Billing Services

Hi, I'm Holly Torrez of Holly Torrez Consulting and Billing services. I have been doing medical billing for over 35 years and teaching it directly to doctors and their staff for over 25 years. I have been doing private billing services for a select number of doctors, clinics and medical supply companies in for over 25 years and am now providing services to the Greater Phoenix area.

There is a very simple answer to the question of In-House biller or Billing service. Which one cost more in time and/or money. If an in-house biller cost more than a billing service then use a billing service, till your receivables can sustain an in-house biller. Some companies also do a split by having an in-house biller do private pay and corporate contracts that only require a statement and a billing service to do the insurance claims. Use the below check list to decide which is right for you and if considering a billing service which company is right for you and see our answers in blue.

Questions for in-house biller consideration

Are your accounts receivables over 60 days?

• Is your staff updated on code changes monthly and understand the ICD-10?
• Does your staff check for policy changes for each insurance company you send to weekly?
• How much time would you lose submitting claims for an employee that is:
• Sick
• On vacation
• Quits and you have to advertise, hire and train a new employee
• Do your employees have over 5 year's minimum billing experience?
• How much does your software cost in support and upgrades?

Questions for you to ask any billing service you consider, along with our answers.

• Do you have immediate access to your patient's information via internet or an in-house computer?
• Yes, we can install AccuDME software (and soon AccuDRS) on your in-house computer and dial in via a HIPAA compliant connection and do all billing virtually through your office, or we can do all service at our office and send a weekly report.
• Can they easily allow for splitting with in-house biller so all patient demographic and financial information is in the same place?
• Yes
• How much will employee training for software cost?
• Initial software training of 20 hours via remote access is free. On-site training is $125.00 per hour. Addition training packages are available.
• Do they have different percentage fees based on different services offered?
• We have several price options based on data being at your office (in-house) or at our office (Off site). For per claim amounts, call us as those are priced by volume and specialty,

1. In-house with your staff doing some data entry
Electronic claim submission only (no data entry)	3%
Add payment entry	5%
Add transaction (charge entry) & code validation	6%
Add open current items (aging) worked	7%

2. In-house with your staff doing no data entry or Off Site
Add patient demographic and insurance entry	8%
* Detailed reports for all service options included.

• If you stop using their service how long will it take to get a backup of your patient's ledgers and data?
• Immediately if in-house software installed, 24 hours if from billing service office.
• Can you purchase the same software they use and get your data imported and how much does it cost?
• Yes, AccuDME software, for medical provider or medical supply Company, and support packages starting at 1750.00, and coming soon AccuDrs software starting as low as 750.00 for general and allied health providers
• Will they train your staff on the billing software?
• Yes, different training cost packages available via remote or at your office.
• If you have a multi doctor practice can they easily do all billing and group reports individually?
• Multi doctor practice can easily do all billing and group reports individually at no extra charge? Yes, we have great detailed reporting available to show how much each doctors bills out and receives in with a total per company %.

Our billing employees have a minimum of 10 years' medical billing & coding experience. All employees work on your accounts to make sure you get the fastest turnaround time on your claims. Management will oversee aging and productivity reports. Your mangers are Holly J. Torrez - 35 years' experience, and Ann Mamaril 15 years' experience.

Comparing your employee cost based on experience, payroll taxes & charge, worker's comp and average healthcare cost against our employee experience level, you can see our highest percentage for multiple billers is still lower than your cost for 1 biller with minimal experience.