Frequently Asked Questions (FAQ)

Nationwide Real-Time Billing


1. Is Nationwide Real-Time Billing the same as “electronic billing”?

No. With “electronic” filing you still have the delays and high rejection rates that hurt your profitability. In contrast, web-based real-time filing is an EHR compatible solution. You bypass the human gatekeepers. Claims are approved within 24-hours. Claims are completed online with automatic error-checking resulting in easy compliance, fast payments, all in an outsourced solution.

2. What are the benefits of outsourcing?
  • Faster payments: With Nationwide Real-Time Billing you bypass the human gate-keepers. Claims turnaround in 7-21 days versus the national average of 30-45 days for Medicare and over 50 days for commercial claims.
  • Greater income: Clients report an increase in claims acceptance by 20% to 30%. Increased efficiency leads to greater income. Client also report an increase in the amount paid per claim.
  • Easier compliance
  • With Nationwide Real-Time Billing compliance is built-in. Risk is significantly reduced. Audits become easier. You can enjoy the peace of mind that comes from knowing you are HIPAA-compliant.
3. Can I verify the status of my claims online?

Yes, anytime 24/7. Claims are approved within twenty-four hours, typically overnight. Send us your superbill at 5 pm and when you login at 8 am the next morning you will see that your claims have been accepted. You have full visibility into the full lifecycle of any claim. You can also create custom reports.

4. Is real-time eligibility verification possible?

Yes. This is a powerful capability for your practice. With Nationwide Real-Time Billing you have the convenience of a web-based system that is continually updated and enhanced with free upgrades for life.

5. What about EHR/EMR interoperability?

Nationwide Real-Time Billing is the smart choice for EHR interoperability. EHR interoperability is essential. Without it you won’t be ready for 2011 and beyond. Our standards-based system will continually improve and be updated automatically without your having to download or install anything. That’s the beauty of a web-based solution and a professional managed outsourced billing service.

6. What are the hardware and software requirements?

Nationwide Real-Time Billing with integrated OPMS is web-based. You can access it from any platform and any Internet connection, 24/7. It is even possible to check your schedule from your cell phone. You’ll never have to install, upgrade or maintain hardware or software again. With our web-based system, you’re out of the IT business. It’s easy. You can even have staff working remotely or from home.

7. Do you follow-up on rejected claims?

Yes. We follow-up on all rejections and any other problems promptly. With Nationwide Real-Time Billing, 93% of claims are accepted on the first pass, resubmittals are free, and the overall acceptance rate is 98%.

8. How is my data backed-up?

Data is backed daily and stored in secure, multiple remote data centers. Our system meets or exceeds all HIPAA guidelines. You can get a copy of your data anytime you want. We adhere to all applicable laws, rules, regulations, guidelines and best practice to safeguard your data.

9. How much does the service cost?

Much less than you are paying today. The average cost of an internal billing operation is 11% of gross revenues. We’ll cut that expense significantly. Your practice is charged a small single-digit percentage of the collected (not what is billed) insurance and patient claims that we post for you.

10. How will real-time filing affect my bottom line?

Higher profits. On average you will see an increase in payments per claim using Nationwide Real-Time Billing. That together with a 98% acceptance rate is very healthy for your bottom line. And you’ll do it for much less than what you’re paying now for billing.

11. What happens to my internal billing staff?

Imagine their relief from not having to deal with the minutiae of billing. The savings can be substantial. You will be free to assign your administrative staff to other important duties such as delivering better and more personalized patient care. With the extra attention on creating a superior patient experience, your patients will be more likely to become great referral sources for you.

12. What are the cost savings?

No more installation, licensing, maintenance or upgrade fees. No hardware or software to buy, maintain or upgrade. You no longer need an IT staff. Your internal billing staff can be used for other important duties.

Getting paid on 98% of your claims; getting paid more quickly; getting paid more of an accepted claim; getting paid faster; automatic error-checking; free updates; knowing your system is always compliant; and never having to worry about backing up data are more than enough reasons to choose a web-based real-time solution.

13. Can I outsource data entry tasks and full accounting of payments?

Yes. You can outsource data entry of new patients, posting of charges and payments and statements. We will tailor our services to meet your individual needs. We can do full accounting of payments with the EOB.

14. What do you need from my office to file my claims?

A superbill, patient registration form and a copy of both sides of the insurance card.

15. How do I get started using Nationwide Real-Time Billing?

Contact us today and speak with an expert in medical billing and EHR solutions. Our practice analysis is free of charge.