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1.
How does your service work?
2. What services
do you perform?
3. Can data from
my existing software be transferred and used?
4. How much does
your service cost?
5. What documents
do I need to send you?
6. Are there
any lengthy contractual requirements?
7. Are there
any setup up fees?
8. Are there
any minimum fees?
9. Do I have
to buy any equipment?
10. What support
and training do you offer?
11. Who is responsible
for data backups?
12. I am not
in your geographical location, can I still use your service?
13. What specialties
do you support?
14. How long
does it take to get started?
15. How long
have you been in business?
16. Do I have
control of my data?
17. Can I just
use your software and not your service?
18. What happens
if my staff goes on vacation or quits?
19. What work
do I/my staff have to do?
20. How do claims
get submitted?
21. Are you
HIPAA compliant?
22. CPT/ICD9
codes, regulations change constantly, does your software
keep abreast of these changes?
23. Is your
software Multi-User?
24. I already
do my billing In-House, why should I switch to your service?
25. I already
outsource my billing, why should I switch to your service?
1. How does your service work?
 Full
Billing Service Solution
All you need to do is send us your work, either by scanning
and uploading it to us, or by mailing it, or by having
us pick it up. All your patient billing and payment data
is available in Real-Time on our web site at www.claimpower.com.
The web site completely exposes our service. You can see
all the work as it is done, including statuses, notes
and any missing information that needs your attention.
You can also run all commonly used practice management
reports from the web site.
Back
Office Solution
During the day you scan your Encounter forms, Hospital
Face Sheets, Patient registration sheets, EOBS, etc. At
the end of your day, you run the Shutdown routine in the
software. This automatically sends your scanned documents,
and your database to our secure server. During the overnight
hours, we use your scanned documents and your database
for the data entry and to perform our services. The data
is sent back to our secure server, around 8AM. When you
start up in the morning, you run the Startup routine in
the software. This updates your database with all the
work done by us overnight.
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2. What services do you perform?
Full
Billing Service Solution
All services on the Services page
listed as ‘Included’ are performed by us.
You only need to send us your work, and monitor the web
site for any missing information.
Back
Office Solution
With the Back Office Solution,
you get all the benefits of In-House control, plus all
the benefits of outsourcing. All services on the Services
page listed as ‘Included’ are performed by
us as part of this service. All tasks listed as ‘Optional’
or ‘Optional Group’ can be performed by us
if you choose to have us do them. Depending on the availability
of your employee resources, you can do as much or as little
as you please. The tasks listed as ‘Your
Tasks’, must be performed
by you if you choose this solution. The most cost effective
way to use this service is for you to do those tasks listed
as ‘Your Tasks’,
and the optional tasks with this
color and let us do all
other tasks listed with this
color.
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3. Can data from my existing software be transferred and
used?
This depends on how your existing software handles data
exports. If your software can export all its data to an
electronic format, we may be able to convert it into our
formats at a small additional cost to you. If this cannot
happen, but your existing software can print reports of
patient demographics and Receivables, we can manually
enter it into our database. Please call us to discuss
your particular situation.
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4. How much does your service cost?
Our fees vary depending on your specialty and practice
size and whether or not you scan your documents. No matter
which solution you choose, you will almost surely experience
significant savings, and our efficient processing model
with overnight services will quite likely result in an
increase in your overall collections. The Savings
Calculator estimates your savings based on a 7 1/2%
charge for the Full Service
Solution and 4% for the
Back Office Solution.
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5. What documents do I need to send you?
For
billing
 You
would send us patient demographics and Insurance information.
This is required only for new patients, and patients who
have had a change in their demographic or insurance information.
For
Office patients, this information would be on your patient
registration form. For Hospital patients, this information
would be on the Hospital Face Sheet.
For
patients seen in the office, you would send us your Encounter
sheets.
For
patients seen in the hospital, most doctors just write
the procedures and diagnosis on the hospital face sheet,
or send us a weekly or daily log of the patients seen.
For
Posting payments
You would send us your EOBs, and stubs from the patient
bills. Co-payments will be posted from the information
contained on the Encounter sheets.
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6. Are there any lengthy contractual requirements?
