Traditional Plan

Commission Based Full Service Plan

The traditional plan offers full service medical billing at a rate of 7% of payments collected from providers and payers.

The going rate for outsourced medical billing is currently between 8%-10% of the amount of revenue collected.  In addition, most tack on fees for postage, copies, patient statements, etc.  Because of the high cost, many providers attempt to juggle their practice and medical billing on their own.

Advances in HIPAA compliant data delivery methods have changed the manner in which we are able to collect information necessary to submit claims.  Because of this, we have developed a system that streamlines the medical billing process.  This decreases the amount of direct data entry required by both providers and our medical billers, allowing us to offer lower rates.  If a provider has a system in place that works well for them, we will collaborate to design a plan that works for efficiently for all.

What does Full-Service Medical Billing Include?

Benefit and Eligibility Checks

Our system uses HIPAA compliant forms to collect patient demographics and insurance information.  This allows patients and providers to submit eligibility and benefit requests directly to us.  As an important first step, determining benefits and eligibility requirements prior to a patient’s first visit eliminates most insurance payment issues.  This is in the best interest of everyone.

Claim Submission

Electronic and paper claims are submitted in a timely manner to Private Health Insurance Companies, Labor and Industries, Auto Insurance Companies, Medicare and Medicaid as applicable to the provider type we are billing for.   

Tracking Payments

We track and record payments from your patients and insurance carriers.  This provides us with information to catch and address issues early.

Patient Billing

We will submit invoices to your patients monthly, for patient owed balances. Patients can contact our office if they have questions about their bills.  Payment plans can be initiated when necessary.   

Accounts Receivables

We provide a monthly accounting of all charges, payments and adjustments and an up to date accounts receivibles report. 

Customer Service

We are available to answer questions, make suggestions and lend our expertise.  We enjoy helping your practice flourish.  

We also offer:

No Set Up Fees

Most medical billing services charge hundreds of dollars to set up a new practice/provider.  Our online system streamlines the setup process and we appreciate each new business. Eliminating a setup fee is our way of saying thank you for choosing us as your medical billing service.

No Annual Contracts

One or two year contracts are standard in the medial billing industry.  We are so confident you will be happy with our services, that Ethical Billing Solutions has established a 30-day cancellation policy.  We will work hard to keep your business but won’t hold you hostage if you find you need something different.

Our Guarantee

We offer a 30-day-money-back-guarantee.  If you’re not happy for any reason, we will return your first month’s subscription fee and will cancel further service.  Just send us an email message within the first 30 days of your start date.  We’re that confident you will be happy with our service.