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FAQ'S







    Click on the questions below for answers to frequently asked questions about our medical billing services.

  1. What operational benefits can my practice expect from Capriís medical billing services
  2. What cost benefits will we see from Capriís medical billing services?
  3. What type of practice does Capri usually work with?
  4. How long does it take to get started?
  5. What medical billing software do you use?
  6. How will Capri receive my information for daily claims generation?
  7. What do I need to provide Capri to make sure claims are submitted efficiently?
  8. Where do payments go when claims are reimbursed?
  9. Does Capri also mail out patient statements?
  10. Does Capri assist patients with billing inquiries?
  11. What are Capriís fees?
  12. How often will you invoice our practice?
  13. Are there any start-up fees?
  14. Is Capri HIPAA compliant?



1.What operational benefits can my practice expect from Capriís medical billing services?

  • Eliminate concerns about staff turnover, training or vacation and sick time
  • Claims are entered daily- not just when there's free time
  • Less paperwork for office employees
  • Focus on patient care, not patient bills

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2.What cost benefits will we see from Capriís medical billing services?

  • Fees are based on collections, so we don't get paid unless you get paid!
  • All payments go directly to you Ė you retain complete control
  • Daily claim generation and carrier follow up ensure faster pay-outs
  • Frequent patient statement mailings reduce turnaround on patient obligations
  • No ongoing administrative costs for paper, envelopes, forms or postage

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3.What type of practice does Capri usually work with?

  • Our medical billing services are flexible enough to work with just about any practice of any size. Our streamlined delivery model enables us to adapt to your needs. If you are single physician practice, or have several offices with a team of providers, we can customize a medical billing solution to your needs.

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4.How long does it take to get started?

  • We can begin medical billing services as soon as you are set up in our system. We'll need some specific practice information to get started such as: practice name, address, UPIN, Tax ID, provider numbers, fee schedule, insurance IDs, etc. Once the information established, we can usually start submitting claims within a couple of days.

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5.What medical billing software do you use?

  • Our Staff are trained with most of the medical billing softwareís and experienced staff can learn new software in no time.

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6.How will Capri receive my information for daily claims generation?

  • We will provide you with a toll free fax number (for use by your practice only) or you can scan all your documents to our repository processing system as and when you get the documents.

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7.What do I need to provide Capri to make sure claims are submitted efficiently?

  • Your daily submission to Capri should include:
    • A copy of the day sheet
    • A copy of the each patient encounter form that includes all CPT, ICD-9 codes and modifiers and HCPC codes
    • A copy of the front and back of each patient's insurance card
    • A copy of each patient's authorization form
    • A copy of each patientís registration form
    • A copy of check
    • A copy of EOB

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8.Where do payments go when claims are reimbursed?

  • All payments go directly to you. We request that you send us a copy of the EOB or verification of payment (check stub) so our records can be kept up to date for patient invoices and adjustments, but you retain complete control of your money at all times.

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9.Does Capri also mail out patient statements?

  • We send out patient statements monthly after 30 days. We've found that weekly statement mailings reduce turnaround time and allow for receipt by the patient quickly after services are rendered. Reminder statements are sent after 30, 60 and 90 days if payment is not received, though a specific schedule can be tailored to meet your needs.

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10.Does Capri assist patients with billing inquiries?

  • Capri takes a detailed, customer service approach to assisting with billing questions. We know the impression we leave with your patients makes an impact on their impression of your practice. We provide a team of specialized Customer Care professionals to respond to billing inquiries. As part of our standard medical billing services, there is no additional charge to you for our in-depth customer support.

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11.What are Capriís fees?

  • Capri's fees are always based on a percentage of collections. We don't charge based on claims submitted, but on reimbursements received. This approach directly ties our success with yours and creates an immediate incentive for us to work together toward the same goals.

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12.How often will you invoice our practice?

  • We will send an invoice at the beginning of each month for medical billing services performed (i.e. successful collections) from the previous month.

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13.Are there any start-up fees?

  • Capri does not carry any set up fees or start up costs out to you. The only charges billed to your practice are defined by a percentage of collections.

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14.Is Capri HIPAA compliant?

  • Yes. Capri is completely HIPAA compliant and has developed a program to support OIG suggested best practices for medical billing services.

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Improve collections
Accelerate payments
24/7 accessibility to your data
Transparency throughout the revenue cycle
Full financial and practice management reporting
Full charge entry and payment posting
Daily submission and follow-up
Primary, secondary, and tertiary payer billing
Real-time financial reporting
Integration with third party EMR software
Online insurance eligibility verification
Medical transcription.
Data Processing, Data Capture & Digitization services
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