FAQs that our Clients have asked prior to signing up with our service.

How many days prior to DOS you verify Patient Eligibility?

We verify Patient Eligibility and Benefits two days prior to DOS.

How do you communicate the obtained Eligibility info with our office staff?

We update your Patients Eligibility, Benefits verification and past balance directly into your EMR/EHR/PM and set an alert, so that no one in your office misses the vital information needed to inform and educate the patients at the time of visit.

How does our office staff communicate with your team, if they have any questions?

Your staff can communicate with our staff via the HIPAA compliant messaging system that every EMR/EHR/PM has. Your staff can also call our staff through the dedicated phone number.

Do you have certified coders?

Yes, we have AAPC/AHIMA Certified Specialty Specific Coders to assist you with CPTs, ICD-10s and Modifiers based on LCD and NCD.

Do you make changes to the CPT levels if the Clinical Documentation does not have sufficient documentation that supports medical necessity?

No, we will not make any changes to the CPT levels. We may query the provider for clarification, if we need to. We will have our Certified Clinical Documentation Specialists to educate the doctors on Clinical Documentation guidelines set by CMS and we can also help with setting up documentation template for the procedures.

Do you audit charts to verify codes, if yes how many charts you audit?

Yes, we do audit 100% of charts to ensure accuracy and proper DX mapping.

Can we use just your Certified Coders without a Billing service?

Yes. We charge per chart basis or per Certified resource basis.

How different are your billers from others?

Our experienced billers have expertise with rules and guidelines specific to each state we work with, for both CMS and Medicaid. We use encoders, that are approved by the AAPC/AHIMA/CMS. Our billers have a minimum level of 7 years experience, working with several EMRs like, eClinicalWorks, AllScripts, eMDs, NextGen, Kareo, AdvancedMD, CollaborateMD, etc.

How long would you take to transfer claims?

Our billers transfer claims within 3 business days and address any rejected claims within 2 business days.

How soon you post the payments?

Our billers post EOBs/ERAs into your EMR/EHR within 3 business days, this way we can address denials quicker.

How do you track if we are getting paid right?

We read and understand your insurance contractual fee schedule to keep track on Reimbursement vs Fee Schedule. We will work with the insurances to address lesser reimbursements.

How are you set up to address denied claims?

Bliss is our proprietary Denial Management System. We have programmed Bliss in such a way that it can track every denial. This helps us to come up with 5 different reports to help us fix certain denials once for all.

Please call us to schedule a demo.

Do you send Patient Statements?

Yes, we do send Patient Statements every 15/30 days depending upon your patient visit count. Also, we do a soft follow up after sending statements to ensure if the patients have received statements and answer any questions they may have.

We do have a text message reminder option, to remind patients in balances.

Can our patients call if they have any questions?

We have a dedicated Toll-free number to answer you patients’ questions. Our Patient Support staff are bilingual (English and Spanish)

What type of reports would you send us?

The Bliss tool, has 15 different KPI reports and allows us to keep transparency with our clients extremely high. You can view/download 15 different KPI reports, which helps you measure and benchmark your revenue cycle and productivity based on MGMA ROI/RCM facts..

Please call us for a demo on to see how Bliss can improve your practice’s ROI. Don’t Miss Your Chance to achieve Practice BLISS!

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