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Frequently Asked Questions

We have compiled a list of frequently asked questions to provide you with information you may find helpful. Of course, if you have any additional questions, we would love to speak with you or meet with you one on one. Please give us a call at (713) 669-1090

General Questions

  • How many years have you been in business?

WBCS, INC has been in business for 8 years

  • Do you have the necessary HIPAA regulations in place?

Yes, WBCS, INC is HIPAA compliant.

  • Has your company ever been investigated in a fraud or abuse case? If yes, what was the outcome?

No, WBCS, INC has never been investigated in a fraud or abuse case. We pride ourselves on honesty and integrity.

  • What type of training do you provide your staff?

WBCS, INC has its staff regularly attend seminars, workshops, and in-house educational training.

  • How often is training done?

Training at WBCS, INC is an on-going process.

 

Billing Questions

  • What insurance companies do you bill electronically?

WBCS, INC bills all major insurance companies electronically.

  • How is the work load distributed? Is one person responsible for an account, or do several people work on it?

Several staff members and departments are involved with each account. Each account is assigned to a primary biller and primary appeals clerk.

  • How often do you submit claims to insurance companies?

We process claims daily depending on information receipt.

  • How often do you send statements to patients?

Statements are sent to patients on a continuous cycle every 30 days.

  • Who is responsible for coding?

Our billing staff, along with documentation on run report is responsible for coding.

  • What is the process/policy for handling problems such as incomplete billing information?

The billing manager contacts the provider via telephone. If there is no response, the manager will return the run report to the provider with an explanation.

  • How are electronic rejections handled?

Rejected electronic submissions are corrected and resubmitted immediately following receipt.

 

Payment Posting / Follow-Up Questions

  • How are returned claims and statements handled, and who is responsible for them?

Returned claims are tracked for future education and processed by our billing staff. Returned statements are researched and processed by ancillary support staff.

  • Are payments posted line by line or by the total amount of the claim?

Payments are posted by line item.

  • How are rejections tracked and solved?

Ancillary staff performs a monthly review and analysis of rejections. All rejections are resolved immediately.

  • How often are reports run for credit balances?

Reports are run monthly.

 

Report Questions

  • What types of standard reports do you provide?

We provide verification patient aging, both weekly and monthly, other reports are available upon your request.

  • Can you provide custom reports?

Yes.

  • Can an aged report be generated by “billing date” and “date of service”?

Yes, an aged report can be generated by “billing date” and “date of service”.

 

Cost Questions

  • How do you determine your fees?

WBCS, INC uses a percentage-based structure to determine fees.

  • If a payment is by percentage, is it determined by the amount billed or by the amount collected?

We only charged based on a percentage of the amount collected.

  • Is there an additional charge for paper runs?

No.

  • Approximately how long will the conversion process take?

New providers take up to 60 days (due to completion of Carrier applications) An established provider should only take up to 3 weeks.

  • Do you handle any old accounts receivable from the previous billing company?

Yes.

Data Entry Questions

  • What types of forms and data is the ambulance service required to submit to you?

We require a complete run report (trip sheet) with complete narrative and demographics. A hospital face sheet is also helpful, as are nursing home sheets. Copies of PCS forms and patient signature sheets will also be needed.

  • From the time you receive the data, how much time do you need to process the claim?

It typically takes from 1-2 days for us to process a claim.


 


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