How to Find the Right Pathology Medical Billing Company or Service

If you want to outsource your pathology billing needs to a third party service provider, make sure the company follows HIPAA approved guidelines. This is to ensure that your patient information remains confidential and safe. Many of the insurance companies such as Medicare, Medicaid and other private insurance companies consider these guidelines when it comes to reimbursing healthcare providers such as you.

As you know, the pathology medical billing process comprises patient enrollment, insurance verification, scheduling, insurance authorizations, scheduling and re-scheduling, referrals, coding, billing and reconciling of accounts, and AR collections. These are time and labor-intensive tasks that require great attention to detail so that any kind of error is avoided.

Some of the Medical Billing Guidelines You Must Know

For reducing workload and to save money and time, you can outsource your billing requirements to a reliable medical billing company that strictly follows pathology billing guidelines as outlined by the HIPAA. The main objective of the Health Insurance Portability and Accountability Act or HIPAA is to protect and safeguard patient's personal health information such as names, address details, social security numbers and medical records. To protect and maintain your pathology practice's good reputation, you must maintain security and confidentiality of PHI (Protected Health Information) and make sure the billing company you hired to do pathology medical billing follows all applicable guidelines.

    The company must not utilize home-based workers to do billing tasks.

    Company employees should not be allowed to bring portable storage devices such as floppy discs, CDs, DVDs and electronic devices such as laptops and PDAs.

    All office computers must be firewall and anti-virus protected and provided with regular security updates.

    Monthly back-ups of all computer systems must be made and stored in a locked outbuilding on company property.

    Technical evaluations should be conducted on a routine basis to ensure all systems meet or exceed specified security measures.

    Make sure all files transferred are protected with 128-bit encryption.

    The company must have VPN facility so that they can communicate with you in a secured way.

    The company's entire workforce must be trained on privacy, security, and confidentiality and must sign non-disclosure employee agreement.

Advantages You Get from Outsourcing

There are medical billing companies that strictly follow standard pathology billing guidelines and are compliant with HIPAA. If you outsource your medical billing tasks to an established billing company, you can gain advantages that will influence on revenue growth of your pathology medical practice.

    You can save 30 to 40% your operational costs.

    Enjoy 24/7 technical support

    Process all the claims within 12 hours

    Constant analysis for patterns on codes, procedures and any global problems

    Regular QA checking

    Supports billing for Medicare, Medicaid and other private insurance firms

With the right service provider, you need not be concerned about compromising security and confidentiality of patient's private and medical information. Going by the main pathology billing guidelines, you can locate a reliable medical billing company that will help you in fulfilling your billing requirements promptly and efficiently.

Outsource Strategies International is a premier pathology medical billing company in the US which deals with pathology medical billing services including patient enrollment, scheduling, insurance verification, referrals, scheduling and re-scheduling, coding, billing and reconciling of accounts, collections and AR collections.