Customer Services


Your patients are what drive your practice and our business. Without them we can’t survive, so it is of the utmost importance that we deliver above satisfactory care and service to them throughout their entire experience. We understand that when a patient is in your office you have control over their satisfaction, but their experience doesn’t end when they leave your office, and the responsibility for providing quality care continues with us .

Our customer service department is staffed with polite knowledgeable people that are available to answer you patient’s questions 8 hours a day 5 days a week. They are trained to thoroughly research questions, problems, and insurance inquiries in order to serve your patient’s better.

We have recently expanded our customer service department onto our website where your patient’s can view and find answers to frequently asked questions, can view annotated examples of our different statement types, and can send an email to our customer service department about a specific question on their account.

We are continuously searching for new ways to make the payment process simpler. We know that an explanation of benefits can be confusing, and that your patient’s will need our help. We welcome them to call or email our representatives at any time and we promise to respond to all inquiries in a fast and informative way.

If you are a patient and have found this page please visit our Patient Services page where you can find answers to your questions and different methods of contacting us.

Medical Delivery Service


Along with our medical billing service we provide a host of other services that can help increase the efficiency of your medical claims life cycle. One of the most popular services we provide to our clients is a medical delivery service.

Our medical deliver service is available to you and your staff 5 days a week and will ensure the secure and timely delivery of your medical billing information between your office and ours.

The delivery of information between medical billing provider and the physician is the most critical element of the billing process. If data is incorrect, unorganized, or delivered in an untimely fashion your practice will suffer.

There are no questions about how bad or untimely data can negatively affect your billing. That is why we will schedule pickup and delivery times with your office on a basis that is convenient for you. The information is recieved and delivered in easily identifiable blue bags with our company logo on them to assure that our courier and your staff know exactly where to put the information that needs to be sent between our companies.

With our medical billing services we provide a medical delivery service that can be scheduled as frequently as on a daily basis. The purpose of our delivery service is to ensure the fast and safe transport of your patient information so that we can successfully file your claims.

Document Retention Services


Federal law mandates that medical and health records be retained for a specific number of years depending on the type of document. Does your practice have the staff, space, and knowledge of the federal regulations to be in full compliance?

Medical records retention can easily require more physical office space than your actual practice needs. Physical storage space, warehouses, or servers that electronically store your data cost thousands of dollars to lease and maintain per year. Could your practice benefit from having a service help alleviate the costs while insuring compliance with federal regulations?

We currently offer document retention services that will help your practice comply and remove much unnecessary space allowing you to run your practice more efficiently.

Our services include electronic retention of explanation of benefits, registrations, and charge information. We electronically transfer or scan physical documentation onto a write once optical disk. The optical disks are copied for backup purposes and are stored off site in a fire safe storage facility.

We are also partnered with a local HIPAA compliant warehousing firm that can store your documents off site in a secure environment.

If you are interested in creating a secure and cost effective solution to document retention please contact us through our request for bid form with the comment “Document Retention”.

Online Bill Pay Now Available!


Your Patients Can Pay Their Medical Bills Online!

If you have visited the site recently you may have noticed the big yellow box on the top of a few pages that reads “Online Bill Pay Now Available”.

Today opens an exciting era for us at Custom Data Services, we have expanded our service to provide an advanced payment option that creates new revenue streams and enhances how your patient’s can pay their bills. The introduction of online bill pay is intended to benefit our clients, to benefit their patients, and to benefit us.

How Will Online Bill Payment Benefit You?

The more payment options the merrier. The end result of a successful claim is reimbursement for services, and the more payment options you have available to your patients the more likely you are to be reimbursed.

For years billing companies have been forced to keep long hours that are very costly because only accepting payments during normal business hours just doesn’t make sense. If your patients are at work, how are they going to be making payments? They can’t do it over the phone or in person, so their only option is through standard post which will also only be received between 9 and 5.

The introduction of online bill pay gives your patients the availability to make a payment whenever they want wherever they want. Now you can collect 24 – 7 – 365. Exciting isn’t it?

