Frequently Asked Questions

Q. Do you have any other services than what is listed on your services page?

A. Yes, we do! Please contact us regarding your specific inquiry by filling out our request for more information. We give you the services you want and need. At Preferred Healthcare Management, we do our best to accommodate you. We are willing to customize our services to fit your practice!

Q. Why should I use a billing service when I can do my billing in-house?

A. There are many reasons to utilize a billing service. A billing service’s main focus is to obtain maximum reimbursement for the services you provide. We have the time to do the follow-up on every level. Your staff has multiple duties, patient care being their main concern. It is impossible for your staff to stay abreast on all of the follow-up work, insurance regulations, patient care and concerns. Utilizing a billing service will relieve the stress of your staff having to sit on the phone with insurance companies, wasting their valuable time and energy when it should be put to use in caring for your patients. Preferred Healthcare Management will reduce your $$/Claim cost significantly.

Q. What kind of experience does Preferred Healthcare Management (PHM) have?

A. We have over 25 years of experience in the healthcare field. We are experienced in most Specialties, such as Oncology, Cardiology, Internal Medicine, OB-Gyn, Family Practice and more. The variety of specialties we service requires knowledge of modifier usage, global billing periods, Medicare and Medicaid rules, making it necessary for our staff to continually update their education in order to stay current. We are dedicated to truly knowing and staying current with the ever changing rules and regulation.

Q. Are you HIPAA Compliant?

A. Yes, we are. Everything is done to keep up and comply with the HIPAA regulations. We are constantly attending seminars in regards to HIPAA in an effort to stay compliant. This will always be an aspect of the business that will continuously evolve. We intend to evolve with it!

Q. Can you handle clients outside of San Diego, California?

A. Yes. Since most transactions occur over the fax, computer and e-mail, PHM can provide third party billing services to clients anywhere in the country.

Q. How are claims and patient information sent to your office?

A. In most cases, you can fax and scan most information and claims to our office on a daily basis. For clients out of the area, we provide a toll-free number. You may prefer to send claims via regular mail or overnight on a regular schedule.

Q: When are claims submitted for payment?

A: Claims are submitted 24 hours a day, 5 days a week. All claims received from your office will be entered and submitted for payment within 24 hours. The only exception to this is on holidays and weekends.

Q. Do you send statements to patients?

A. Yes. We can send patient statements after you have received primary and secondary insurance payments. We will also follow up with patients on outstanding balances.

Q: Who does a patient call with billing questions?

A: All patients call our toll free number with any questions that they may have regarding their claims or statements. Our toll-free number is on all patient statements, and they are welcome to call us for any questions related to their accounts. Questions are answered courteously, and every effort is made to expedite a settlement. Patient support is never compromised.

Q. Where are Reimbursements/Payments sent?

A. All checks will come to your office. Your staff will fax the Explanation of Benefits (EOB’s) to our office so that we may post the payments. All patients that are billed from our office will send the payments to your office as well. Your staff will fax us a copy of the check so that it may be posted to the patient account.

Q. What is the Initial setup process?

A. – Establish needs & offer a contract for service

– Notify all insurance companies of change

– Transfer or input your data to our system.

– File practice name with electronic insurance filing third party carrier.

Q. How much does your PHM charge?

A. Our fees are based on your needs with a goal to provide high quality, affordable, cost-effective services. Our services are customized to fit the unique needs of each practice depending on your Practice, size, volume and services needed.

We can establish pricing only after learning more about your practice. Simply contact us with some information, and we will provide a quote to your practice within 2 days.

Preferred Healthcare Management (PHM) charges a flat rate fee or percentage of receivables* (*Depends on the Laws of each state if Percentage billing is acceptable).

Q. What services are included with this fee?

A: Depending upon the services that are needed, Preferred Healthcare Management (PHM) handles everything from data entry and insurance verification to coding and claim submission. We process all charges and post all payments in the practice management software. Our professionally trained staff performs all claims follow-up and appeals. We also mail monthly patient statements to patients with outstanding balances. Our fee always includes a dedicated staff to assist you and your staff with any questions.

Q. Why should we outsource our Billing to Preferred Healthcare Management (PHM)?

A. – You will save the costs of an employee, no payroll taxes or disability.

– There will be no sick days, maternity leave, or vacations.

– You don’t need to worry about supplying a computer, space, or equipment

– No more HCFA forms or envelopes.

– Increased Cash Flow

– High Collection Ratio

It also eliminates training costs and pricey medical billing software. Preferred healthcare Management (PHM) is focused experienced and continues to strive to be the best for you and your Practice needs.

Q. Does Preferred Healthcare Management (PHM) provides credentialing for physicians?

A: Yes, we can handle the process of obtaining your credentials with all major insurance companies. We follow the process from start to finish so your paperwork does not get left on a desk or lost in a paper shuffle.

Q. Is there any software or hardware to buy?

A: No, we do not require you to buy expensive software or hardware to handle your medical billing or practice management needs.

Q. Is my data protected from deletion?

A. Yes, your data is backed up daily.

Q. How do I get started with Preferred Healthcare Management (PHM)?

A: You can get started immediately by filling out our information request form, by calling us toll free at (888) 416-4746 or by emailing us at providerservices@preferreddoctors.com.

We look forward to hearing from you.