Frequently Asked Questions
Find answers to the most common questions about our medical billing services. Can't find what you're looking for? Contact our support team for personalized assistance.
BillPayHealth is a professional medical billing service provider that helps healthcare practices streamline their billing operations, reduce administrative burden, and maximize revenue collection. We handle everything from claims submission to payment posting, allowing you to focus on patient care.
We serve a wide range of healthcare providers including primary care physicians, specialists (cardiology, orthopedics, dermatology, etc.), mental health professionals, physical therapists, chiropractors, dental practices, and multi-specialty clinics. Our solutions are scalable for solo practitioners to large group practices.
The onboarding process typically takes 2-4 weeks, depending on the complexity of your practice. This includes practice setup, credentialing verification, software integration, and staff training. We work efficiently to minimize disruption to your operations during the transition.
Yes, we work with all major insurance carriers including Medicare, Medicaid, Blue Cross Blue Shield, United Healthcare, Aetna, Cigna, Humana, and hundreds of other commercial and government payers. Our team stays current with each payer's specific billing requirements.
Our comprehensive billing services include:
• Patient demographics and insurance verification
• Medical coding (ICD-10, CPT, HCPCS)
• Electronic claims submission
• Denial management and appeals
• Payment posting and reconciliation
• Patient billing and collections
• Monthly financial reporting and analytics
• Dedicated account management and support
Yes, our team includes certified professional coders (CPC) who are experts in ICD-10, CPT, and HCPCS coding. We ensure accurate coding to maximize reimbursement and maintain compliance with payer requirements and regulatory standards.
We have a dedicated denial management team that reviews all denied claims, identifies the root cause, corrects any errors, and resubmits appeals with supporting documentation. We track denial patterns to implement preventive measures and reduce future denials.
Yes, you'll have 24/7 access to our secure online portal where you can view real-time reports including claims status, accounts receivable aging, collection rates, denial trends, and detailed financial analytics. We also provide comprehensive monthly performance reports.
Our pricing is flexible and depends on your practice size, specialty, and service needs. We typically charge a percentage of collections (usually 4-8%) or offer flat monthly fees for larger practices. There are no setup fees or long-term contracts required. Contact us for a customized quote based on your specific requirements.
No, we believe in transparent pricing. All fees are clearly outlined in your service agreement. There are no hidden charges, setup fees, or cancellation penalties. You only pay for the services you receive.
We typically offer annual contracts with automatic renewal, but we also provide month-to-month options for practices that prefer flexibility. Either party can terminate the agreement with 90 days written notice without penalties.
No separate software fees are charged. Access to our billing portal, reporting tools, and practice management integration is included in your service fee. We work with your existing EHR/EMR system to ensure seamless data flow.
We integrate with most major EHR and practice management systems including Epic, Cerner, AllScripts, eClinicalWorks, Athenahealth, NextGen, DrChrono, Kareo, and many others. If you use a less common system, we can work with you to establish a smooth workflow.
Absolutely. We are fully HIPAA-compliant and use bank-level encryption, secure servers, regular security audits, and strict access controls to protect your data. All employees undergo background checks and HIPAA training. We maintain comprehensive cybersecurity insurance and disaster recovery protocols.
No, in most cases we can integrate with your existing EHR and practice management software. We adapt to your workflow rather than requiring you to change systems, minimizing disruption to your practice operations.
Yes, BillPayHealth is fully HIPAA-compliant. We execute a Business Associate Agreement (BAA) with all clients and maintain strict protocols for handling Protected Health Information (PHI). Our staff receives ongoing HIPAA training and we conduct regular compliance audits.
Our compliance team continuously monitors federal and state healthcare regulations, payer policy updates, and coding changes. We attend industry conferences, participate in professional associations, and subscribe to regulatory update services to ensure our practices remain current and compliant.
We maintain detailed documentation and audit trails for all billing activities. If your practice faces an audit, we provide full support including documentation retrieval, clarification of billing practices, and assistance in responding to audit requests. Our accurate coding and billing practices minimize audit risk.
Most practices see improved cash flow within 30-60 days as we clear outstanding claims and establish efficient billing processes. Full optimization typically occurs within 90 days as we implement best practices and address any legacy issues.
Our clients typically achieve collection rates of 95-98% of expected reimbursement, which is significantly higher than the industry average of 85-90%. Actual results vary by specialty, payer mix, and practice-specific factors.
We reduce denials through front-end insurance verification, accurate coding, clean claim submission, eligibility checks, and proactive follow-up. Our average first-pass acceptance rate is over 95%, compared to the industry average of 75-80%.
You'll be assigned a dedicated account manager who serves as your primary point of contact. You'll also have access to our billing specialists, coders, and support team. Your account manager will conduct regular check-ins and performance reviews.
Our support team is available Monday through Friday, 8:00 AM to 6:00 PM EST. Emergency support is available 24/7 for critical issues. You can reach us by phone, email, or through our secure client portal.
We prioritize quick response times. Routine inquiries are typically answered within 4 business hours, while urgent matters receive immediate attention. Your dedicated account manager is available by phone and email during business hours.
Getting started is easy:
1. Contact us for a free consultation and practice assessment
2. Receive a customized proposal and pricing quote
3. Sign the service agreement and BAA
4. Complete the onboarding process (2-4 weeks)
5. Launch services and start seeing improved results
We'll need basic practice information including provider credentials, NPI numbers, tax ID, insurance contracts, fee schedules, and access to your practice management system. Our onboarding team will provide a detailed checklist and guide you through each step.
Absolutely! We offer free consultations and system demonstrations. Contact us at +1 (855) 247-4357 or support@billpayhealth.help to schedule a meeting with one of our billing experts. We'll review your current processes and show you how we can help improve your revenue cycle.
Our team is here to help. Contact us today for personalized assistance with your medical billing needs.