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FAQ's
Below please find answers to frequently asked questions, separated into
questions for our Medisoft Network Basic Service and for our Premium
and Platinum Chiropractic Billing Service.
Premium
Service and PremiumPlus Service
What are MBP's fees?
Does MBP offer an introductory special so we can try your services?
- For Premium Service providers only, MBP will submit your first month of
claims for free. However, any claims more than one month old from
the date of the first submitted claim do NOT count as free claims and
the maximum free claims per month = 500.
Do I have to sign a contract?
- NO. MBP does not require that providers sign a contract with
us. We are confident that you will be satisfied with our services
and want to continue using our services. The only exception to a
signed contact is that providers per HIPAA regulations must sign a
Business Associate Agreement. HOWEVER, you do NOT have to sign any
contract requiring you to use our services for any length of time like
some other billing services require.
Does MBP charge any set-up fees?
- There is an initial set-up fee of $99.95 that must be
paid prior to MBP setting a provider up on our system or enrolling the
provider for electronic claims.
- After 2 years of service with MBP, we will provide a
non-refundable credit of the $99.95 set-up fee to your account,
yielding a $0 set-up fee. This non-refundable credit will
appear on your first monthly invoice after 2 years of service.
Do I have to submit a minimum number of claims to MBP?
- NO. Whether you submit one claim per week of 1000 claims per
week, MBP can handle your billing needs. MBP welcomes small
practices; do not feel that your practice is too small for a billing
service.
- However, there is a minimum fee for claim
submissions for providers submitting under the standard per-claim fee
(rather than prepayment options).
- For Premium Service, the minimum fee for claim submissions is
$59.95 per month.
- For PremiumPlus Service, the minimum fee for claim submissions is
$89.95 per month, which includes accounts receivable posting.
How can I be sure that MBP submits my claims in a timely manner?
- MBP understands that the most important thing for a billing service
is to submit claims accurately and in a timely manner. Therefore,
MBP offers a claim submission guarantee.
Click here for more
information on the guarantee.
Do I need special software for you to do our billing?
- NO. Whether you already have Practice Management Software or
if you are not computerized at all, MBP can handle your billing.
NO COMPUTER IS NEEDED (except for Basic Service providers).
How does my office provide you the information for billing?
- There are several ways providers can provide us the
necessary information:
- The primary way providers submit patient
demographics and billing information is by completing our Online Patient Form and
Online Billing Form,
which can be accessed under the Online
Forms tab at the top of this website..
- If your office is computerized, you can probably generate a file
of claims (as if you were going to print CMS 1500 forms) or a
transaction report. You can send us that file or report by
attaching it to a secure, encrypted e-mail you send to us at
mbpros01@comcast.net.
- Your office can obtain a secure e-mail access from ZixMail (www.zixcorp.com). Then, you can simply send an
e-mail to us at
mbpros01@comcast.net and include in
the body of the e-mail all patient demographic and billing
information.
- Your office can fax to us any forms you may have, whether computer
generated or paper forms. HOWEVER, these forms CANNOT be
handwritten. They must either be typewritten forms or
computer generated.
- Your office can mail us the necessary forms as long as the forms
are NOT handwritten.
Who receives the payments?
- Your office will receive the payments directly. The time frame
for when you receive the payments depends upon whether the claims are
submitted electronically or on paper. For electronically received
claims, some payments are received by providers within as little as 4
days of submission. For Medicare claims, providers generally
receive payments 17 days after submission. As a general rule,
electronic claims are paid in the 7-17 day time period.
Does your fee include follow-up of the claims?
- No.
- Some billing services charge a percentage of the amount
paid by the payer and include follow-up as part of the fee.
HOWEVER, in these cases you are paying TOO MUCH. About 90-95% of
all claims are processed properly by the payers. For practices
submitting 100 claims per week, you should have to follow up on at most
10 claims per week (approximately 60 minutes of time).
- Although our Service does not include follow-up of claims, our
belief is that providers can save a substantial amount of money by using
our claim submission and accounts receivable services, then following up
on the few outstanding claims themselves!
- When comparing fees versus billing services charging a
percentage, it is important to remember that if you aggregate more
than one date of service on a claim for a patient you will maximize
your savings. Ask for details about how you can save by
grouping visits by patient.
Do you have any references we can contact?
- MBP encourages you to contact some of our references. To see a
complete list of references,
click here.
To see written testimonials from a number of our clients,
click here.
Do you have available a list of insurance companies that you submit
claims to electronically?
- Visit the
Payer Lists page on this
website to see a list of commercial payers and government payers to whom
MBP can submit electronically.
Does MBP provide us any reports after the claims are submitted?
- After claims are submitted, MBP will provide you via secure e-mail a
detailed report of all claims submitted.
- To see a sample Claim Submission Report,
click here.
- Providers can also request numerous other special reports. For
more information about the available reports,
visit the Downloads section of our Support Suite at
www.medisoftnetwork.com.
How do I get started with MBP?
- To get started, go to the
Getting Started page on this website.
Complete the form AND complete the Business Associate Agreement.
- We will then send an invoice via email and fax
for the set-up fee of $99.95. Providers will be able to pay this
invoice online with a credit card securely or you can mail us a check.
- Once payment for the set-up fee has been received, we can submit claims immediately for all payers EXCEPT for those
requiring signed agreements (like Blue Cross/Blue Shield, Medicare and
Medicaid). Approval time for payers requiring signed agreements is
approximately 2-4 weeks.
Medisoft Network Basic Service Frequently Asked
Questions
Do I need to purchase software to use the Medisoft Network Basic
Service?
