http://www.fastbillingsolutions.com/

Fast Billing Solutions, 68 South Service Road Suite 100, Melville, NY (2025)

07/03/2025

🌟 Celebrating the Spirit of Freedom 🌟

This Fourth of July, as fireworks light the sky and families gather, we honor more than history—we celebrate the courage, unity, and relentless hope that built America.

To every veteran who defended liberty 🫡
To every pioneer who dared to dream ✨
To every neighbor who fosters community 🤝
Thank you.

May we never forget:
🗽 Freedom is forged by sacrifice.
🔥 Progress is fueled by diversity.
🇺🇸 Unity is our greatest strength.

Wishing you a day filled with pride, gratitude, and joy — surrounded by those who matter most. Happy Independence Day! 💙❤️🤍

— Fast Billing Solutions

06/02/2025

🚀 5 Ways to Accelerate Payor Enrollment & Credentialing 🚀

Navigating payor enrollment and credentialing can feel like running a marathon—but it doesn’t have to! Delays in approval can impact cash flow, patient access, and practice growth. Here are 5 proven strategies to speed up the process and get you credentialed faster:

1️⃣ Prepare a Complete & Error-Free Application
Payors reject applications for even minor errors. Double-check:
✔ NPI numbers, tax IDs, and license details
✔ Accurate practice addresses and contact info
✔ Consistent formatting across all documents
Pro Tip: Use a credentialing checklist to avoid omissions.

2️⃣ Leverage CAQH ProView for Faster Updates
Keep your CAQH profile up-to-date and re-attest quarterly. Payors often pull data directly from CAQH—outdated info = delays.

3️⃣ Assign a Dedicated Credentialing Specialist
A trained expert can:
✅ Track submission deadlines
✅ Follow up persistently with payors
✅ Resolve issues (like missing documents) in real-time
Outsourcing? Partner with a reputable credentialing service to save time.

4️⃣ Prioritize High-Volume Payors First
Focus on enrolling with Medicare/Medicaid and major commercial payors (e.g., UnitedHealthcare, Aetna) first—they cover the majority of patients.

5️⃣ Automate & Digitize Where Possible
Use credentialing software (e.g., Modio, ProviderTrust) to:
📌 Track application statuses
📌 Send automated reminders for expiring licenses
📌 Store documents securely in a centralized portal

💡 BONUS: Follow up with payors weekly—politely escalate if stalled!

05/08/2025

What Happens If You Don’t Pay Medical Bills? 💸🏥

Medical bills can be overwhelming, but ignoring them can lead to serious consequences. If you’re struggling with unpaid healthcare costs, here’s what you need to know and how to protect yourself. 🛡️

What Really Happens When You Don’t Pay? ⚠️

Debt Collection 📞 – Unpaid bills may be sent to collections, hurting your credit score.

Credit Damage 📉 – Late payments can stay on your report for 7 years, making loans, apartments, and jobs harder to get.

Lawsuits & Wage Garnishment ⚖️ – Hospitals or collectors can sue you, leading to frozen bank accounts or paycheck deductions.

Denied Future Care 🚫 – Some providers may refuse non-emergency treatment until past bills are settled.

What You Can Do Instead ✅

Negotiate 💬 – Many hospitals offer payment plans or discounts (even retroactively!).

Check for Errors 🔍 – Up to 80% of medical bills have mistakes; always review charges.

Seek Financial Aid 🤝 – Nonprofits & hospital charity programs can help reduce costs.

05/06/2025

How Long Should Providers Keep EOB Statements? A Complete Guide

As a healthcare provider, managing Explanation of Benefits (EOB) statements is crucial, but do you know how long you’re required to keep them? Storing them too long wastes space, while disposing of them too soon can lead to compliance risks.

