MTBC offers its clientele two equally comprehensive Medical Billing plans to choose from:

Under the Standard Plan, we charge only a one-time initial setup fee of $1,000 and 5% of the collected amount of your practice. This 5% fee includes commercial and government pays, co-pays, self-pays, capitation payments, etc. Our service fee is markedly lower than what it costs you to perform your own medical billing. (According to the American Medical Association, an average physician's practice with in-house medical billing spends 10% of its $300,000 income on billing related expenses. MTBC's 5% medical billing can save your practice up to $18,000 annually!)
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Under our Premium Plan, we charge 5% of collections, and a one-time setup fee of $1000. In addition to all of the services offered in the Standard Plan, the Premium Plan offers a toll-free number for patient calls, as well as patient eligibility verification. Learn More.

By doing things right the first time, we are better able to cut costs and maximize our efficiency. Our state-of-the-art proprietary software tracks each and every claim through the entire billing process, thus reducing the cost of overlooked claims. We also use cutting edge technology, such as high-speed scanners, that allow us to receive billing information from our physicians without having any of the billing documentation ever leave their offices.

• Free Electronic Medical Records (EMR) software
• Real-time financial reporting
• Accurate electronic claims submission and tracking
• Daily billing and follow-up
• Quick turnaround on payments
• Claims re-submission for finding lost dollars

Our online services include:
• Secure web-login
• Web accessible patient information
• Online financial reports
• Practice analysis
• Cash Register/IOU
• Customized office forms available online 24/7:
• Hospital Superbills
• Office Superbills
• Registration Forms
• Sign-in Sheets

Other great value-added features include:
• User-friendly scheduler to manage your time and appointments online.
• Online Pending Transactions List, to promptly update missing information.
• The Cash Register/IOU feature provides customized transaction receipts for funds collected in the office, while helping reduce patient billing.
• Electronic Remittance Advice (ERA)
• Electronic Funds Transfer
• Recovery of lost funds through collection agency

The ERA not only serves to notify you of your payments, but also simplifies identification of EOBs or checks misplaced in the pipeline. Timely filing of claims to secondary insurances and re-filing of denied or rejected claims become simpler; while EFT provides for fast, secure and efficient electronic payments and collections. saving you the trip to your bank.

MTBC has introduced several exceptional features in its Premium Plan. These features include the Online Eligibility Verification, which is a powerful tool for doctors with which to eliminate the rejection of claims due to non-eligibility. Used with our Online Scheduler, the Online Eligibility Verification system informs you if your patient is covered for the date of service. If the eligibility is in doubt, you may either request payment of fees at the time of service, or obtain new insurance information. Eligibility is also available in real-time so that you may confirm a new patient's insurance. Either way, you save on the several weeks it would have taken for the claim to run its natural course. Physicians who opt for the 5% plan also receive a toll-free number for the Patient Help Desk.

Although a fully functional electronic medical record (EMR) program can cost as much as $25,000, MTBC provides its Free EMR, which includes all of the features available in expensive systems, free of charge-no strings attached-to any practicing physician.

Physicians who use MTBC's integrated EMR fully incorporate all of MTBC's billing, transcription, and practice management solutions into one cohesive package. The services available in MTBC's billing plans, including 5% Medical Billing, 4¢ Medical Transcription, and now a free EMR, complement one another as a complete practice management solution.

Our EMR includes modules for automated billing, scheduling, claims tracking, document management, fax functionality, prescription management, template modules, and electronic encounter documentation, with complete HL7 (Health Level 7) security compatibility.

The EMR creates a synergy of medical billing, transcription, and charting solutions in one comprehensive package and is available to any practicing physician. Download the EMR today, and go paperless.

We are capable of handling any medical specialty. We provide medical billing services for countless medical specialties, including Ear Nose & Throat, OB/GYN, Pediatrics, Podiatry, Psychiatry, Pulmonology, Rheumatology, Radiologic Technology, Family Practice, Emergency Medicine, Neurology, Orthopedic Surgery and Internal Medicine.

There are several ways that a physician can send billing information to our office. The most efficient way is to export the data using our EMR. This allows the office to electronically document encounters while creating a paperless office environment. Another method is a high-speed duplex scanner, which scans the work to our servers where it enters our processing stream.

Communication between MTBC and its clients is of primary importance. Therefore, upon signing the contract, each physician receives an e-mail address and secure web-login through www.MTBC.com to send and receive messages between MTBC's billing staff and the physician's office. Our Customer Support staff is also available at 1.866.266.MTBC to answer questions and ensure satisfaction while our Patient Help Desk is available to handle patient inquiries about bills they receive.

