Platinum Service Plan:
- Electronic/Paper Claim Submission
- Web-based practice management system
- Follow-up on outstanding insurance claims
- Post patient and insurance payments
- Appointment Scheduling (at an additional discounted cost)
- Appointment Reminder (at an additional discounted cost)
- Appeal denied or incorrectly paid claims
- Generate monthly financial reports
- Process and mail monthly patient statements
- Track authorizations for patient treatment
- OTR Submission (Mental/Behavioral health only)
- Expeditious turnaround on payments
Diamond Service Plan:
- Electronic/Paper Claim Submission
- Web-based practice management system
- Follow-up on outstanding insurance claims
- Post patient and insurance payments
- Appeal denied or incorrectly paid claims
Gold Service Plan:
- Electronic/Paper Claim Submission
- Web-based practice management system
- Post patient and insurance payments
Virtual Assistant Service Only:
- Appointment Scheduling
- Appointment Reminder Calls
Account' Receivable Recovery (Soft Collection) Only:
- Appeal denied or incorrectly paid claims
- Submit patient statements (up to 5) for balances due
Q: What medical specialties do you handle?
A: We are capable of handling different medical specialties. Medical billing services can be provided for the following specialties: ENT (Otolaryngology), Allergy (Allergist), Cardiology, Emergency Department, OB/GYN, Pediatrics, Psychiatry, Licensed Clinical Social Worker, Behavorial Health/Mental Health, Endocrinology, Radiology, Oncology, Hematology, Massage Therapy, Speech-Language Pathology, Podiatry, Home Health Agency, Family Practice, Emergency Medicine, Neurology, Orthopedic Surgery, General Surgery, Anesthesiology, Neonatal Medicine, Ambulance Services (EMT), Dermatology, DME, Urology, Ambulatory Surgical Centers, Pharmacy, Advanced Practical Nurse, Dental and Internal Medicine...just to name a few!
Q: How would I send my billing information to you?
A: There are several ways that a physician/provider can send billing information to our office. The most commonly used method is via a high-speed scanner and/or fax/scanner capability, in which the office will scan the work to our server where it can be downloaded into our processing unit. Some providers will perform the data entry into our web-based practice management system and/or while others will have the patient to enter the information from our website so that there is no delay in their visit.
Q: How does ADN & Associates, LLC Medical/Mental Health Billing Service communicate with its clients?
A: Our Account Representative are also available at (732) 821-2085 to answer questions and ensure satisfaction. We are also available via email.
Q: How does ADN & Associates, LLC Medical/Mental Health Billing Service file claims?
A: About 97% of claims are filed electronically with the insurance companies. However, for companies that are not currently setup to receive claims electronically, we use HCFA or forms for claims submission.
Q: What is the benefit of filing claims electronically?
A: With our electronic billing service, you should receive reimbursement from the insurance companies within 7-21 days; paper claims submissions take 90-120 days.
Q: Are there any extra charges for electronic transmission of claims to the clearinghouse?
A: No! There are no extra charges for electronic transmission of claims to the clearinghouse.
Q: Where will the insurance companies send the payments?
A: All checks and EOBs (Explanation of Benefits) will be sent directly to your office or sent to a lockbox location. You keep the checks and send us scanned copies of the EOBs, so that we can perform effective follow-up. ADN & Associates, LLC Medical/Mental Health Billing Service does not receive any payments from the insurance companies. Some providers also setup electronic funds transfer (EFT) with the insurance carriers. This means that the same mailed check is then electronically deposited into the provider's assigned bank account. The electronic remittance will then be sent to the billing center and/or provider showing the detailed payment information.
Q: Do you follow-up on unpaid claims?
A: Yes we do. Unless the non-payment is for a valid reason, such as a deductible, capitation, no coverage or duplicate invoice. If additional information is not available to ADN & Associates, LLC Medical/Mental Health Billing Service, we will contact your office for clarification. We will then follow up with an appeal if the claim remains unpaid.
Q: What is “soft collection” service?
A: We perform follow-up on patient bills by sending a series (between 3 and 6) of collection letters to patients, requesting payment of the past due amount. After the 5th collection letter, your office will be notified and can then take further actions such as reporting to a collection agency. ADN & Associates, LLC Medical/Mental Health Billing Service is "not" a collection agency.
Q: Will you process and follow-up on my old bills?
A: We will start the billing process from the effective date of the contract. However, a mutually agreeable special arrangement can be made to handle your old and/or back logged bills. Additional charges will apply.
Q: How long is the set-up process?
A: We can start the setup process immediately upon the signing of our contract. Generally, the process takes approximately 3 to 4 weeks and paper claims processing can begin immediately. A more accurate estimate will be provided after reviewing your individual practice needs.
Q: Is there any setup fee?
A: Under all of the service plans, there is a non-refundable one-time setup fee. In order for us to process your claims effectively and efficiently, we go through a very laborious and time-consuming setup process. This process includes entering all your patient data into our system, creating customized forms, setting up your account with our clearinghouse as well as assisting you with the installation of your high-speed scanner. It is important to note that we do not charge you any hidden fee for click charges, postage, business reply mail, etc. You pay only the initial setup fee and the agreed upon rate for the collected amount.
Q: Where can patient calls for billing questions/inquiries?
A: We have specially trained account representatives at our New Jersey and Pennyslvania Call Center to respond in a courteous and professional manner to patient-billing questions.
Q: Will I be asked to pay any other costs or charges?
A: Yes, unlike other billing companies, we do charge you an additional fee for items that are not within the Platinum Service Plan such as OTRs, benefits & eligibility check, postage, appointment scheduling and reminders (not included in the Platinum Service Plan) and statements to patients, etc. All of these costs are not included in the Diamond and Gold Service Plans. Our goal is to keep it simple.
Q: What if there is any information missing from the scanned work that I send to your office?
A: During the initial process, ADN & Associates, LLC Medical/Mental Health Billing Service will verify the missing information before submitting claims. Therefore, all patient information "must be" accurate. After the initial setup process, forms with missing information are presented for your review and your office can update all the missing information online, which can be imported directly into our system, while avoiding any delays in filing your claims.
Q: Are there any system requirements to use your billing services?
A: Yes, you will need a high-speed scanner and/or fax/scanner capabilities to upload your bills, payments and EOBs, and an internet connection to upload your data to us.