Here’s a detailed breakdown of EOB retention best practices:
📅 Recommended Retention Periods
Medicare/Medicaid Providers: 7 years (federal requirement for audit compliance)
Private Insurance Claims: 3–7 years (varies by payer contract and state laws)
Self-Pay Patients: At least 3 years (statute of limitations for balance billing disputes)

⚖️ Legal & Compliance Considerations
HIPAA Rules: Retain records for 6 years from creation date or last effective date.
State Laws: Some states (e.g., NY, CA) require longer retention—check local regulations.
Audit Protection: Keeping EOBs for 7+ years helps defend against RAC audits or payment disputes.

🔒 Best Practices for Storing EOBs
💾 Digital Storage: Scan and save securely in HIPAA-compliant cloud storage (saves physical space).
📂 Physical Copies: If keeping paper records, store in a locked, access-controlled area.
🗂 Organized System: Label by date, patient, or insurer for easy retrieval.

🚮 When Can You Safely Destroy EOBs?
After the maximum required retention period (check contracts + laws).
Only after proper shredding/digital deletion to prevent PHI breaches.

05/05/2025

How to Get Out-of-Network Claims Paid – A Complete Guide

Struggling with out-of-network claim denials? You’re not alone. Many patients and providers face this challenge, but with the right approach, you can significantly improve your chances of getting paid. Here’s your step-by-step guide:

1. Know Your Policy Inside Out
📌 Check if your plan has out-of-network benefits.
📌 Verify coverage levels, deductibles, and coinsurance.
📌 Look for "gap exceptions" or "network adequacy" clauses that may apply.

2. Get Pre-Authorization (When Possible)
Even for out-of-network care, some insurers require pre-approval. Always ask—getting a "verbal approval" (and documenting it) can strengthen your case.

3. Submit a Strong, Detailed Claim
✅ Use the correct billing codes (CPT & ICD-10).
✅ Attach a Letter of Medical Necessity from the provider.
✅ Include itemized receipts and clinical notes.

4. Appeal with Precision
If denied:

Identify the reason (e.g., "not medically necessary," "out-of-network exclusion").

Gather evidence (peer-reviewed studies, expert opinions, or similar covered cases).

Write a formal appeal—clearly argue why the service should be covered.

5. Leverage State & Federal Laws
🔹 Balance Billing Protections (in some states) may limit what you owe.
🔹 No Surprises Act (NSA) protects against unexpected bills for emergency and certain non-emergency services.

6. Escalate When Needed
Request an internal appeal first.

If denied again, file for an external review (mandatory under ACA for most plans).

Consider involving your employer’s HR (for self-insured plans) or state insurance department.

04/29/2025

How to Write a Medical Claim Appeal Letter That Actually Works

Dealing with a denied medical claim? You’re not alone. Many patients and providers face claim denials, but a well-crafted appeal letter can make all the difference. Here’s how to write one that gets results:

1. Understand the Reason for Denial
Before you appeal, review the denial letter carefully. Was it due to missing information, coding errors, or lack of medical necessity? Pinpointing the issue helps you address it effectively.

2. Gather Supporting Documentation
Include:
✅ Patient’s medical records
✅ Doctor’s notes & test results
✅ Policy details & prior authorizations
✅ Any relevant clinical guidelines

3. Structure Your Appeal Letter Clearly
Header: Patient info, claim number, date of service

Introduction: Briefly state the purpose (e.g., “I am appealing the denial of claim for [service].”)

Body: Explain why the denial should be overturned with evidence (cite policy terms, medical records, etc.)

Conclusion: Politely request reconsideration and provide contact info.

4. Be Professional & Persistent
Use a respectful but firm tone.

Follow up if you don’t hear back within the expected timeframe.

Escalate to external review if necessary.

5. Know Your Rights
Under the Affordable Care Act (ACA), you have the right to an internal and external appeal don’t hesitate to use them!

💡 Pro Tip: Personalize the letter. insurance reviewers respond better when they see a well-documented, patient-specific case.

Have you successfully appealed a denied claim? Share your tips below! 👇

04/24/2025

How to Determine Primary vs. Secondary Insurance: The Only Guide Healthcare Providers Need!

Navigating insurance claims can be a headache, especially when dealing with multiple payers. One of the most common challenges healthcare providers face is determining which insurance is primary vs. secondary when a patient has dual coverage.

