Frequently Asked Questions

What does the medical billing service consist of?

Will I need to sign a contract to use your services?

What fees are involved for your services?

Are you a collection agency?

Will I need to purchase any computer equipment or software programs to utilize your services?

Is Dallas Medical Billing HIPAA compliant?

What are your business hours?

Can you be reached outside of business hours?

What are the qualifications of the employees at DMB?

How do we get the information necessary for billing to you?

When should we send our billing information to you?

What information is needed in order to generate a claim?

Do we need to report insurance payments received?

Do we need to report patient payments received?

How often will patients be billed?

How do you handle non-payment from an insurance company?

How do you handle non-payment from the patient?

Can you bill insurance claims only?

What does the medical billing service consist of?

  • Entering new patient demographics
  • Claims information verification (for clean claims submission)
  • Electronic and paper claim submissions to insurance companies
  • Electronic claim setup for providers
  • Correction and re-submission of claims
  • Claims tracking and follow up
  • Claims appeals
  • Payment posting
  • Patient statements/billing
  • Monthly practice management reports

Will I need to sign a contract to use your services?

Yes, although all of our services offer a convenient month to month plan.  Signing a one or two year contract; however, will drop your costs dramatically.

What fees are involved for your services?

In most cases we charge a percentage of money collected as a result of our billing and collection efforts.  We will also charge a one-time initial setup fee to cover the cost of setting up a provider in our computer system as well as with the appropriate .  Fees are dependent on the services we provide for each individual doctor.

Are you a collection agency?

No.  We make all reasonable efforts to obtain payment and recommend delinquent accounts be sent to a collection agency.

Will I need to purchase any computer equipment or software programs to utilize your services?

No, our services are designed to accommodate your practice management needs in a non-evasive manner.  We want your experience to be as “cost free” and educational as possible.

Is Dallas Medical Billing HIPAA compliant?

Yes, DMB has a HIPAA compliance plan in action.  Additionally, all employees who handle claims at DMB have successfully completed HIPAA training.

What are your business hours?

We are open Monday through Friday from 8:00 AM to 4:30 PM, Central Standard Time.

Can you be reached outside of business hours?

We have phone voice messaging, fax machines and email.  We will reply to messages during business hours.

What are the qualifications of the employees at DMB?

All of our medical billers have at least 7 years of billing experience.  All of our employees have at least 5 years of experience in a medical office.

How do we get the information necessary for billing to you?

Secure e-mail, fax or FedEx is the preferred method of submission.

When should we send our billing information to you?

As often as you like.  We recommend daily, weekly, or twice a month.

What information is needed in order to generate a claim?

  • Patient demographics:  Name, Address, Phone, SS#, DOB, Marital Status, Employment Information, Contact Information
  • Insurance information:  Primary and Secondary Insurance Carrier, Policy/Member Number, Insured’s Name, Address, Phone, Relationship to Patient, Copy of Insurance Card (front and back)
  • Superbill, encounter or treatment form containing the following:  Date of Service, Referring Physician, Diagnosis Codes (ICD-10), Procedure Codes (CPT) and Modifiers (if applicable), Units (if applicable), Time (if applicable)

How do you handle payments received from the billing done in your office?

Electronic remittance advice (ERA) is the preferred method of payment notification receipt.  Once set up in our database you will be required to enroll with each insurance company to accept payment via Electronic Funds Transfer (EFT).  Once enrolled DMB will be able to receive payment information electronically.

How often will patients be billed?

Patients will receive statements of their account monthly.

How do you handle non-payment from an insurance company?

If a denial of payment is not valid, we will send an appeal to the insurance company for the amount we should be paid.  If a denial of payment is valid, we will bill the account to the patient or recommend it be written off.

How do you handle non-payment from the patient?

If we have sent out 3 monthly statements with no response from the patient, we will recommend the account be sent to a collection agency.