Outsource Billing Service

Practice Name:*
Specialty:*
Number of Providers:*
Person to contact:*
Phone (###) ###-####:*
Email:*
How many locations do you have:
How are the billing functions currently being performed?
Why are you considering outsourcing? (Select all that apply to your practice)
Staff turn over
Cashflow
Dedicated and experienced
Desire for more reports about reimbursement rates, payer mix, monthly production and Accounts Receivable Management
Too many denied claims
Concerned about Medicare and RAC audits
Keeping up with changing regulations (ANSI 5010, ICD-10, etc.)
The cost associated with upgrading software
What percentage of your Accounts Receivable is over 120 days?

How would you best describe your payer mix in terms of carriers/networks and their perspective percentages in your practice?
Medicare
Medicaid
BC/BS
Aetna
Cigna/Great West Life
UnitedHealthCare
Worker’s Comp
Liens
Self-Pay
Misc – Others
Total

What are your top three (3) goals for outsourcing your billing?
1
2
3

I would like to extend our sincere appreciation for the excellent service, support and integrity that Medical Data Solutions has provided to Senior Counseling Group, LLC.

Since we starting working with you in the fall of 2007 you have done an outstanding job of creating the necessary systems, processes, and reports to meet our specific business needs. Your company’s unique mix of technological expertise, in-depth knowledge of the medical billing field and customer focused approach has been incredibly beneficial to our company.

We look forward to many more years of working together.
— Ken Meyer, Senior Counseling Group