If you are interested in how are online bill pay system works and would like to enhance your practice be sure to contact us through our request for bid form. We would be delighted to work with you.

Most importantly I can’t forget the link to the bill pay site. Pay Your Medical Bills Online!

The Professional Scope of a Medical Biller


Every job comes with a description. I can’t say that no two are exactly alike, but I can say the you could find the definition of the janitor’s position at 1 company completely different than that of the janitor’s position at another company. So it should come as no surprise to you that it is more than a difficult task to define the professional scope of a medical biller. Rather than sit here and list all of the things both you and I (think) know a medical biller should do let’s talk about some of those things that you may not be doing but should focus on.

Is Customer Service Your Job?

YES! The customer is always right, right? Well to a certain extent. One thing is always true though… whether they are right or wrong it is your job to serve them. While reading a recent book The Customer Rules, a book about the nations best customer service companies, I realized that the focus of your business can sometime get lost in the fear of assuming liability. But we need not let that fear push customer service outside of the scope of all of our employees job descriptions.

Medical billers are customer service reps. They are here to do data entry, submit claims, post payments, and most of all serve the customer.

You will undoubtedly receive a request at some point from either a patient or a physician that will fall outside the focus of your day to day activities as a biller, but it is still your job to assist them. The answer I don’t know, or that is not my job is never suitable. Although it may not be your job or you may not know you are still responsible for knowing where the answer can be found.

If you receive a question from a physician about credentialing you should NOT give him advice on credentialing, you are not a specialist in that field, but you should know the person in your office that is. Forward the question to your specialist and have them contact the physician with the answer.

When a patient calls and asks if their physician is in network there is no way for you to know the answer, specifically when contracting in involved. But you should be able to give them the number to their insurance company that has access to the information needed to answer the question.

Assuming liability and taking risk is something your employer does not want you to do, but ignoring client requests because you feel that it falls outside of the scope of your job is something that is also frowned upon. It is time to realize that your job as a medical biller expands past just billing and into the field of customer service. You will always have to expand your knowledge base and are expected to be able to serve the customer whenever possible.

Adam M.

A recent discussion on the Medical Biller’s Forum in which I had a pretty good debate about the scope and responsibility of a medical biller has inspired me to write this post. Be sure to check out the boards and join us for more medical billing fun.

The Buzz About Electronic Medical Records


EMR and EHR are two buzzwords being thrown around the medical community. So we need to address what is all the buzz about.

The buzz is about government incentives, increased patient care, and reduced cost.

Sounds great doesn’t it? But what is the cost? What qualifies you for the incentives, and how are you going to maintain this new system? For that matter what is EMR?

What are EMR and EHR?

EMR & EHR are abbreviations for the terms electronic medical records and electronic health records.

An electronic health record is basically a digital version of a traditional patient’s file. You know the file that is kept in a physician’s office or on the foot a hospital bed while a patient is being treated. This digital record is part of a greater system known as electronic medical records.

The electronic medical records system helps reduce the necessity of a local paper based copy of a patient’s file. How? Well the idea is that it will allow the information to be saved digitally on a server making access to patient information fast and secure using computers and other electronic devices such as tablet computers, cellular telephones, and PDAs.

This information can be accessed by all of the patient’s physicians allowing for better data flow and increased patient care from wherever the physician is located. A universal patient record could reduce the need for preliminary tests that have already been performed and increase the integrity of the data about a chronic illness a patient might be suffering from.

In my opinion EHRs are a technology that will benefit patients and physicians in a huge way.

What Are The Pros of EMR?

Increase patient care: Yes, imagine a world where a patient’s information can be accessed on the go, where you don’t have to wait for a document to be pulled, and don’t have to hope the notes are legible. That is a world with full support and participation in an EMR program. If you have a trained employee and a sound system you can have just that. An EHR can deliver more info faster which will absolutely improve every patient’s every visit.