Mistakes in this process can lead to claim denials, delayed payments, and frustrated patients, so getting it right is crucial! Here’s a step-by-step guide to help you accurately determine the order of coverage.

🔍 Step 1: Identify the Types of Insurance Involved
Patients may have multiple policies, such as:
Employer-sponsored plans (through their own job or a spouse’s)
Medicare/Medicaid
COBRA
TRICARE (military coverage)
Individual marketplace plans
Each type follows different coordination of benefits (COB) rules.

📌 Step 2: Apply the Standard COB Rules
The general hierarchy for determining primary vs. secondary insurance is:
1. Employer-Sponsored Insurance (ESI)
If the patient is the policyholder (their own job), their plan is primary.
If covered as a dependent (e.g., spouse’s plan), their spouse’s plan is primary only if the spouse is the primary subscriber.

2. Medicare + Private Insurance
If the patient has Medicare and an employer plan (≥20 employees), the employer plan is primary.
If the employer has

04/15/2025

How to See Patients When the Physician Isn’t Credentialed Yet? 🏥⏳

Credentialing a new physician can take 30-90 days, but your practice can’t afford to turn away patients in the meantime. So, how do you keep revenue flowing while waiting for approvals? Here’s your game plan:

🔄 Temporary Provider Billing (Incident-to & Split/Shared Services)
Medicare/Medicaid: If a credentialed physician supervises, services may be billed under their NPI (Incident-to rules apply).
Commercial Payers: Some allow split/shared visits check payer policies.

💵 Cash Pay & Self-Pay Discounts
Offer discounted self-pay rates for patients until insurance kicks in.
Provide superbills so patients can submit claims themselves.

📅 Hold Claims & Bill Later (Retroactive Billing)
Some payers allow retroactive billing once credentialing is complete (verify with each insurer).

⚠️ Risk: Delayed payments, so track claims carefully.
Locum Tenens (Temp Physician Coverage)
Use a credentialed locum tenens provider to bill under their credentials (Medicare allows this for up to 60 days).

🌐 Out-of-Network Benefits & Single-Case Agreements
If a patient has out-of-network benefits, they may still get partial coverage.
For critical cases, request a single-case agreement with the insurer.

🚫 Pitfalls to Avoid
❌ Don’t bill under another provider’s name unless allowed (fraud risk!).
🔍 Verify payer policies rules vary by insurer and state.
📌 Track credentialing progress to avoid unnecessary delays.

💡 Pro Tip: Streamline credentialing with a credentialing service to avoid future gaps! 🚀

03/28/2025

Do Doctors Lose Money on Medicare Patients? The Truth About Reimbursement

One of healthcare’s biggest debates: Are Medicare patients a financial loss for doctors? With reimbursement rates often lower than private insurance, many providers struggle to balance profitability with quality care. But is Medicare really a money-loser? Let’s analyze the facts.

🔍 The Challenges:
1️⃣ Lower Reimbursement Rates – Medicare pays ~80% of the "approved amount," leaving 20% to secondary insurance or patients. If unpaid, doctors absorb the loss.
2️⃣ Rising Costs – Salaries, supplies, and compliance expenses keep climbing, while Medicare rates often lag behind.
3️⃣ Billing Complexities – Strict coding rules lead to denials, audits, and delays, hurting cash flow.
4️⃣ No Balance Billing – Unlike private insurers, Medicare prohibits charging above its set rate, capping revenue potential.

💡 Can Doctors Still Make Medicare Work?

✅ Optimize Billing – Clean claims, proper coding, and denial management maximize reimbursements.
✅ Leverage Value-Based Care – Medicare Advantage and ACOs offer bonuses for quality & efficiency.
✅ Expand Services – Preventive care, chronic disease management, and telehealth open revenue streams.
✅ Strategic Patient Mix – Some balance Medicare with private-pay or concierge patients.

