Choosing the Right MSP Billing Software

Chapter 3

Choosing the Right MSP Billing Software for Your Practice

Ultimate Guide to Medical Billing for New Doctors in BC



The next step is choosing the right MSP billing software

You are likely new to this and–unless you have tackled medical billing for a family member or friend–may have a few questions: What should I consider when choosing billing software? How can medical billing software assist with the billing process? What is the best medical billing software to use? Should I go with a full-serve or a self-service plan? How can I evaluate if the software is dependable? In this chapter, we’ll answer these questions.

How to Choose the Right Medical Billing Software for Your Practice

No matter which vendor you choose to work with (as we covered in chapter 1 – registration and starting a medical practice  you should always seek medical billing software that:

  • Has the ability to designate sub-users
  • Has a proven track record
  • Offers a range of service options
  • Adheres to privacy and security measures
  • Offers EMR integrations

What To Expect from MDBilling.ca

Cloud base software

Locums, moonlighting, or work at multiple hospitals? Travelling for business or pleasure? MDBilling.ca enables you to access your data anywhere, anytime. All you need is a web browser and an internet connection. 

Ability To Designate Sub-users

MDBilling.ca offers the unique ability to partition access to the medical billing software to different types of users, whether your accountant, your bookkeeper, your assistant or office administrator. 

This ensures that with each team member, you only share the required information for each task. This feature makes it easy for you to delegate billing (or any accounting or bookkeeping responsibilities) without compromising confidentiality if you are busy working with patients. 

Learn more about managing sub-users.

Range Of Service Options: Self-service, Ad-hoc Billing Assistance, and Full-service

When you start your practice, it’s hard to anticipate if you’re going to have time to (or are interested in!) submitting billings yourself. Some doctors opt to delegate this to a family or friend or outsource billing to one of our experienced agents. 

In any case, we offer 2 different options.

  1. Self-service: Software only
  • Pricing: 0.25% of paid claims. Capped at $600 per year.
  • Online access to the software
  • Payment and Reconciliation reports
  • Shows warnings based on the MSC Payment Schedule
  • Access to “do-it-yourself” knowledge base

Ad-hoc Billing Assistance for Self-service (optional)

  • Pricing: $50/hour
  • Hourly consultative services for difficult billing situations such as appeals, reconciliation, or non-MSP claims.
  1. Full-service: Billing Agent Services
  • Pricing: 2.0% of paid claims
  • Online access to the software
  • Payment and Reconciliation reports
  • Proactively fix claims based on the MSC Payment Schedule
  • Personalized service – assigned billing staff
  • Contact hospitals or patients for missing information
  • Resubmission of rejected claims
  • Submit 3rd party billings
  • Detailed monthly payment reconciliation and resubmission of claims

Learn more about the cost of medical billing.

Which Billing Option is Right for You? 

If you’re on the fence about which option might be best for you, consider the following questions:

Ask yourself: Keep in mind: Score:
Are you new to billing? If you have done shadow billing before, you may have a working familiarity with the process and will pick it up quickly. Our experienced billing agents have over ten years with MSP billing, which means they have seen it all and can save you time learning how to bill. Yes=1
No=0
Do you have complicated billing? At MDBilling.ca, we have focused expertise in specialist billing, internal medicine & subspecialties, and surgical specialties. Yes=1
No=0
Do you have the time to learn how to bill and to continue billing on an ongoing basis? Remember, your time is money. Here’s an easy equation to calculate your hourly rate:
Annual income / Weeks worked per year / Hours average workweek = Your $/hour. For example, $340,000 / 40 weeks / 40 hours = $212.50 per hour.
As a highly paid professional, it may be worth your time to focus on your core responsibilities and outsource billing to our experienced agents. Yes=0
No=1
Are you interested in learning how to do your own billing? Even if it makes more financial sense to outsource, if you get satisfaction out of learning the ins and outs of billing, there is no reason why you can’t do it yourself.

MDBilling.ca offers tons of free DIY billing support resources to help you along the way.

Check out our training videos on how to bill MSP. Learn more in our MSP billing knowledge base.

Yes=0
No=1
Do you have colleagues that can ask questions about billing?It can be beneficial to have a work buddy who does similar work and can help you with any questions about service codes. If you choose to rely on your colleagues’ recommendations, just remember: There are a few ways to bill correctly, but an infinite number of ways to bill incorrectly!

When in doubt, refer to the MSC Payment Schedule, or consider consulting us on an ad-hoc basis for coaching.
Yes=0
No=1
Do you have a trusted family member or friend who can help you fix rejections and reconcile?Billing through MDBilling.ca is easy, but fixing rejections can be time-consuming.

When selecting a billing assistant, be sure to think beyond good intentions, and consider whether this individual has the experience or expertise to help you.
MDBilling.ca makes it easy to designate sub-users–which means that you can create separate profiles for your billing assistant and other team members.

And if your billing assistant gets stuck with a tricky rejection to fix, they can rely on our ad-hoc services to help coach them through it.
Yes=0
No=1

Add up your score:

Answered Yes more than 3 times? Outsource billing to an experienced billing agent.
Answered Yes 3 or fewer times? Tackle billing yourself and refer to our DIY billing support resources for guidance. Consider hiring us ad-hoc at an hourly rate, when needed.

Proven Track Record: 10+ Years in Business And Robust Client Base 

We’ve been in business for 10 years and with a 25-person team (and growing), we are the largest medical billing software company in Canada. Over the years, we’ve served many hospital groups

  • Over 6,000 physicians use MDBilling.caTM
  • Over $2.1B in medical billings paid through MDBilling.ca since 2008
  • Over 85% of our clients recommend us

I love how easy it is to attach a premium code to one or multiple parent service codes using your interface. It is also easy to input diagnostic codes by just typing in the diagnoses and the system offers relevant diagnostic codes.

– Dr. Y. Kirkham, Obstetrics & Gynaecology

Privacy and Security Measures (MOHLTC-Conformance Tested)

Our software has been tested and meets the standards set by the Medical Services Plan (MSP) Teleplan system to ensure reliability. We have performed both a third-party privacy impact assessment (PIA) and threat-risk assessment (TRA). When you choose to work with us, data security is just one more thing you don’t have to worry about. Our servers and your data are housed in a secure Canadian data centre and we use 256-bit SSL encryption and software security to ensure your data remains safe. Learn more about our privacy and security commitment.

EMR Integration

If you do need to integrate billing software with an existing EMR application, you can let your software developer know that we have an API integration. This allows you to realize the benefits of an EMR, while using MDBilling.ca to help you get paid faster, and maximize your revenue. 

Our pre-built integration with the OSCAR EMR allows for patient data entered into OSCAR to be transferred directly into MDBilling.ca for a fully integrated system. Learn more about our Developer API.