FAQ
Questions worth asking before you pick a billing partner
If yours is not here, call us or send it over.
FAQ
Working together
Do we have to change our billing software?
No. Working inside your existing practice management system is the default. Migrating billing data introduces risk and cost that rarely pays for itself, and a system your staff already know has real value. Which systems we work in is confirmed during onboarding.
Can we start with one service rather than everything?
Yes. Denial recovery and out-of-network disputes are common starting points because they act on money you have already earned and show a result relatively quickly. Services can be added as the relationship establishes. Nothing requires taking everything at once.
What does your reporting look like?
Monthly, covering collections, denial causes broken down by payer and reason, A/R aging movement, and the outcome of any disputes. The exact contents are agreed at onboarding so the report answers the questions you actually have rather than the ones a template assumes.
Who will we actually deal with?
You get a named point of contact for your account rather than a general support queue. Escalation paths are agreed during onboarding so you know who to reach and how quickly, before you need to.
FAQ
Out-of-network and disputes
What is IDR and why does it matter?
Independent Dispute Resolution is the federal process for settling payment disputes on out-of-network claims when negotiation with the plan fails. It matters most to emergency and urgent care groups, because patients do not choose their ER and a large share of encounters involve plans the group has no contract with. Most billing companies do not offer it, so the underpayments are simply absorbed.
Can you run disputes on claims another company billed?
Yes. Dispute resolution can be engaged standalone against claims someone else submitted, and this is a common way groups start working with us. It works better alongside routine billing, because deciding what to dispute is easier with visibility of payment patterns across the whole book, but it does not require changing billers.
How current is your information on the federal rules?
The rules governing the dispute process have been amended more than once since they took effect, through both rulemaking and litigation. Our IDR and No Surprises Act pages carry a visible review date and are re-checked against current federal guidance quarterly rather than left to drift.
FAQ
Compliance and data
How do you handle our data?
We follow HIPAA-compliant processes and our team has completed HIPAA training. Wherever possible we work inside your existing systems, so your data stays where it already lives rather than being copied into somewhere new. Specific access arrangements are agreed at onboarding.
Are you HIPAA certified?
Nobody is. The Department of Health and Human Services does not operate a HIPAA certification scheme, so any company claiming to be 'HIPAA certified' is describing something that does not exist. What we can tell you is what we actually do: HIPAA-compliant processes, and a team that has completed HIPAA training.
Should we send patient information through your website?
No, and please do not. The enquiry form is for business contact details only. Anything involving patient information should be handled through the secure channels we agree once we are working together.
Start with a free billing audit
We review a sample of your recent claims and your current A/R aging, and report where revenue is being lost. The report is yours whether or not you engage us.