Question 1

What is medical billing outsourcing and how does it work?

Accepted Answer

Medical billing outsourcing means partnering with a certified billing company — like HEMBILLING — to manage your entire revenue cycle on your behalf. We handle claim preparation, coding, submission, follow-up, denial appeals, and AR management. You continue seeing patients and using your existing workflow; we handle everything on the billing side and report back to you regularly on performance.

Question 2

How much does outsourcing medical billing cost?

Accepted Answer

HEMBILLING works on a percentage-of-collections model, meaning we only get paid when you get paid. There are no flat monthly fees or upfront costs. Our rate varies by specialty and claim volume — contact us for a custom quote tailored to your practice.

Question 3

How quickly can we get started?

Accepted Answer

Most practices are fully onboarded within 5 to 10 business days. The process starts with a kickoff call followed by you granting HEMBILLING access to your existing EMR or practice management system. From that point, our team works directly inside your platform — no data migration, no system changes, no disruption to your workflow. You can see every action we take in real time, just as if your own staff were doing it.

Question 4

Is my patient data safe with HEMBILLING?

Accepted Answer

Your patient data never leaves your system. HEMBILLING works directly inside your own practice management software — we don't extract, store, or transmit any patient information to external systems. All coding and billing activities are performed within your EMR, so your practice retains full control and ownership of all data at all times. This model eliminates the data-sharing risks associated with traditional outsourced billing.

Question 5

What specialties do you serve?

Accepted Answer

HEMBILLING serves Internal Medicine, Family Practice, Pediatrics, Radiology, Urology, Urgent Care, and Dental providers. Each specialty has its own coding requirements, payer rules, and denial patterns — our team has hands-on experience across all of them.

Question 6

What certifications does your team hold and why do they matter?

Accepted Answer

Our team holds CPC (Certified Professional Coder), CRC (Certified Risk Adjustment Coder), and CPMA (Certified Professional Medical Auditor) credentials issued by the AAPC. These certifications require rigorous exams and ongoing continuing education. They matter because certified coders produce cleaner claims, fewer denials, and more defensible documentation — directly impacting how much and how fast your practice gets paid.

Question 7

How do you handle denied claims?

Accepted Answer

We don't just resubmit denials — we analyze them. Every denied claim is reviewed to identify the root cause (incorrect code, missing modifier, eligibility issue, payer-specific rule, etc.), corrected, and appealed with full supporting documentation. We also track denial patterns across payers and fix upstream issues so the same error doesn't repeat. Monthly denial trend reports keep you informed.

Question 8

Do you work with all insurance payers?

Accepted Answer

Yes. HEMBILLING submits claims to all major commercial payers, Medicare, Medicaid, Workers Compensation, and managed care organizations. We handle electronic claim submission through standard clearinghouses and manage payer-specific requirements on your behalf.

Question 9

What kind of collection rate improvement can we expect?

Accepted Answer

Results vary by specialty and the state of your current billing, but most practices see a measurable improvement in clean claim rate and a reduction in AR days within the first 60 to 90 days. HEMBILLING currently manages over $1.5M in monthly collections across our client base. During your onboarding we'll assess your current performance baseline and set realistic benchmarks.

Question 10

How do you report performance back to our practice?

Accepted Answer

You receive monthly revenue cycle performance reports covering clean claim rate, denial rate, AR aging, collection rate by payer, and denial trend analysis. We also schedule regular check-in calls to walk through the numbers and address any concerns. Transparency is a core part of how we operate.

Question 11

Do I need my own EMR and clearinghouse?

Accepted Answer

Yes — and this is by design. HEMBILLING requires that your practice has its own EMR and clearinghouse already in place. We work directly inside your EMR rather than using our own, which means you retain full ownership of all data, you can see every billing and coding action in real time, and nothing is ever transferred outside your system. We work with most major medical and dental EMRs. If your practice is just getting started, we can serve as an advisor to help you evaluate your options — though the final decision always belongs to you.

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