Outsourcing your medical billing can be a boon for your practice, but not if you’re with the wrong service.
There’s significant variation in the way physician billing companies function, so unless you perform a thorough due diligence before you enter into a contract, you may not save the amount of money you expected. Worst case, you could end up in serious regulatory trouble. Today, we’re highlighting three signs your billing company is not serving you as well as it should be.
We’ve written several posts on features to look for in a billing company, including state-of-the-art technology and complete reporting transparency. Today, we’re highlighting three signs your billing company is not serving you as well as it should be.
It isn’t HIPAA compliant.
It doesn’t carry errors/omissions and liability insurance.
Because your practices is entrusting the billing service with financial information and patient records, it’s critical the service carry proper insurance. Errors/omissions insurance is similar to malpractice insurance, offering protection in the case of misconduct by an employee. Any service you use should also carry liability coverage, which will pay for breach disclosure communications and lawsuits in the event of a security breach involving patient records.
It doesn’t have a comprehensive contract.
It goes without saying that you shouldn’t engage a billing service without a contract and that you should carefully review the contract before signing. In particular, make sure you understand the terms of service, which outlines the service-level guarantees being made. Also, be sure there’s an indemnification clause that holds the practice harmless in the event the billing service submits fraudulent bills, miscodes bills, or allows PHI to get into the wrong hands. Finally, make sure the contract has termination details such as how the billing service will destroy or return your patient records, both electronic and paper.
Many factors affect your choice of medical billing service, but no matter how low their price or how personable their sales rep, if they don’t meet the three criteria above, they are not serving your practice well.
Last Updated on August 18, 2022