FAQs

Outsourcing the very complex medical billing process significantly increases a physician's confidence that billing is handled accurately and efficiently. UMS eliminates the time, frustration and expense associated with building and maintaining the skilled workforce needed to achieve optimal reimbursement in the ever-changing and very challenging insurance industry. Staffing, equipment, record keeping, and space for in-house billing can be costly and still not provide the level of expertise required to ensure submission of compliant claims that produce timely accounts receivable recovery.

UMS brings its clients extraordinary expertise that enables physicians/providers to focus on the most essential element of a practice - patient care.

Above all, UMS clients know their business interests are in the hands of competent committed professionals.

All providers have different challenges and goals, so it is important for UMS to be flexible in the services we provide. Our first priority is to offer services that promote the best interest of your practice for the long term. Standard services include:

1. Procedure and Diagnoses Coding with documentation feedback
2. Claim generation and submission
3. Carrier follow-up including insurance denial resolution and appeals
4. Payment posting and processing
5. Patient invoicing and support
6. Collection agency transfer services
7. Peace of mind
   

Other services that are available include fee schedule analysis, provider enrollment, appointment scheduling, provider staff training and bookkeeping services.

Fees are based on a percentage of your receipts. The success of UMS is tied to the success of the practice; UMS does not get paid unless you get paid. The percentage charged is based on many factors - specialty type, average adjusted charges, volume, interface capabilities and customized services required by the provider.

A computer backup of accounts receivable records is performed daily and stored offsite to secure your data from fire, theft, or other disasters. UMS has established a comprehensive security management process to ensure the availability, integrity, and confidentiality of patient information and other sensitive information.

Payments are remitted to your post-office box, bank lockbox or physical address; you choose the method that works best for your needs. Checks may be transferred to UMS' possession for posting, after which the checks are deposited directly to your bank account. Remittances are always made payable to you or your corporation.

More and more insurance payers are utilizing electronic funds transfer, depositing directly from the carrier into the provider's bank account. The patient detail is transmitted electronically to UMS for posting. The deposit information is then communicated to you based on your preference (i.e., fax, secure email).

A variety of reports are provided at the end of each month based on the information you wish to review, including account activity and aging. Specific reports can be designed as requested. UMS suggests an annual meeting for an in-depth review of the most recent year and a comparison to previous years so that you may see trends and evaluate your practice performance as well as how UMS is performing for you.

YES!

Yes! UMS is fully committed to compliance with clear standards of performance and education as well as the use of constructive discipline when and where necessary to maintain adherence to compliance policy and procedure. The Office of Inspector General (OIG) issued compliance guidance to third-party billing companies in 1998.

The UMS team consider themselves an integral extension of your practice. The management team is comprised of owners who are actively involved in the daily operations of the business. We have a personal stake in maximizing our client's revenue dollars and minimizing the revenue cycle period. We take the time to understand your goals so that we can achieve results to help you meet those goals. UMS has a personal stake in your success and a proven track record of performance.

The founders of United Medical Solutions have been working together providing medical billing services since 1989. UMS has worked with a variety of medical specialties, developed compliance and HIPAA programs from the ground up, and designed streamlined processes to suit individual practices. We are fully staffed with trained personnel, certified by trade organizations such as Radiology Business Management Association, American of Academy Coders, and Healthcare Billing and Management Association. We have documented success in helping our clients become more profitable while alleviating the frustration of maintaining a billing department.