🏥 The Bottom Line
Medicare can be profitable but it requires adaptation. Providers who streamline operations, embrace alternative payment models, and diversify revenue can thrive. Those who don’t? They risk falling behind.

What’s your experience? Do Medicare patients hurt your practice’s bottom line or have you found ways to make it work? Share your insights below!

03/21/2025

How Our Client Increased 35% Revenue with Our Billing Solutions?

At Fast Billing Solutions, we’re passionate about helping healthcare providers thrive. Here’s how we partnered with our Client.

✅ Eliminated Claim Denials: Our team identified and fixed coding errors, reducing denials by 40%.
✅ Faster Reimbursements: We streamlined their billing process, cutting payment turnaround time by 50%.
✅ Maximized Revenue: By ensuring accurate coding and compliance, we recovered $150,000 in previously lost revenue.
✅ 24/7 Support: Our dedicated team provided real-time solutions, ensuring no claim was left unresolved.

💡 The Results Speak for Themselves:

35% increase in revenue within 6 months.
95% clean claims rate on submissions.

📈 Ready to Transform Your Practice?
Whether you’re struggling with denied claims, slow payments, or revenue leaks, Fast Billing Solutions has the expertise to turn things around.

💬 Contact us today to schedule a FREE Practice Audit and see how we can help YOU achieve similar results!

👉 DM us or visit www.fastbillingsolutions.com to get started! 🚀✨

03/18/2025

🚨 Why 9 Out of 10 Practices Regret Sticking with In-House Billing 🚨

If you’re still handling billing in-house, it’s time to rethink. Here’s why 90% of practices regret not outsourcing sooner:

1️⃣ Costly Mistakes: Errors lead to denials, delays, and even legal risks.
2️⃣ Time Drain: Billing eats up hours better spent on patient care.
3️⃣ Lower Revenue: Missed claims and underpayments hurt cash flow.
4️⃣ High Turnover: Training staff is expensive and they often leave.
5️⃣ Lack of Scalability: Growing practices outpace in-house teams.
6️⃣ Burnout: Billing stress kills morale and productivity.

💡 The Fix? Outsourcing. It’s a game-changer for efficiency, revenue, and peace of mind.

📞 Ready to transform your practice? Let’s talk!

03/12/2025

Is Your Billing Software Stuck in 2015? How Outdated Tech Hurts Your Bottom Line 🚨

Dr. Smith, when was the last time you treated a patient using a 2015 medical guideline? Never because medicine evolves. So why is your billing software stuck in the past?

Outdated billing systems aren’t just inconvenient they’re costing your practice thousands in lost revenue, staff burnout, and patient frustration. Let’s break it down:

💸 Rising Denial Rates = Lost Revenue
Legacy systems lack AI-powered tools to catch errors, leading to 30% higher denial rates (MGMA, 2023). Modern platforms slash denials and recover revenue fast.

⏳ Wasted Staff Time = Burnout
Manual tasks like data entry and claim follow-ups eat 15+ hours/week. Automation cuts this to under 5 hours, freeing your team for patient care.

⚠️ Compliance Risks
Older software often lacks critical updates, leaving you vulnerable to HIPAA fines and data breaches.

😠 Poor Patient Experience
Confusing paper bills and no online payment options lead to delayed payments and frustrated patients.

✨ What 2025 Billing Tech Looks Like:

🤖 AI-Driven Claim Scrubbing: Real-time error checking to reduce denials.

�️ Automated Prior Auths & Follow-Ups: Faster approvals and fewer pending claims.

☁️ Cloud-Based Accessibility: Secure, anytime access to billing data.

👩‍💻 Patient-Friendly Tools: Mobile payment portals and reminders to improve satisfaction.

📊 Case Study: A family practice upgraded to a modern RCM platform and recovered $200k/year, cut denials by 12%, and reduced AR days to 32.

Your billing system shouldn’t be a relic. Upgrading isn’t just about technology—it’s about protecting your revenue, retaining staff, and keeping patients happy.

💬 DM us “UPGRADE” for a free billing software audit. Let’s recover what’s yours.

Fast Billing Solutions

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