About 97% of claims are filed electronically with the insurance companies. However, for companies that are not currently setup to receive claims electronically, we use HCFA forms for claims submission. Most insurance companies also respond electronically through Electronic Remittance Advice (ERA), which informs MTBC and the physician of payments in a fraction of the time it would otherwise take.

Our Direct Submitters are spread across 35 States in the USA. A comprehensive list of these Submitters is available at the following link: Direct Submitter

Whereas paper claims submission takes 90-120 days, standard electronic claims filing allows reimbursement from the insurance companies within 7-21 days. Physicians who use all of our integrated services to their fullest capabilities receive payments in as little as 3-5 days. This drastic reduction in time is due to the many included features available in both our Standard and Premium medical billing agreements, which include EMR, eligibility verification, ERA, and EFT.

No! There are no extra charges for electronic transmission of claims to the clearinghouse. In fact, there are no extra charges for any of MTBC's services. At MTBC, we do not have the standard "module mentality" of charging physicians on an a la carte basis for each additional service they utilize. In both the standard plan and the premium plan, there is a one time sign-up fee, and then a low monthly service fee for the life of the contract.

All checks and EOBs (Explanation of Benefits) will be sent directly to your office. Since most insurance companies offer Electronic Remittance Advice (ERA), electronic versions of the EOBs, and electronic funds transfer (EFT), physicians can receive electronic EOBs and payments far quicker than the standard paper delivery. This also allows MTBC to receive electronic notification of payments through ERA, making the follow-up process efficient and speedy. For physical copies, you keep the checks and send us scanned copies of the EOBs, so that we can perform effective follow-up.

Yes. Unless the non-payment is for a valid reason, such as a deductible, capitation, no coverage, or duplicate invoice, we reprocess the claim with any needed additional information. If the additional information is not available at MTBC, we will contact your office for the information. We then follow up with an appeal if the claim remains unpaid.

We perform follow-up on patient bills by sending a series (up to 3) of collection letters to patients, requesting payment of the past due amount

You can check your billing status online, from either your home or office, 24-hours a day and 7 days a week, through the secured portion of our web site www.MTBC.com.

We can start the setup process immediately upon the signing of the contract. Generally, the process takes 3 - 7 days for most physicians. We can give you a more accurate estimate after reviewing your individual practice.

Under the Premium and Standard Plans, there is a one-time setup fee of only $1,000. In order for us to process your claims effectively and efficiently, we go through a very laborious and time-consuming setup process. This process includes entering all your patient data into our system, creating customized forms, setting up your account with our clearinghouse as well as assisting you to install your high-speed Duplex Scanner. It is important to note that we do not charge you any hidden fee for click charges, postage, business reply mail, etc. You pay only the initial setup fee and 5% of the collected amount.

Ensuring that your patients are satisfied with the billing process is extremely important to MTBC. We have specially trained service representatives at our Patient Help Desk to respond in a courteous and professional manner to patient-billing questions. Under our Premium Plan, patients have access to a toll-free number for their queries.

No, unlike other billing companies, we do not charge you any additional fee for click charges, postage costs, forms, business reply mail, etc. All of these costs are included in the 5% monthly fee. Our goal is to keep it simple-you pay only the agreed amount.

Forms with missing information are uploaded in a Pending Transactions List (PTL), which you may access by your secure web login. When you log in to your account, you will be able to review and update all the missing information online, which is instantly imported into our system, avoiding any delays in filing your claims. Conversely, in order to positively reinforce a job well done, we have formulated a rating system by which to select and show our appreciation to the offices that prove to be most efficient in uploading their daily work to MTBC.

Yes, you will need a high-speed, Duplex Scanner to upload your Bills and EOBs, and an Internet connection to upload your data to us.

“Capitation” is a set amount paid for each enrolled person assigned to healthcare service providers (physicians), whether or not that person seeks care, per period of time.

If the check is not received till the 23rd of a particular month, the authorized person will communicate (through SSC or call) to get the details.

In case the check is not received by the end of the month, an estimated amount will be posted depending upon the previous month’s check.

If a check is received later on, adjustment in the covered amount will be made.

We post payments from insurance calls, websites and IVR (Interactive Voice Response), in addition to EOB/ERA.

Yes, online EOBs found on the websites of different insurances are posted the same day.

The claims shall be posted conditional to the following details: ICN, check date, check #, paid amount, patient responsibility, representative’s name, reference #, and request for a duplicate policy.

No, you cannot submit the same claim with different billing physicians. Once the claim is submitted to primary insurance with one billing physician, the same will be forwarded to secondary insurance irrespective of whether it is contracted with that insurance or not.

You can make any changes to the billing physician before submission of the claim to primary insurance.

You will need to send a request through SSC for re-submission of the claim with the corrected billing physician’s name.