Frequently Asked Questions

These will be updated as new questions are needed to be answered based on feedback from web page viewers as well as information not found elsewhere on our web site.

Why outsource your billing?

Quality of service and speed at collecting your money from insurers and patients. As changes occur in medical billing that effect provider reimbursement, CPB employees are kept up to date on these changes to maximize your revenue.

What is "Days in Accounts Receivable"?

Your Money! You want to be paid by insurers and patients as quickly as possible. The industry standard to measure the speed of medical payments is “ Days in Accounts Receivable.”

Simply, it is how fast (or slow) in “days” it takes on average for your money to be collected from insurance companies and patients. Too many Days in AR results in lost revenue. For many medical specialties, CPB averages less than 23 days—which is considered excellent in the industry.

What is your Days-in-Accounts Receivable? Not sure? Provide your monthly charges for the last 3 months and each month-ending accounts receivable and we’ll calculate it for you. You may be very disappointed!

How do I send my patient data to CPB?

CPB utilizes state-of-the-art scanning technology and can accept billing data on paper or electronically via FTP, email, efax, fax, USPS, UPS, or FedEx. CPB is a paperless office.

What does CPB do with all the paper it receives?

About half of our clients now send data electronically. However, any paper documents sent to CPB are scanned into digital files for processing. All paper is then either returned to the client or shredded.

How does CPB handle data backup?

CPB has state-of-the-art hardware & software redundancy including daily offsite data backup.

Does CPB handle all the steps of the billing process for us?

Absolutely. After your staff collects and sends the required data, CPB handles the rest. From billing insurance and patients, answering patient questions, to final resolution of each account.

Will CPB educate my staff to ensure I get paid properly?

Absolutely. CPB will work with you and your staff to ensure the necessary documentation is collected and sent to CPB for billing.

It seems like there are frequent changes in medical billing laws & regulations, can you help us keep up?

Absolutely. CPB sends a monthly newsletter to clients highlighting important billing changes. When necessary we will email, fax or call with time-sensitive issues. We stay on top so you don’t have to!

When insurers deny valid claims, will CPB handle appeals?

Absolutely. CPB staff will automatically review and resubmit as needed. If additional documentation is needed by an insurer, we will work with your staff to obtain and send it.

What is HIPAA?

"HIPAA" is an acronym for the Health Insurance Portability & Accountability Act of 1996. The Act includes a section, Title II, entitled Administrative Simplification, requiring:

  • Improved efficiency in healthcare delivery by standardizing electronic data interchange, and
  • Protection of confidentiality and security of health data through setting and enforcing standards.

More specifically, HIPAA called upon the Department of Health and Human Services (HHS) to publish new rules that will ensure:

  • Standardization of electronic patient health, administrative and financial data
  • Unique health identifiers for individuals, employers, health plans and health care providers
  • Security standards protecting the confidentiality and integrity of "individually identifiable health information," past, present or future.

Is Cape Professional Billing HIPAA Compliant?

Yes. CPB excels at the highest levels of HIPAA Privacy, Security and Transaction Compliancy and we consistently update our policies to be sure that we are 100% compliant 100% of the time. It's important to your practice, so it is important to our firm.

Does CPB have a Compliance Plan?

CPB has a fully operational Compliance Plan. CPB has been involved in compliance since 1998.

Does CPB have a Disaster Plan?

Yes, covering a wide range of problems.

 
CPB is a Proud Member of HBMA!
Cape Professional Billing, Inc
PO Box 670, Cape May Court House, NJ 08210
Phone: (609) 465-8900 Fax: (609) 463-8106
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