No. While you do need to sign a contract acknowledging that you understand the terms and conditions,
there are no long term commitment requirements. You can cancel our service at any time. We will also
return all your data to you in a tabular, electronic format to facilitate your migration to another
software or service, upon payment of any outstanding balances.
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7. Are there any setup up fees?
No. While there are no setup fees, we do require a $2,500 deposit for the hardware
that is supplied to you, if you choose the
Back Office Solution. This is a refundable
deposit, and will be refunded to you, should you cancel our service for any reason during
the first 1 year from the inception of your contract, and return the hardware.
If you choose the Full Service
Solution, and scan your documents, a deposit of $950 will
be required for a High Speed, Dual-Sided, Production Grade Document Scanner. This is also
a refundable deposit, and will be refunded to you, should you cancel our service for any reason
during the first 1 year from the inception of your contract, and return the scanner in a useable
condition.
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8. Are there any minimum fees?
Yes, there is a minimum monthly charge of $500 per provider
in your practice, for
the Back Office Solution.
There is no minimum charge for the
Full Service Solution.
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9. Do I have to buy any equipment?
Not
necessarily. If you choose the
Back Office Solution, a
production grade, high speed scanner, and a computer server
with a flat screen monitor is included as part of the
service. If only one user in your office is going to use
the software, you do not need to purchase any additional
machines. If you need more than one user to access the
software, your existing machines can be used as workstations
for additional users. The software itself, can be installed
on as many machines as you chose. There are no restrictions
on the number of users that can use the software in your
office.
If
you choose the Full Service
Solution, your existing
computers are all that you need to access the internet
so that you can get to your data at our web site.
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10. What support and training do you offer?
No training is necessary if you
choose the Full Service
Solution. If you opt for
the Back Office Solution,
a two week on-site training period is included. Subsequently,
we offer online, desktop support on an as needed basis.
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11. Who is responsible for data backups?
We make multiple redundant backups
of your data as part of both the Solutions offered. This
data is permanently stored by us in two distinct locations.
If you choose the Back
Office Solution, should
your system crash, we will ensure that your data is fully
restored and sent back to you.
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12. I am not in your
geographical location, can I still use your service?
Yes
ofcourse! If you choose the Full
Service Solution, you can
scan and upload your documents to us, or you can mail
them to us. You then access your data over the internet.
Therefore your physical location is immaterial.
If
you choose the Back Office
Solution, we use the internet
to get your scanned documents and your data files at the
end of your day, and similarly, the internet is used to
return your updated data to you. Therefore, your physical
location does not matter.
The
only requirement is that you have a broadband internet
connection.
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13. What specialties do you support?
We support all specialties.
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14. How long does it take to get started?
This depends on whether you want
us to convert your existing data.
Full
Service Solution
1
week with no data conversion
3
to 4 weeks with data conversion
Back
Office Solution
3
weeks with no data conversion
3
to 4 weeks with data conversion
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15. How long have you been in business?
We have been in business since
1993.
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16. Do I have control of my data?
Yes!,
if you choose the Back
Office Solution. You have
TOTAL control of your data, as it is physically located
in your office during your working day. The software allows
you to make any updates that you require. The software
also has the capability to produce any report that you
need. You can also do data entry and run the validation
routines in your own office, if you desire. It is a complete
Medical Billing software, with features and capabilities
not found in ANY OTHER software on the market today.
If
you choose the Full Service
Solution, you have access
to all your data at our web site, but you have limited
capabilities to make changes. The data is not physically
located in your office.
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17. Can I just use your software and not your service?
You could if you choose the
Back Office Solution, but
you would incur the minimum monthly fee. It is therefore
to your advantage to also use the service, and have us
professionally do almost 90% of your work for you. See
the Savings Calculator
to calculate the tremendous savings you will experience,
with either one of our solutions.
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18. What happens if my staff goes on vacation or quits?
You will have very little to worry
about! As long as you can scan and send us your documents,
or mail your work to us or have us pick it up from you,
your work will get done. You can even ask us to temporarily
take on the entire Medical Billing process for you (if
you have chosen the Back
Office Solution).
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19. What work do I/my staff have to do?
Full
Service Solution
All you have to do is send us your
work, either by scanning and uploading it to us (the preferred
option), or by mailing it to us, or by having us pick
it up from your office. In addition, you will need to
monitor the Incomplete Information page of the web site,
and send us any missing or incomplete information, so
we can effectively collect on a 100% of your claims.
