the information needed to process the claim, this will slow the billing process down. We make sure you have the proper forms. This fee also includes registering your practice with our clearinghouse to do electronic claims filing, as well as the intensive initial effort on our part to enter all your patients and their information into our computer database.

There are 3 ways: one way is to fax daily or weekly; a second way is to use U.S. mail or UPS, and the third way is, if you are local to us, that we can pick up the data we need on a weekly basis from your office.