Billing Tips Blog

Why use a billing agent instead of relying solely on on-site administrative staff? The answer often depends on the structure and workload of your practice.

Consider the following questions:

• Does your administrative staff already have a broad range of responsibilities? 
• Are they supporting multiple healthcare professionals? 
• Are they managing growing patient volumes and front-office demands? 
• Do they perform additional office duties beyond billing? 

In many practices, billing becomes just one more task that must be squeezed into an already busy day. While this is understandable, delayed or inaccurate billing can directly affect your income and cash flow.

A dedicated billing agent can help ensure that claims are submitted accurately, efficiently, and within required timelines. By focusing specifically on medical billing, they can reduce rejected claims, improve follow-up on unpaid accounts, and help maximize revenue collection. For many physicians, a billing agent becomes an invaluable part of the practice team.  [Read more...] 

It has been a long journey, and now you are finally ready to begin independent practice — congratulations! Whether you have just completed residency or are new to medical practice in Ontario, welcome.

As you transition into practice, there are several important administrative steps to complete, including registering with the Ministry of Health so you can begin receiving payment for insured medical services. Understanding the billing process early will help you avoid delays, rejected claims, and unnecessary administrative headaches.

The following is a brief checklist of key items you should be familiar with before you begin submitting claims. Additional online resources and useful links can typically be found on the “Resources” section of your organization’s website. [Read more...] 

If you are operating your own clinic or picking up on-call shifts in addition to your salaried position, your practice will need to submit fee-for-service claims to government programs such as OHIP, Reciprocal Medical Billing (RMB), and WSIB, as well as to other insurance providers. Whether you submit these claims yourself or delegate the task to administrative staff or a billing agent, understanding the billing process is essential to ensuring claims are submitted accurately, on time, and with minimal loss of revenue.

The following tips can help maximize claim acceptance and optimize reimbursement.. [Read more....] 

 The majority of patients you encounter will be covered under OHIP, allowing you to submit fee-for-service claims according to Ontario Ministry of Health billing guidelines. However, you will increasingly encounter patients with alternative forms of health coverage. It is important to understand the appropriate billing processes and submission deadlines for these patients to ensure claims are submitted correctly and reimbursement is not lost. [Read more...]