Medical Billing and CredentialingPresented By:BAC Office, LLC
Tonia Ruth-Lead Credentialing SpecialistMedical Credentialing*Over 15 years of management experience*Certified Dental Assistant**A cheer mom!Tomeka Johnson-Founder, Chief Executive OfficerManages all aspects of the business! 10 years of medical billing, credentialing and managing multi location outpatient medical clinics. *Associate in Business (Georgia Military College)*Bachelor’s in Business Finance (University of Phoenix)*Master’s of Education courses complete (University of Phoenix)*AdvancedMD PM Certified *Big Brothers Big Brother’s member since 2016 *Loves to Travel Jordan Martinez- Medical Billing Specialist, Office Coordinator CIS Billing and special project billing. Coordinates operations throughout the company.*Human Development and Family Studies with a minor in Gerontology (University ofColorado) *A mom of 3 girls including twins!*Employed over 1 year with BAC Office!Natalie Ramos- Lead Medical Billing Specialist, EDI operationsBAC Office LLC | Page 2Kelly Sistok- Medical Billing SpecialistMedical Biller and Accounts Receivable*Over 20 years in the banking business*Bachelor’s Degree in Science Agriculture (Ohio State)*A grandmother of all boys! *Employed over 2 years with BAC Office!Amanda - Denial Management*Denial Management*Over 10 years of medical billing and front office medical experience*Employed 3 years with BAC Office! Mental health and primary care billing Manages EDI, ERA and EFT processes.*Certified Medical Assistant (Midland College, TX) *A furbaby mom of three black cats whom have super hero names! *Employed over 3 years with BAC Office!
Register NPI 1, Individual National Provider Number Register NPI2, Organization National Provider NumberCreate username and password to login. Link: NPPESRegister for DEA licenseIf you will prescribe controlled medication apply foryour DEA licenseLink: Register HereRegister for Hawaii CDC LicenseLink: Register HereRegister your EIN (FEDERAL)Link: Register HereCreate a CAQH accountLink: Create CAQH HereCreate PECOS AccountLink: PECOS AccountBAC Office LLC | Page 3
BAC Office LLC | Page 4As a valued partner in our credentialing process, your role is essential in setting thefoundation for success. Here's what we need from you to get started:1. Sign BAC Office Contract- Secure your place with us by signing our partnershipagreement.2. Pay BAC Office Invoice- Finalize the initial setup by settling the invoice to begin thecredentialing process.3. Submit All Provider Information & Required Documents- Provide the necessaryinformation and documents through our secure credentialing platform, **MedTrainer**, toensure we have everything we need to proceed efficiently.
BAC Office LLC | Page 5Our comprehensive credentialing service ensures a seamless integration of your clinic intothe healthcare provider network. We begin by verifying that your clinic is properlycredentialed with necessary payers and networks, establishing a solid foundation. This is followed by the individual credentialing of each provider associated with your clinic,ensuring that every team member is recognized within the system. We then submit formal credentialing requests to the relevant health plans and insurers,crafting a tailored application for each, which is then submitted for review and approval. Our meticulous approach extends to submitting accurate contracts with insurance plansand verifying all data with the health plans to preempt future issues. Once approved, wesecure and deliver your Welcome Letter, confirming your network acceptance.For our credentialing clients who also partner with BAC Office for billing services, weprovide seamless ongoing management. We take care of submitting Electronic FundsTransfer (EFT).For a small extra fee, our team is available to process your Electronic Data Interchange(EDI) agreements when required. Additionally, for clients choosing electronic remittances,we expertly manage Electronic Remittance Advice (ERA) agreements, ensuring smooth andtimely payment processes. With our experienced team overseeing the details, your clinic’sintegration into the network is handled with precision, efficiency, and a focus on keepingyour revenue flowing effortlessly.
BAC Office LLC | Page 6 Medical Credentialing CostsWe offer transparent and competitive pricing for our credentialing services, tailored tomeet the needs of each provider and clinic:$200.00New Credentialing Application – Includes setup of Electronic Funds Transfer (EFT)$250.00New Medicare Application – Includes EFT setup for seamless payment processing$175.00Recredentialing Application – Ensuring continued compliance and networkparticipation$100.00Per EDI Agreement – Includes Electronic Remittance Advice (ERA) for streamlined dataexchange*Discount provided for credentialing more than 10 insurance payors! Our goal is to provide you with efficient, hassle-free credentialing services that help youfocus on patient care while we handle the details
We conduct comprehensive eligibility checks on all patient charges upon receipt,ensuring accuracy from the start. Our team reviews and submits charges to insurancefor swift processing, streamlining the billing process. We offer exceptional customer service, available to support doctors, staff, andpatients through multiple channels: phone, tasks, emails, and chat, ensuring you havethe help you need whenever you need it.Patients receive monthly electronic statements via email, text, or portal, with flexiblepayment options for added convenience. Our expert billing team is equipped with theknowledge to handle all aspects of the billing cycle, including denial management andEFT setup.With detailed financial reporting delivered monthly, you can track your clinic’sfinancial health with ease. Additionally, electronic invoices are provided by the 5th ofeach month, keeping your records organized and accessible.BAC Office LLC | Page 6
At BAC Office, we believe in keeping our pricing straightforward and transparent for ourclients. Our fees are primarily based on a percentage of your monthly insurancereimbursements, ensuring alignment with your financial success. However, certain factorsmay influence the final pricing, which is clearly established at the time of signing your billingcontract.On average, our billing fees range between 7% and 12%, depending on the scope of servicesrequired.Electronic Medical Billing Service Fee: Starting at 7% of monthly reimbursements forstandard billing services.For additional services, the billing fees may adjust to reflect the complexity and scope of thework. This includes:Manual BillingBack BillingAppeals ManagementWorkers' Compensation BillingAdditional Billing Add-On FeaturesBy customizing our services to fit your unique needs, we ensure that you receive top-tiersupport at competitive rates, allowing your practice to thrive without unnecessarycomplexity.BAC Office LLC | Page 7
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Thank YouFrom Phone 808-909-2003 Fax 808-909-2004 info@bac-office.com www.bac-office.comBAC Office LLC | Page 9