By: MaryKay Jones
Superbill: Do I fax/scan the superbills daily?
Yes. By sending SMB your information daily, you will reduce your accounts receivables and maximize your reimbursements. We prefer to receive charges daily. This helps with our workflow as well as a timely reimbursement for you. When the set up process is complete, you will receive a direct fax number from your billing representative. Scanning instructions are listed below.
What do I need to send with the superbill?
We need a copy of the FRONT and BACK of the insurance card. We need to see the ID#, group #, and claims address in order to transmit the claims for processing. Medicare has all this information on the front of their cards. We also need a demographic sheet for the patient. This should include the patients personal information, including the date of birth. The insurance cards and demographic information is required for all patients in the beginning, then for all new patients.
What fee schedule is used to bill claims?
SMB has a standard fee schedule that ensures that you receive the maximum reimbursements from Medicare. Also, your SMB Biller monitors your reimbursements from both government and commercial payors. SMB will increase fees on the schedule to ensure that you get paid 100% of allowable reimbursements..
What do I do with the paper EOBs I receive at our office?
As soon as you receive your paper EOBs at your office, fax it to SMB. By following this protocol, it will allow us to immediately call on any denials and send out secondary claims as quickly as possible. We call on outstanding claims on a regular basis. It is important to send all EOBs so we can track all claims.
Can I get copies of EOBs received electronically by SMB?
Yes, we can email copies of the electronic EOBs we receive to you in a pdf format. You can tell us if you would like to only receive copies of the Medicare EOBs are all electronic EOBs received.
How do I inform SMB of patient payments received in our office?
We need proof of patient payments faxed to us. If paid by check, please provide a copy of the check or ck#, date and amount can be written on the superbill. If paid by cash or credit card, please provide amount and/or type of credit card.
Will I have access to SMB's software for our patient files?
Yes, you will have access to SMBs software, SimplyPodiatry. https://www.smbpodiatrists.com/ You will be able to view everything within our software as if we were in your office. You will have the convenience of running various established reports that we offer as well as customizing your own report. Once we enter your first batch, you will be provided with a user ID and password for everyone in your office. We can limit access individually per your request accordingly.
Do I report over the counter items to SMB?
Yes, it is important to inform us of over the counter items sold and paid for in your office. This will assist us to keep an accurate invoice for your patient. We will discuss more details on "Q&A Check List" conference call.
When will we receive an invoice from SMB for billing services?
SMB invoices bi-monthly for our billing services. The term for payment is net 10 days from the date of the invoice. If an account should become 3 invoices past due, the account will be placed on hold until payment is received. If your invoice is less than $300, then a $100 clearinghouse cost recovery fee will be assessed for that billing period.
