Frequently Asked Questions – Everything You Need to Know!
Explore our frequently asked questions to learn everything about TMS billings and meet the team committed to helping TMS providers thrive through expert billing services.
What is your approach to medical billing?
We provide end-to-end billing services, from claim creation to payment posting, helping TMS providers streamline operations and improve cash flow.
How do you ensure accurate billing?
Our certified billing specialists and advanced software minimize errors, ensuring timely and accurate reimbursements for all TMS claims.
Do you specialize in TMS billing?
Yes, we specialize in medical billing, handling everything from coding to claim submission, ensuring smooth and compliant billing processes.
What are the benefits of outsourcing medical billing?
Outsourcing medical billing boosts cash flow, reduces administrative burdens, and enhances financial efficiency for TMS practices.
Why is accurate medical coding important?
Accurate coding ensures proper reimbursement, minimizes claim denials, and helps TMS providers maintain a steady cash flow.
Do you handle coding for all specialties?
Yes, we specialize in coding for TMS services and a wide range of specialties, ensuring compliance and accuracy.
How do you stay updated with coding changes?
Our coders regularly undergo training and stay informed on the latest coding regulations to ensure ongoing accuracy and compliance.
What impact does accurate coding have on TMS providers?
Accurate coding leads to faster reimbursements, fewer claim denials, and stronger financial health for TMS practices.
What is credentialing?
Credentialing is the process of verifying a healthcare provider’s qualifications—such as education, experience, and licensure—to ensure they meet insurance company standards.
How long does credentialing take?
Credentialing timelines can vary based on the provider’s specialty and insurer requirements, but we work efficiently to expedite the process and ensure faster approval.
Do you handle re-credentialing?
Yes, we manage both initial credentialing and re-credentialing, ensuring uninterrupted participation in insurance networks.
Why is credentialing important for healthcare providers?
Credentialing allows healthcare providers to join insurance networks, ensuring they can be reimbursed for services provided to insured patients.
What is Revenue Cycle Management (RCM)?
RCM is the process that manages a patient’s journey from initial visit to final payment, ensuring timely reimbursement for TMS providers.
How do you optimize RCM?
We streamline all stages of the revenue cycle, reducing denials and accelerating payments to enhance cash flow for TMS practices.
Do you offer RCM analytics?
Yes, we provide in-depth analytics to monitor performance and optimize the revenue cycle for TMS providers.
What are the benefits of effective RCM?
Effective RCM improves cash flow, minimizes administrative costs, and strengthens the financial health of TMS practices.
What are accounts receivable in healthcare?
Accounts receivable refers to the money owed to healthcare providers by patients or insurance companies for services rendered.
How does TMS billing manage accounts receivable?
We proactively follow up on unpaid claims, ensuring timely payments from insurers and patients to improve cash flow for TMS providers.
Do you handle denied claims?
Yes, we specialize in managing denied claims, working diligently to recover revenue and ensure proper reimbursement for TMS services.
What are the benefits of outsourcing accounts receivable services?
Outsourcing accounts receivable boosts cash flow, reduces administrative workload, and optimizes the overall revenue cycle for TMS practices.
Frequently Asked Questions
Do you have questions about our medical billing and coding company? Let’s help you out.
Do you only work with New York practices?
New York is the core focus. We also support surrounding states when a group has locations that cross state lines, for example New Jersey and Connecticut. The approach stays the same. Regional payor rules, portals, and workflows, not generic billing.
Do you handle New York Medicaid, both fee for service and managed care?
Yes. We handle New York Medicaid fee for service workflows tied to eMedNY, plus Medicaid managed care plan billing. That includes eligibility checks, claim status follow up, denials, resubmissions, and appeals.
What is eMedNY, and why does it matter?
eMedNY is New York’s Medicaid system for provider billing operations, reference material, and tools like claim status inquiry. If a billing team does not know how to work eMedNY correctly, you usually see it in slow claim fixes and aging A R.
We already have a workflow. What changes when we switch?
We merge into your existing workflow. If you want, we take specific steps off your staff’s plate while you keep control of the rest. If you want a full transition, we take the workflow over from the prior billers and keep it moving with minimal disruption.
Will you work inside our current EMR, PM, and clearinghouse?
Yes. Most practices want continuity. We work in your existing system and document the workflow so your team knows what is happening and where to look.
If you do not have a platform, or your current platform is controlled by a billing vendor and you cannot keep it, TMS can provide a platform so you are not boxed in.
If your practice prefers paper and superbills, we can run the workflow that way too.
Do you handle billing only, or full RCM?
We do billing, coding, credentialing, and A R projects. You can hand us full billing end to end, or bring us in for a narrower engagement, like coding support, credentialing, or an A R recovery push.
If you are doing our claims, can you handle credentialing and credentialing maintenance too?
Yes. Many practices prefer one team accountable for claims and enrollment status.
If you want it set up that way, we handle new enrollments, recredentialing, and maintenance as needs arise. As part of maintenance, we can also submit regular requests to payors for fee schedule increases, based on the payors and contracts you are participating in.
Do you handle New York No Fault and PIP claims?
Yes. We handle No Fault and PIP workflows, including the documentation and form requirements that trip up generalist teams.
For example, the New York NF 3 form includes specific submission timing language that providers have to follow, and missing those windows can create avoidable payment issues.
How do you handle Workers’ Comp in New York?
New York Workers’ Comp billing has submission requirements that differ from standard commercial workflows.
For CMS 1500 medical bills, the Workers’ Compensation Board requires electronic submission through Board approved submission partner processes. We run the submission and follow up cadence so these claims do not sit untouched.
Who is my day to day contact?
You get a primary point of contact, plus a team aligned to your specialty and regional workflows. When something needs action from your side, it should be clear what is needed, why it is needed, and who owns the next step.
What does reporting look like?
We focus reporting on what owners and admins actually use, collections trend, aging A R movement, denial categories, payor turnaround, write offs, and follow up inventory.
We can also provide provider specific reporting for performance tracking and provider compensation, based on what your platform supports.
Are you HIPAA compliant, and will you sign a BAA?
Yes. We operate under HIPAA requirements and we sign a BAA. Access is role based, limited to what is needed for the work, and aligned to your platform’s permissions, MFA, and audit logs.
Do you use AI, and what does it actually do in billing?
Yes. TMS uses advanced AI tools configured around New York workflows, payor rules, and common denial patterns.
In practice, that means we use automation to spot missing data and claim risks earlier, and to surface trend shifts, like a payor suddenly rejecting a field or a particular code mix starting to deny. Your team still gets a clear human explanation of what changed and what we are doing about it.
How long does onboarding take?
Timing is driven by access and required documents. Once logins, portals, and clearinghouse connectivity are in place, we can begin work without a long ramp.
What is the next step?
Just fill out our short consultation request form. Pick your practice type, add your practice name and best contact info, then drop a quick note in Comments. If you know your monthly collections, include that too so we can route you to the right team and come prepared.
Once you hit Send, you will hear from us shortly.
Boost Your Billing and Financial Health
TMS Billings simplifies your billing process, helping you improve cash flow and overall financial health. Let us handle the billing, so you can focus on running your practice.