Reduced cost: If done right in the long run you can save money with EMR. You remove the cost of printing, filing, and storing paper data. You can reduce staff. And retrieve information quicker. You can accomplish more inside and outside of your office because you have greater access to your patient information.

What Are The Cons of EMR?

Now to contradict my previous statement.The initial cost is high and can remain high if the system isn’t used properly. If you are a physician and you are considering implementing an EMR system I am sure you have run into your first wall. The cost. To purchase the software, lease the hardware, to pay for the hosting fees, and training of an EMR system can cost your practices thousands into hundreds of thousands of dollars depending on the size of your practice. You have to pay for security, for licenses for software, for redundancy*, and for the devices to communicate with the system.

You have to have a great internet connection or two. Assuming as a physician you aren’t completely familiar with maintaining an in house network and servers you are going to be hosting your system outside of your office. You are going to be connecting to it via the internet. Now with that cost you met before you paid to make sure your servers are always up and running, but the same precaution needs to be taken with your internet provider. Because if your internet goes down you lose all access to your patient information and that could stop your practice in it’s tracks.

And finally training training training. Without ongoing training of how to use the system correctly your office will be running ineffectively costing you more than what you are benefiting. Implementing an EMR system is going to take a lot of time and effort from both the physician and his/her staff members. If the legwork isn’t put in up front the system will likely be detrimental rather than beneficial.

So with our background of EMR done what’s the buzz? Tell me whats-a-happening.

What are these government incentives for EMR?

The US Government has been proactively involved in pushing new technology from the dawn of the Internet through military research to what is now the EHR. So it comes with no surprise to me that they are willing to pass up to $40,000 in incentives out to providers that are willing to implement the new electronic medical record technology.

But don’t be fooled by it and rush into anything. The government is giving the incentives out over a period of years to providers that demonstrate “meaningful use” of digital records. A generic term for which they haven’t even defined. So before you dive head first into uncharted waters with your practice be sure to do as much research into what the government defines as “meaningful use” so that you don’t end up lost at sea with empty pockets.

* Redundancy is a system design that duplicates components to provide alternatives in case one component fails

Profit Using Your Medical Billing Company’s Collection Agency


Using your billing company’s collection agency is not a conflict of interest.

That is unless you don’t trust that your billing provider is collecting as best as they can. If that is the case then I feel that you already have an issue that needs to be addressed.

It has always blown me away that having your medical billing company’s collection agency be the primary collector of your bad debt may be a conflict of interest.

The relationship between physician and medical billing provider is one made on trust. You are entrusting them to handle your patient information, to correctly file your claims, collect your money, and distribute your revenues. If the bond is not strong enough to hold the belief that your billing agents are effectively collecting in a timely and effective fashion, it shouldn’t be a question of whether you should use their collection agency, but whether you should be using them at all.

You should Profit Using Your Medical Billing Company’s Collection Agency

Using a collection company that is a sister company, or part of the same billing company that you currently use will increase your collection rate. Why? Because the company will have better communication with the billing provider and better availability of information.

You may not believe me, but think about the last time you tried to get access to another company’s data. Was it easy? Probably not. If you were connecting to a computer system you had to get forms filled out, approved, and then you had to have IT set up the account and you had to be trained on how to use the system. Even in a best case scenario you are looking at day or two before you can even think about accessing any data.

If you are simply requesting information over the phone or via fax, an outside collector doesn’t know your billing agencies employees or who is in charge of what data. They don’t know the company terminology. E.G. What is the difference between a claim and an invoice. To them that question may mean nothing, but to the billing agency it could be the difference between two major reports.

Reducing the amount of red tape that needs to be met in order to collect data and increase the speed of AR is your ultimate goal because it increases the likelihood of you being reimbursed for your services. So in my opinion not using your billing company’s collection agency is a conflict of interest.

- Adam M.

P.S. This post comes before our next service post that will be introducing our sister company Custom Collections Services, Inc. Many of our clients use our service coupled with another company and we have found time and again that when exceptions in the collection process have occurred they have been able to handle them quickly and responsively because of the ease of communication.