Back
Office Solution
You
will need to scan and upload your work to us
Depending
on the tasks you choose to have us do, you will primarily
need to deal with only the exceptions that occur. These
may include:
-
Fixing any incomplete billing information that may result
either from your not giving us complete
information, or because we could not read a certain scanned
page, etc.
- Fixing some validation errors that cannot be fixed by
us
Appealing
incorrect denials
Printing
and mailing your patient bills and secondary claims and
some primary paper claims.
Responding
to your patient’s billing inquiries.
Taking
action on your ‘Zero’ payments
In
any event, you will be clearly informed of all actions
that you need to perform
The
state-of-the-art software simplifies all your tasks. As
an example, printing secondary claims is a trivial exercise,
as the Primary EOB can be viewed and printed directly
through the software, removing the need for you to search
for it and photocopy it.
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20. How do claims get submitted?
Full
Service Solution
We electronically submit all clean
claims daily. We mail claims daily to insurance companies
that do not yet accept electronic submissions. We monitor
all electronic submission reports for denials and eligibility
issues, and take necessary action.
Back
Office Solution
This is an optional task that you
can choose to do yourself. However, we recommend that
you let us do this for you.
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21. Are you HIPAA compliant?
Yes. We also keep track of all
new code and regulatory changes and automatically update
the software.
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22. CPT/ICD9 codes, regulations change constantly, does
your software keep abreast of these changes?
Yes. We keep track of all changes
to Codes and regulations and update the software. Whenever
changes are made, you will automatically receive a software
update.
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23. Is your software Multi-User?
Yes. The database supplied with
the Back Office Solution
software is capable of supporting up to 5 users. Should
you have a need for more users, we can supply you with
a database that will support unlimited users, at an extra
charge. Please call us to discuss this particular issue.
In the Full Service Solution,
there is no limit to the number of users who can access
the web site.
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24. I already do my billing In-House, why should I switch
to your service?
Please see the Savings
Calculator to determine the tremendous savings you
will experience. Depending on your collections, your annual
savings could be in the tens of thousands of dollars with
either one of our two solutions. If you already have experienced
billing staff, you may be able to retain your best people,
enjoy huge savings, and quite likely increase your collections
as a result of the efficiencies introduced by our software
and processes.
By using our service, you will be able to:
Have
your data entry done and claims submitted on a daily basis,
as opposed to on a “when time permits” basis.
Have
your payments posted to your patient accounts as soon
as payments are received.
Submit
your secondary claims, and balance bill your patients
immediately.
Reduce
the number of employees involved in doing your billing
Reduce
the number of hours in a day your employees spend on Billing
tasks
Enable
your staff to concentrate on the problems instead of being
swamped by the data entry tasks.
Have
access to a staff of professional Medical Billing personnel,
at a fraction of the cost of hiring locally
In
other words, you will be able to substantially improve
the efficiency of your billing operations, and collect
more of the money due to you.
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25. I already outsource my billing, why should I switch
to your service?
If
you prefer to continue outsourcing, our
Full Service Solution offers
a combination of services that most other billing services
cannot possibly offer you.
Owing
to our operating model, we perform services like proofreading
for accuracy, thus guaranteeing that we billed and posted
exactly what you sent us.
Our
state-of-the-art proprietary software allows us to guarantee
that only clean claims are submitted the first time around.
Our
web site completely exposes us and allows you to see,
in Real-Time, everything we did on your account.
We
offer you instant access to your data, including the ability
to view your digitized original documents.
Moreover,
you can run all practice management reports at any time
from the web site without having to wait for us to send
them to you.
Our
turnaround time is overnight. If you send us a days worth
of work every day, it will be completed by the next morning.
All clean claims will be submitted, resulting in quick
payments.
Your
secondary claims and patient bills are mailed immediately
after payment posting
There
are no extra or hidden charges.
If
on the other hand, you opt for our Back
Office Solution, you will
gain total control of your data, and you will enjoy huge
savings. Depending on your collections, these savings
could be in the tens of thousands of dollars annually.
Please see the Savings
Calculator to determine your best solution.
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