Frequently Asked Questions
Below
are answers to the most frequently asked questions about our service.
Have another question or need more information? Just send us an
email. Want to know even more? Call
us now at: (877) 924-7797 for a no-cost, no-obligation
consultation, or visit our Getting Started page.
Why should I outsource my billing?
Efficiency, expertise, and greater reimbursements. Some software vendors would like you to believe that, at the end of the day, someone pushes a button and your medical claims are done. Sure, claims may get sent, but that doesn't mean they'll get paid. And keeping an expert biller on staff is not as easy as it might seem. For example, how will an in-house biller stay abreast of all the changes in healthcare reimbursements? Or how will you know if they are billing correctly? You can depend on Emax's expertise to manage your revenue cycle properly and avoid the losses—often hidden losses—created by doing your own billing. Typically, the savings in personnel, training, technology and support, along with increased revenue, more than pay for our service. Perhaps best of all, when you outsource your medical billing to Emax, you also outsource your billing headaches.
How will I get claims information to Emax?
Simply mail or fax your superbill/encounters or ambulance run sheets, completed patient demographic forms, and copies of patient’s insurance cards. If your information is already in electronic form, just let us know.
How often will claims be submitted?
Once your superbill/encounters arrive, your claims are submitted typically within a single business day.
Where will payments be sent?
We will help you arrange direct deposit (electronic transfer) with insurance carriers, such as Medicare, that offer it. Those payments go right into your bank account. For carriers that only use paper checks, those payments come to Emax, and we deposit them directly into your account using a high-speed check scanner and what's called "remote deposit capture," which provides the most efficient way to get your reimbursements into your bank account. All checks are made payable to your practice, and all funds go directly into your bank account. Alternatively, you can have your bank provide a lock box service where the explanation of benefits (EOBs) that accompany paper checks are forwarded to Emax. Either way, it’s critical that Emax receives the EOBs promptly so that your patient accounts are always up to date and accurate, allowing Emax to bill patients and conduct follow up in a timely manner—all of which means more revenue for you.
What if the claim gets "lost" by the carrier?
Emax will follow up on all claims that do not get processed in a timely manner. Emax will track all claim submissions and automatically follow up on unprocessed claims.
How will I know my practice financials?
Emax will provide you with a practice analysis report each month. We can also provide many other detailed reports in Adobe Acrobat format (.pdf) via email—with no need to log into our system.
How much does it cost?
Emax charges a percentage of the actual amount paid to your practice, so the success of Emax is directly tied to the success of your practice. Because practices vary in patient volume, average amount per claim, services needed, and complexities involved, call toll-free (877) 924-7797 for a no-cost, no-obligation consultation, or go to the Getting Started page to tell us a little about your practice, and we will get back to you right away. (If your prefer, we can also provide our professional services at an hourly rate.)
What about my old billing system?
You should allow your old billing system to “wind-down”—that is, allow outstanding claims and billing to complete their cycle within that system.
Can you help with a new practice?
Yes. Emax can help with all aspects of billing as you get started.
Can you help me enroll with Medicare?
Yes. If you are not enrolled, or if you are starting a new practice, we can help you complete the CMS855 and other forms, and Emax will monitor your enrollment progress with Medicare.
How soon can I get started?
Once an agreement is signed, and as soon as we receive billing information from you, Emax can begin
billing for you. Emax will need your tax ID, NPI, along with other
specific billing information for your practice, and of course, your
superbill/encounters. Emax will handle the electronic claims submission
enrollment with Medicare, Medicaid, and other carriers that require it. To
get the ball rolling, call toll-free (877) 924-7797,
or go to the Getting
Started page now.