Coding and Coding Audits


Custom Data Services, Inc. – Coding

Coding is the first step in accurate claims processing. With our cost effective medical coding services you can enjoy cleaner claims, fewer denials, enhanced revenue and freedom to focus on your practice.

“Revenues improve when coding and documentation practice improve.” Our experienced staff and AAPC certified coders will process CPT and ICD9 codes based on AMA and CMS guidelines.

Custom Data Services, Inc. – Coding Audits

The process of accurate coding by physicians is extremely critical in getting paid correctly and in a timely manner. It also avoids unnecessary external audits by Medicare and other payers.

With our coding audit service we compare your coding with the actual documentation you recorded in your chart. The coding audit will reveal whether any variations from national averages is due to inappropriate or atypical coding; based on your specialty and intensity of practice.

It is impossible for a physician or physicians staff to provide a chart audit because the results will be biased or a conflict of interest. However we can provide the necessary chart review that will show the what is not well documented or seemingly understood. We will choose charts at random based on the volume of your practice, and these charts will be review by our staff who have an excellent knowledge of coding rules and a strong understanding of medical terminology.

We are available on Facebook to answer any questions you may have about CPT coding or our coding audit services. Become a fan our company.

What is the cost of prevention?


I recently read an article on ValpoLife about Porter Hospital temporarily altering their visitor policy and asked myself the question: what is the cost of prevention?

The flu season is in full swing and from the looks of things it is spreading very quickly. With the the current flu flare-up and the threat of the swine flu hovering around us all of the time Porter decided it was in the best interest of their patients and the community to disallow children under the age of 18 to visit patients in the hospital.

A quote from Taffy Arias, Porter’s Chief Nursing Officer:

“Children and young adults are particularly vulnerable to this new flu, and we know from seasonal flu that children are often the source of influenza outbreaks,” explains Taffy Arias, Porter’s Chief Nursing Officer. “By limiting child visitors, we are attempting to protect vulnerable patients from exposure to H1N1 and thereby complicating their hospital stay.”

I don’t have a particularly strong feeling on this subject either way, but do feel that this is a bit much. I believe that asking all visitors to wear masks and to sanitize their hands before entering a patient’s room would be sufficient. I am not sure that stopping a few cases of the flu is worth banning children from the hospital especially if the patient is the parent or guardian of a child that simply wishes to see their loved ones.

I can see that this could be a polarizing debate and would love to hear what you have to say about it. Leave a comment below to discuss your thoughts.

Thanks to ValpoLife for bringing this article to my attention. If you don’t already follow them on twitter @valpolife I suggest you start.

Client Training


Custom Data Services, Inc. Client Training

The collection of accurate data is an extremely important process of the MCLC. Gathering and processing incorrect or incomplete data will result in claim denials and increased cost.

We offer training services of our proprietary software to the employees of your practice to ensure the proper use of our system and to increase the integrity of the data collected. A CDS representative will provide orientation and training to the physicians office staff at their location or at Custom Data Services.

What does the training involve?

  • Standard system terminology and billing terms.
  • How to enter and maintain data dictionary elements including: CPT codes and pricing, practice centers, financial/department centers, invoice types, insurance companies, referring physicians, etc.
  • How to enter and maintain guarantor and patient records.
  • How to enter and maintain the appointment system master schedule.
  • How to create, fix, move, or cancel a patient’s appointment.
  • How the appointment system integrates with the patient charge system for posting daily charges.
  • How to issue paid receipts for payments taken at the time of service.
  • How to post payments from daily receipts from patients and insurance companies.
  • How to work patient balances or overdue insurance claims.

Who is this training for?

Our training services are generally directed toward our physician services clients that will be interacting with our software directly. We will perform training for all of the employees of your practice and are willing to add additional training as new employees are hired. In our medical management services the data collection is typically done by the hospital registrars using the software provided by the hospital and then sent to us electronically, therefore training on how to use our software is generally unnecessary.