Frequently Asked Questions

About Us - CPC Unlimited

1. Is CPC Unlimited HIPAA compliant?
2. Does your service out-source to India?
3. Does CPC Unlimited out-source any work?
4. Is my information secure when I purchase from this website?
5. If I use my credit card over the phone, is my information secure?

About Us - CPC Unlimited

Q. Is CPC Unlimited HIPAA compliant?

YES. We follow all rules and guidelines of the HIPAA act of 1996.
In addition, we have a company compliancy plan in action for mutual protection.

Q. Does your service out-source to India?

Absolutely NOT! We DO NOT, nor will we EVER out-source the services we provide to India or anyone for that matter.

Medical & Dental Billing


Q. What software do you use?

• Medical Billing clients - We use DAQBilling. DAQBilling allows us to provide our clients with one of the most comprehensive Medical Billing/Practice Management Software Solutions available on the market today. By bringing together Clients and CPC Unlimited on one system, DAQBilling makes collecting your revenue fast, easy, and predictable. DAQBilling provides real-time access for your office from any PC connected to the internet (DSL or Broadband required).
  
  
• Dental Billing clients - We use Practisoft Practice Management software. (we're currently working our software vendor to provide an Internet based Application.)
  
  

Q. Do you require a long term contract?

• Yes, we initially require a one (1) year contract which converts to month-to-month when it expires.
• In addition we use a standard HIPAA business agreement.
  
  

Q. What information is needed to generate a claim?

We need the following...

• Patient Registration Form
• Copy of insurance card (front & back)
• Complete superbill with Diagnosis & Procedures
• Referring provider (if necessary)
  

  Once the patient is established with the above information, we only need a complete Superbill.
  
  

Q. Do you supply any forms for my office?

Yes. If you are set-up with a full service billing contract we can supply you with any forms you need and customize them according to your practice.

Q. How do we get the information to you?

You have several options...

• Fax - (Quickest option). We set-up a dedicated toll-free fax number for your office. Just fax the necessary information when it's convenient.
  (end of the day, once a week, etc.) Daily is Recommended
  
  
• Standard Mail - we'll supply pre-printed address labels, place the documents in a secure envelope and drop them in the mail.
  
  
• Email - if you have the ability to scan documents and/or x-rays, you can e-mail them.
  (PDF and JPEG - easiest formats to work with)
  
  

Q. Will my claims be sent electronically?

Yes. However, the enrollment process can take anywhere from
30-90 days depending on what carriers require you to enroll. For example, if you are a Medicare provider it can take up to 90 days to enroll depending on the state you are in.

Q. How often are claims submitted?

If we receive all the necessary information, claims are submitted within 24-72 hours of receipt.

Q. Where do payments from insurance/patients go?

All payments are sent directly to your office. It is vital for your office to supply us with copies of all payments and EOB's (Explanation of Benefits) received so we can apply them to the proper account, appeal denials, and bill patients accordingly.

Q. How often do you follow-up on claims?

We follow claims from the Point-of-Service to final resolution. Our typical follow-up procedure is to contact insurance carriers on claims within 20-30 days after claim submission.

Q. How do you handle non-payment from insurance carriers?
(denials, etc.)

We must first determine if the denial is valid. If the denial is valid,
the balance will be billed to the patient unless otherwise instructed
by the carrier.

If the denial is not valid, as in many cases, we will appeal the claim with the appropriate appeal letter and supporting documentation.

Q. How do you handle patient balances?

Typically we send 3 statements with a Final Notice on the third statement explaining their account will go to collections if they
don't respond or pay within 30 days. After 30 days we follow-up
with a final courtesy call, if they don't pay within 15 days of that,
their account goes to collections.

This is a typical scenario, however we customize the process to each clients specific requests.

The collection agency charges 33% of what they collect, 50% if they have to get legally involved.

Q. How often will our patients be billed?

Statements are mailed every 2 weeks. Patients receive a statement every 30 days from the date of the 1st statement.

Seminars


Q. Will there be time for questions?

Definitely! Not only is the seminar filled with valuable information, you will be able to ask any question and/or bring your most challenging claims.

Q. What materials are included with my seminar fee?

A manual is included with every seminar. The manual includes everything covered in the seminar along with appeal letters, phone scripts for dealing with insurance companies and patients, how to use diagnosis and procedure codes properly, and much more. Most seminars also include a trial period of Ask The Coder.

Q. Can I just show up the day of the seminar?

Sure. Although you will miss out on the early registration fee. In addition, seating is limited and the seminar may be sold out.

Q. Do you offer a satisfaction guarantee?

Yes. You must request a refund at the conclusion of the seminar, return all materials, and complete a questionaire explaining your dissatisfaction.

Q. Can I cancel my registration?

Yes. Cancellations must be submitted in writing or via email (no phone cancellations accepted) at least 2 weeks prior to the scheduled seminar to receive a refund minus a $25.00 administrative fee. Registrants who do not attend or do not cancel accordingly will be responsible for the full seminar fee paid.

Q. What happens if you cancel the seminar?

In the event we cancel the seminar for any reason, we will refund all payments received and notify you immediately.