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Talk to us! |
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Call
us toll free at 888-419-8176 to get additional
information and a customized quote for your
practice.
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Tired of Change? |
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Is
the constant change of medical billing becoming
too much? Are you or your office having
trouble keeping up with:
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New CPT codes
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NPI enrollment
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Increased bundling
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Increased denials
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Software updates
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Staff turnover
If
yes, you can benefit greatly from outsourcing.
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EHR |
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Electronic Health Records
- Know the whole story before investing
in an expensive EHR. EHRs are the
future and serve a valuable role in a
doctors office. But don't be misled by
claims of reducing FTEs and lowering
denial rates. Talk to TexasPMB about
the pros and cons we have experienced
working with many systems. |
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Send mail
to
info@texaspmb.com
with questions or comments about this web site. |
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Frequently Asked Questions
How can TexasPMB improve my cash flow?
There are many ways in which TexasPMB can increase
your cash flow. First we start by setting up your
account to file electronically. Electronic filing
will allow us to drastically reduce the time
required for you to receive your check. Second, we
continually follow-up all denials and any claims
over 45 days outstanding. Many times when the
billing is done in-house, the daily procedures are
promptly billed, but the staff is often too busy to
re-file the denials. These claims will continue to
get backlogged and can account for a substantial
amount of additional revenue. In addition, our
service will allow you to reduce your staff, reduce
office space and supplies, and minimize the need to
upgrade computer equipment and software.
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What are the advantages of
filing electronically?
Electronic filing allows us to drastically reduce
the time required for you to receive your check.
Typically, electronic filing takes around two
weeks. Also, by filing electronically, we are able
to use sophisticated software to check the claims
for errors. This results in more accurate claims
with fewer denials.
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Does everything file
electronically?
No.
Unfortunately we are not able to file every claim
electronically. Currently Texas Workman’s Comp
still requires paper documentation along with the
claim. TexasPMB is in constant communication with
the TWCC’s office and will start filing
electronically as soon as TWCC makes it available.
In the interim, TexasPMB can still process your
claims via standard mail.
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What can be done about my old receivables?
TexasPMB re-files old receivables and has great
success collecting from previously denied claims.
We have many physicians that are totally committed
to TexasPMB because of our ability to collect on old
claims where others had failed.
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Are you a
collection agency?
TexasPMB is not a collection agency. We do,
however, mail statements to the patient and can
increase the urgency of the message at your
request. Our monthly reports will indicate which
patients are in default, how long they have been in
default, and how much they owe. You can then
determine if a collection agency is necessary. We
can work payment plans with your patients if you
desire.
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I have seen
medical billing software for sale. Why shouldn’t I do
my own billing?
There are many software packages on the market for
medical billing and choosing the correct one is
critical. Past experience has shown us that most of
these packages do not offer the security and
features that our clients grow to expect. If they
do, they are often too expensive for a single office
to purchase. And a system that is excellent today
will be merely adequate a short time from now due to
rapidly changing technology. Remember, every time
your software is changed, you and your staff will
need to be re-trained. TexasPMB has invested
heavily in a sophisticated computer network that
allows us to generate custom reports and insure that
your data is protected at all times. We are also
committed in staying ahead of the technology curve.
In addition, TexasPMB is kept abreast of ICD and CPT
code changes to minimize denied claims. We have
accumulated great knowledge and experience from the
volume of claims we process.
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What kind of reports do you provide to monitor my
accounts?
TexasPMB provides a comprehensive list of monthly
reports. We can also provide you with custom
reports at any time during the month. Please see
our Practice Management section for a more detailed
list of reports.
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How long will it take for me to receive payment?
If
TexasPMB is able to file electronically, you should
see your check within 2 weeks. Paper filing
typically ranges from 4 to 6 weeks. If you
enroll for electronic funds transfer (EFT) with
BC/BS, TexasPMB can actually get same day payments.
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I
am not located in Austin, TX. How do you handle a long
distance relationship?
Exactly like we would if you were located in Austin,
TX. With today’s technology, like fax, email, and
electronic data transfer, we can efficiently service
any account anywhere in the United States. And if
an emergency were to arise, a representative from
TexasPMB would board a plane and could be on site by
the next morning. We have accounts setup with
DHL, Lone Star Express, and Federal Express.
The bulk of our incoming claims and EOBs are sent by
clients in our bar coded overnight packaging.
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How do you handle
clinics with multiple physicians, like an Ambulatory
Surgery Center?
All
physicians are linked together to provide summation
and statistical reports for the clinic. However,
every procedure is tied to a specific patient and a
specific physician. This allows us to give a
detailed report to each physician: even if that one
patient sees multiple physicians.
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Where do the checks go?
The
checks can be directed to any location you choose.
They are typically sent directly to your office.
The EOBs are then sent to us for posting. It is
possible to have the checks deposited directly into
your account through the use of a lock box.
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Who does the Patient call for a billing question?
The
patient should call us for any billing questions.
TexasPMB places our toll free number on every
statement we send out. One of the advantages our
service provides is the ability to reduce your call
volume. Let TexasPMB be stern and look out for
your business interests, while you be the
compassionate caregiver.
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How do I check a balance for a Patient?
Your
office staff can:
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call our toll free number at anytime to get
current patient balance information,
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look up the
balance on your monthly patient balance reports,
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or log in to
our system from your office and check the
account.
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What
if a Patient pays in the office?
Accept the payment just like you would an insurance
check. Your staff can then notify our office that a
payment was made to that patient’s account and we
will post the payment.
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What if the
Patient pays TexasPMB?
If a
patient mails a payment to TexasPMB by
accident, we will immediately forward that
check to your office. Once you have
acknowledged the payment by the patient, we
will then post the payment to the patient’s
account.
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How do I
know a procedure got billed?
TexasPMB
will get the daily sign-in sheet from your
office listing all the patients that were
seen each day. We will use this checklist
to make sure that every procedure was
billed. We will also provide you with a
transaction report each month that you can
use to cross reference your patient lists.
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How much
will it cost me to use your service?
Prices
can vary greatly depending on the claim
volume and the services requested. TexasPMB
is competitively priced and you will
ultimately save money using our service when
you take into account your total cost
savings. For a free analysis of your
practice, please fill out our
Feedback Form or contact a TexasPMB
representative at 1-888-419-8176.
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