Medical Billing

Welcome To Ventec Group LLC

Integrating Medical Billing and Computer Services World Ventec Group LLC is a professional billing services dedicated to help the provider to have a successful practice by removing the hassle of billing, excess paperwork and computer failures, so the office staff can concentrate to the more important aspects of your practice; The Quality Personal Patient Care. We offer a variety of highly personalized services, efficient and cost-effective solutions which can meet all of the insurance and patient billing need of your practice. Your satisfaction is our goal and we do our best to customize our services to fit your practice's specific needs! From this point, any needed modifications are made and then we electronically submit them to the Mediclaim-EDI where they are again scanned and double checked for any problem an insurance company might have with that claim. They are then submitted electronically to the Insurance companies' computers and an EOB is generated. That easy! That fast!

Services

Full Patient Accounting Services

Registration

Initially, your practice must be set up with our services and a clearinghouse and/or carrier. The price of registration includes processing your registration for our services, applying for your EC (Electronic Claims) approval, reviewing in-house forms (superbill, new patient info, etc) to ensure they contain all required fields, and loading your practices’ information into a database created specifically for you. This is a one-time, non-refundable charge, which may vary between clients.

Patient Information

We maintain all pertinent patient information to file insurance claims for your practice. This information includes, but is not limited to, patient name, address information, D.O.B., sex, and insurance information.

Data entry of encounter forms

Patient encounter forms are entered into our server within 24 hours of receipt. Insurance claims are generated and transmitted daily to our clearinghouse, which in turn transmits them to the various insurance companies that same day. For insurance companies that do not accept electronic claims we process and mail them.

Posting Insurance/Patient Payments

Secondary insurance claims are generated and mailed immediately after we post the primary insurance payments.

Insurance claim follow-up

Each month we print and review the insurance aging report and follow-up on any unpaid claims.

Patient Statements

Patient statements are mailed on a monthly basis. The patients are billed for deductibles, co-pays, and remainder amounts after the insurance company has adjudicated the claim. We also call the patient and request a payment be made if the balance is over 45 days old.

Aged Patient Accounts

Patient balances greater than 90 days old are reviewed, the patient is called by our company to setup a payment plan, and/or pre-collect letters are generated to these patients. We will provide the practice with a bad debt report quarterly.

Backup Server 24/7

We backup every client’s data daily. See support services for more details.

Receivable Cleanup

We will work your old receivables, prepare claims for resubmission, identify bad debts, and prepare write-offs.

Prepare credentialing documents

As an extra added no cost service, we will prepare provider applications with the various insurance companies that you choose to participate with. This includes gathering the supporting information and documentation, presenting the completed package to you for review and signature. We also mail this package “Certified Mail, Return Receipt Requested” to the insurance company Network Provider Office. We follow-up with these applications each month until you become an “In Network” provider.

HIPPA

All your practice information and insurance claims are fully HIPPA compliant.

Staff Training

is fully prepared to conduct training with your current or new staff members..

Practice Fee Schedules

Our staff continuously reviews the practice fee schedule to insure that you are receiving the maximum reimbursement for your services. EOB’s are reviewed as we post insurance payments to maintain an accurate “submitted charge” to “allowed charge” ratio.

Practice Disaster Recovery

Should your practice experience a fire, flood or any type of natural disaster, you can be assured that backup patient accounting data and documentation will be available.

Frequently Asked Questions

How do we get the necessary information to you?

How often should we send our new billing to you?

What do information is needed in order for your office to generate a claim on our behalf?

How do we report when treatments are rendered, so that you are able to generate a claim on our behalf?

Do we have to report the insurance payments received in our office to you?

What happens if we accidentally omitted any of the information contained on the required forms, and we already sent them to your office?

How do we report payments received from our patients, for both co-payments and patient billing?

How often will our patients be billed?

How do you handle non-payments from an insurance carrier? (denials, etc.)

How do you handle non-payments from a patient?

Do we have to collect every co-payment?

We prefer to bill our own patient's, but we are interested in obtaining insurance claim processing services from you. Does your company offer this service?

How many clients are you equipped to handle?

Why do you charge a registration fee (set up)?

Why will you not accept a superbill that is missing information, instead of just looking up the patient's history in the system?

We are receiving many denials which cite that the patient was not covered at the time of service, resulting in many write offs, how can we prevent this from happening in the future?

We just do not have the staff to keep up with the old accounts receivable. Do you offer A/R Recovery services?

What specialties do you currently handle?

How fast can you get us up and running?

We just lost our biller and desperately need someone to help us out until we are able to replace her, can you help?

I'm thinking about starting my own practice, can you help me?