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Outsourcing your practice’s billing to a professional medical billing company can be a smart move—but only if you choose the right one. While there are many companies offering billing services, not all of them will align with your practice’s goals, values, and operations. Asking the right questions before you hire can save your practice from future headaches, compliance issues, or financial loss.
In this article, we’ll walk through the most important questions every healthcare provider should ask before partnering with a medical billing company, and how Thrive Medical Billing provides confident answers to each.
Medical billing is a sensitive and complex process involving patient data, insurance communication, claim submissions, and compliance with strict regulations. A good medical billing company does more than just process claims—it protects your revenue, improves cash flow, and helps your practice remain compliant and efficient.
Failing to ask critical questions could lead to:
Increased claim denials
Revenue leakage
Legal liabilities due to non-compliance
Poor communication and lack of transparency
That’s why your vetting process should be thorough. Let’s go through the essential questions to ask.
Every medical specialty comes with its own billing codes, terminologies, and compliance challenges. A generalist medical billing company may not have the specific expertise your practice needs.
Ask:
Do you have experience with my specialty (e.g., pediatrics, cardiology, psychiatry)?
Can you provide references from similar practices?
Thrive Medical Billing has specialized billing teams for a wide range of specialties, ensuring accurate coding, optimized reimbursement, and compliance with specialty-specific regulations.
Not all medical billing companies offer the same level of service. Some may only handle claim submission, while others offer end-to-end revenue cycle management.
Find out:
Do you handle insurance verification, claim submissions, and follow-ups?
Do you offer denial management and appeals?
Do you provide patient billing and payment support?
At Thrive Medical Billing, we provide full-spectrum billing services, from insurance verification and coding to denial resolution and detailed financial reporting.
Medical billing involves sensitive patient information. Protecting that data is not just ethical—it’s the law.
Ask:
What data security protocols do you have in place?
Are your systems HIPAA compliant?
How do you train your staff on privacy regulations?
Thrive Medical Billing maintains strict data security practices, including end-to-end encryption, HIPAA-compliant systems, and continuous staff training on data privacy standards.
Denied claims can significantly impact your practice’s revenue if not handled quickly and correctly.
Ask:
What is your average claim denial rate?
How quickly do you follow up on denied claims?
Do you analyze denial trends and take corrective action?
Thrive Medical Billing prides itself on a low denial rate and a proactive approach to managing and reducing denials. We conduct root cause analysis and implement real-time solutions to prevent future errors.
Transparency is essential when outsourcing billing. You should always know how your practice is performing financially.
Ask:
How often do you provide reports?
What kind of data is included in the reports?
Can I access real-time analytics?
With Thrive Medical Billing, clients receive detailed monthly reports along with access to real-time dashboards. You’ll always know your collections, claims status, and key performance metrics.
Software compatibility is crucial for smooth data exchange between your practice and the medical billing company.
Ask:
What billing software do you use?
Can you integrate with my EHR or practice management system?
Is your software cloud-based?
Thrive Medical Billing uses leading cloud-based billing platforms that integrate seamlessly with most EHR systems. This ensures accurate data transfer and reduces manual errors.
Cost is an important factor, but it shouldn’t be the only one. Transparency in pricing is key.
Ask:
Do you charge a flat fee or a percentage of collections?
Are there any hidden charges or setup fees?
What’s included in the pricing?
At Thrive Medical Billing, we offer transparent pricing with no hidden fees. Our rates are competitive and tailored to your practice’s size and scope of services.
Patients often have questions about their bills. A good medical billing company should support both the provider and the patient.
Ask:
Do you provide patient billing support?
How do you respond to patient questions or disputes?
Do you offer multilingual support?
Thrive Medical Billing has a dedicated patient support team to handle billing questions with professionalism and empathy. We help reduce confusion and improve patient satisfaction.
A smooth onboarding process ensures that your practice transitions to the billing service with minimal disruption.
Ask:
How long does the onboarding take?
What training and support will we receive?
Who will be our main point of contact?
Thrive Medical Billing has a streamlined onboarding process with dedicated account managers who guide you every step of the way—from data migration and training to going live.
A reputable medical billing company should have no issue providing proof of their success.
Ask:
Can I speak with a current client?
Do you have case studies showcasing improved collections or reduced denials?
Thrive Medical Billing is proud of our results and happy to provide references or real-world examples of how we’ve helped practices increase their revenue and efficiency.
Open communication is essential to ensure your goals are being met and any issues are addressed quickly.
Ask:
Will we have a dedicated account manager?
How often will we have check-ins or reviews?
How quickly do you respond to emails or calls?
At Thrive Medical Billing, every client is assigned a dedicated account representative who provides ongoing support, regular performance reviews, and quick response times.
This is your opportunity to gauge how the company views itself and what makes it unique.
Ask:
What’s your mission and vision?
How do you define success for your clients?
Why should I choose you over another provider?
Thrive Medical Billing stands out because of our personalized approach, commitment to compliance, and proven results. We don’t just process claims—we partner with your practice to improve financial outcomes and streamline operations.
Hiring a medical billing company is a major decision that can greatly influence your practice’s performance and patient satisfaction. By asking the right questions, you ensure that your billing partner is reliable, transparent, experienced, and aligned with your long-term goals.
Thrive Medical Billing offers a comprehensive suite of billing services backed by industry expertise, dedicated support, cutting-edge technology, and a commitment to your practice’s success.
If you're considering outsourcing your medical billing, start the conversation with Thrive Medical Billing today. We’re here to answer your questions and help your practice thrive.
