PROVIDER QUESTIONS AND ANSWERS

Question: Are your fees negotiable?
Answer: Our pricing structure was designed so that we can give our clients an extreme advantage to choose the type of special services they need, and pay for it when they need it. This is done through our schedule services.  However, the Front End & Back End Fee is for basic billing only and the optional S.B.A.C enhanced services add-on. These fees are determined upon the provider's submission of a simple quote request form which will let Tami know the services they need, and billable dollars they would be willing to commit per year.  It is easy to get a quote without the commitment or the daily interruption.  We respect the provider's time and appreciate their commitment to patient care.  Our method of pricing is straight forward, and it gives you all the information you need to make an intelligent decision.

We are confident you will be satisfied with our services and the monies you will save when using our scheduled services! Use it when you need it.

Question: What are your fees, set-up costs and what do I get for it?  (See Pricing)
Answer: Obviously this type of information is proprietary.  However, you can request a quote from us and a Tami Accounts Representative will contact you at your convenience, to review your quote and answer any questions that you may have. 

Question: Why should I choose your company over hundreds of soliciting billing companies?
Answer: There are a lot of people starting this type of business everyday now.  However, not everyone has the talent pool necessary to make the whole process work right!  We are a well planned, organized, professional medical billing solutions company. Our core values and beliefs are simply to treat our clients and general public with the utmost respect, honesty, integrity and professionalism at all times. We have an integrated, network billing system that is designed to comply with HIPAA requirements, and able to handle all billing and collections operational challenges that may arise on a daily basis. We can provide reliable, efficient and professional account management services at a fair price. Additionally, we give our clients the flexibility to choose and pay for the special services they need, when they need it. Options = Flexibility + Savings!

Question: Do I need a computer or special type of equipment in order to forward you my bills or file electronically?
Answer: No. A professional carrier chosen by Tami will pick-up your work request form, along with all super-bills, statements, and or other related documents for processing once a week. As for your electronic submissions, once you are set-up with us, we will start billing electronically thereafter.

Question: Will my bills be delayed until I am set-up for electronic billing?
Answer: There is a waiting period in order for you to be set-up for electronic billing. However, we are able to start billing via hard copy to insurance companies on your behalf without delay. We are a full time medical billing solutions company.

Question: Could Tami handle medical groups, home infusion companies and other health care companies?
Answer: Yes. We can handle a health organization and do it successfully, due to our company's well organized work flow, effective policies and procedures, our well designed multi-user network billing and collections software, and overall data security practices. We take our business extremely serious and we love doing it!

Question: Could Tami handle existing troubled accounts?
Answer: Yes. However, these claims do not fall under the regular Tami SBAC contract. It is done on a per case bases and the fees are higher due to the work involved in order to collect on these types of accounts. A separate agreement and scope of work is required for each case. Not all cases are accepted by Tami.

Question: Does your company handle patient calls?
Answer: Yes, with our enhanced services option, we do offer this service to our providers. Every provider's office is set-up differently. Some providers may need these services because they don't have a current billing staff, in which case we would recommend our enhanced services which is more cost effective, and has a lot of the services they need, already included. However, if the enhanced package is not selected, then the service is optional.

Question: Does your company return claims back to the provider?
Answer:  Commercial & Managed Care Claims that run over 120days in ageing are really considered overdue. We normally re-evaluate the claim's follow-up history report and its current status, i.e. medical review, pre-existing condition, etc. If we believe that the claim will be released for payment shortly after the 120 days, we will hold on to the claim. If appeals and tracking, and other special services should be required; we consult with the authorized provider representative and determine on how they would want to proceed. At this point, the services offered under the main SBAC contract, may not be enough to collect on the claim. It would require other available optional services, and the provider must determine whether or not they would like to select those additional services, and separate agreement if necessary, to attempt and collect on the claim. 

Question: How will your office work with my staff?
Answer: You will assign a person or persons as the contact for the assigned Tami Provider Accounts Manager to communicate with. We will not discuss an account with anyone except for the designated contact(s) chosen by the provider. Our accounts manager could correspond three ways, by telephone (person to person), fax (Only if fax machine and location meets HIPAA compliancy) or confidential mail. The manager will implement any of the three methods available that meets HIPAA compliancy, to make sure your person is informed and up to date with what's going on.

Question: What information would you need to get started?
Answer: We would need new and existing patient information of claims we are to work on. Additionally, we need related authorizations, verifications, super-bills, all explanation of benefits, insurance information and guarantor information if different from the patient. Follow-up notes are just as important on existing accounts as well.

Question: What are the terms on my bills from your company?
Answer: Your Back End Fee is due 10 days from receipt of any claim payments received by you. Your Front End Fee is due upon submission for services to Tami. We accept company checks. Monthly scheduled (Options) Services are due upon request for service to Tami. The per-item prices are due upon receipt of bill from Tami.

Question: Do you guarantee your work?
Answer: We are committed to the quality of our work, and will exhaust all efforts within our ability, to collect on your behalf. As you know, insurance companies do not guarantee payment. However, we can and will come to a final conclusion regarding all claims. We are committed to excellence, results and customer satisfaction.

Question: Do you try and settle delinquent claims with patients?
Answer: Only with the provider's authorization and separate agreement necessary signed and in place.

Question: Can you set up payment plans for the patient and collect on the plan monthly?
Answer: Yes, under certain conditions. The provider must be using our patient call handling service option or enhanced services, be willing to authorize Tami to collect on the plan on their behalf, and finally authorize the plan by signing the plan agreement.

Question: What are your working hours?
Answer: 9:00am to 4:30pm, Monday through Thursday and Friday's are strictly dedicated to billing and administrative duties only.