-
For access to our Network, you must own
a licensed copy of Medisoft and provide Medical Billing Professionals with your
Medisoft serial number.
-
If you require more than one person
accessing the system at the same time, you may purchase additional user licenses
for $159.95 each.
- Access to our server is via Remote Desktop Web Connection (Terminal
Services). You will also need Internet access (high-speed recommended).
So, you can access our Network from any computer with Internet
access--your office, your home, even while you're on vacation.
What are the costs for the Medisoft Network Basic Service?
- MBP will submit your electronic claims for 37 cents per claim (55
cents per claim to select non-participating payers as indicated on our
Payer Lists) and your paper claims for 55 cents per claim. A
minimum fee of $69.95 per month applies to claim submissions.
- Claims will be submitted weekly. If you want your claims
submitted daily (business day), there is an additional fee of $29.95 per
month.
-
Claim Scrubbing:
When your claims are correct the
first time they are sent, you get paid faster. To help you get
paid faster and with maximum reimbursement, MBP offers the following claim scrubbing
option:
- HIPAA Edits: For only
$7.95 per month, the program will check to ensure that certain HIPAA
required fields (such as birth date and relationship to insured) are
properly populated. For claims with errors, you will receive a
report of these claims so you can correct them prior to submission.
This reduces the number of denied claims, allows you to get paid
faster and allows for more reimbursement.
- MBP provides the first month of support for free. After the
first month, you can choose our optional Support for $24.95 per
month. This allows unlimited support inquiries through our Support
Suite at
www.medisoftnetwork.com. Note
that support does not include training, Custom Report designing or
printing/hardware issues.
Can I print my own paper claims?
- Yes. You can have MBP only send your electronic claims,
and you can send your own paper claims.
How do I know which payers accept electronically when I set an
insurance company up in the Medisoft Network?
- MBP encourages you to constantly check our
Payer Lists page.
From this page, you can view a complete list of commercial payers and
government payers to
whom MBP can submit electronically. In addition, you can also
search by Payer Name. If you know the Payer ID number, you can
also search by Payer ID number.
How many people can log in under a user license?
- One. A user license allows you to select one login user name and
one password. If one person is logged in under this user name and
someone else in your office attempts to log in under the same user name,
the first person will be disconnected from the system. If your office
needs more than one person to access the system at a given time, you may
want to consider purchasing additional user licenses for $159.95 each.
An additional network access fee applies of $4.95 per month per each
additional user.
Does MBP backup my data?
- Yes, we provide continuous 24 x 7 backup of your data securely
offsite through
www.livevault.com.
- In addition, we provide daily offsite backup of your data.
- For providers who want their data files provided to them, we can
provide them as often as you like on a CD-ROM for $4.95 per CD-ROM.
Note: You would only be able to view the data from the CD-ROM if
you also have the current version of Medisoft on your computer.
Is the Medisoft Network secure?
- Yes, the system provides 128-bit encryption, which complies with
HIPAA regulations and is the same level of encryption that banks use for
their financial records.
- In addition, MBP utilizes dual layers of login and password
protection.
How do I know if there are any problems with my claims?
-
Claim Scrubbing:
When your claims are correct the
first time they are sent, you get paid faster. To help you get
paid faster and with maximum reimbursement, MBP offers the following claim scrubbing
option:
- HIPAA Edits: For only
$7.95 per month, the program will check to ensure that certain HIPAA
required fields (such as birth date and relationship to insured) are
properly populated. For claims with errors, you will receive a
report of these claims so you can correct them prior to submission.
This reduces the number of denied claims, allows you to get paid
faster and allows for more reimbursement.
- Many payers will return electronic reports if there are any problems
with claims (such as a patient's ID number is not found on file). For
our Basic Service Providers, MBP offers an online reporting system
whereby MBP can provide you securely online for only $5.95 per month any
rejection reports returned by payers.
Does MBP provide training of the Medisoft Network with the first
month of free support?
- No. Although we will be happy to answer specific questions, we
cannot train you on the Medisoft Network as part of our monthly support.
We do offer Online Training for $169.95 for 1 hour or $399.95 for 3
hours.
- MBP does offer a DVD Training SuperPak for only $269 or Medisoft
Training Manuals for only $79.
- In addition, you can view and download the Medisoft Version 11 User
Manual on the Downloads page of our Support Suite at
www.medisoftnetwork.com
- Finally, MBP encourages our clients to use the Help Menu in Medisoft,
which will answer most of your questions. In addition, please
visit our Knowledge Base at
www.medisoftnetwork.com, which also provides
answers to many questions.
How long does it take to get set up on the Medisoft Network?
- In order to be set up on our Network, your office would have to
complete some registration forms providing us information about your
practice.
- We will then send an invoice via email and fax
for the set-up fee of $99.95. Providers will be able to pay this
invoice online with a credit card securely or you can mail us a check.
- Once payment for the set-up has been received, you will be set up on our network within usually 2-3 hours.
- Some payers (such as Blue Cross Blue Shield, Medicare and Medicaid)
require enrollment in order to submit electronically. Approval
time for sending electronically to these payers varies. If MBP has
a direct connection with the payer, approval usually takes 1 week.
For most other payers, though, that require enrollment, approval can
take 6-8 weeks.
- Claims to almost all commercial carriers (like Aetna, Cigna and
United Healthcare) can be submitted immediately.
How can we get started using the Medisoft Network?
- To get started, go to the
Getting Started page on this website.
Complete the form AND complete the Business Associate Agreement.
- Remember, you must own a licensed copy of Medisoft to have access to
our Medisoft Network. If you do not own Medisoft, you can purchase
Medisoft Basic for $299 from our Platinum Medisoft Reseller, JB Medical
Management.
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