Frequently Asked Questions

Find answers to common questions about our medical billing, credentialing, and insurance verification services.

Medical Billing

What services does your medical billing include?: Our medical billing services include charge entry, claim submission (electronic and paper), payment posting, denial management, accounts receivable follow-up, patient statement generation, and detailed financial reporting. We provide end-to-end revenue cycle support tailored to your practice.
How do you handle denied claims?: We have a structured denial management process: we identify the denial reason, correct any errors, gather supporting documentation, and resubmit or appeal the claim within the payer's timely filing deadline. We also track denial patterns to implement preventive measures and reduce future denials.
What specialties do you work with?: We work with a wide range of healthcare specialties including primary care, ophthalmology, mental health, gynecology, oncology, and multi-specialty practices. Our team understands specialty-specific coding requirements and payer guidelines.
How quickly will I see improvement in my revenue?: Most practices see measurable improvement within 60-90 days of onboarding. This includes reduced claim denials, faster payment turnaround, and improved collections on outstanding balances. We provide monthly reports so you can track progress.
Do you handle patient billing and statements?: Yes, we manage patient billing including generating statements, processing patient payments, setting up payment plans when appropriate, and handling patient billing inquiries. We ensure a professional, compassionate approach to patient collections.
What billing software/systems do you work with?: We work with most major practice management and EHR systems. During onboarding, we assess your current systems and either integrate with your existing platform or recommend solutions that best fit your practice's needs and workflow.

Credentialing

What is provider credentialing?: Provider credentialing is the process of verifying a healthcare provider's qualifications, including education, training, licensure, and work history. It's required for providers to participate in insurance networks and receive reimbursement for services rendered to insured patients.
How long does the credentialing process take?: The credentialing timeline varies by payer. On average, commercial insurance credentialing takes 60-120 days, Medicare enrollment takes 60-90 days, and Medicaid enrollment can take 30-90 days depending on the state. Our team works to expedite the process by ensuring complete and accurate applications from the start.
What is CAQH and why do I need it?: CAQH (Council for Affordable Quality Healthcare) ProView is a universal provider database used by most insurance companies during the credentialing process. Maintaining an up-to-date CAQH profile is essential because many payers pull your information directly from CAQH when processing your application. We help set up and maintain your CAQH profile.
Can you help with Medicare and Medicaid enrollment?: Yes, we handle the complete Medicare (PECOS) and Medicaid enrollment process, including initial applications, revalidations, change of information updates, and adding new practice locations. We ensure all documentation meets CMS requirements to avoid delays.
What happens if my credentialing application is denied?: If an application is denied, we review the denial reason, gather any additional required documentation, and submit an appeal or corrected application. Common denial reasons include incomplete applications, expired documents, or discrepancies in reported information — all issues we proactively address during the initial submission.
Do I need to be credentialed with every insurance company?: You only need to be credentialed with the insurance companies whose patients you want to see in-network. We help you identify which payers are most common in your area and patient population, then prioritize those applications to maximize your revenue potential.
What is re-credentialing and how often is it required?: Re-credentialing is the periodic verification of a provider's credentials, typically required every 2-3 years depending on the payer. We track all re-credentialing deadlines and proactively manage the process to ensure continuous network participation without gaps.

Insurance Verification

What does insurance verification include?: Our insurance verification process confirms patient coverage status, verifies benefits and copay/coinsurance amounts, checks deductible status, confirms prior authorization requirements, and identifies any coverage limitations or exclusions — all before the patient's appointment.
How far in advance should verification be done?: We recommend verifying insurance eligibility 48-72 hours before the scheduled appointment. This allows time to address any issues, obtain necessary authorizations, or notify patients of coverage changes before they arrive at your office.
What happens if a patient's insurance is inactive?: If we discover inactive coverage, we immediately notify your front desk team so they can contact the patient before their appointment. This prevents unexpected billing issues and gives patients time to provide updated insurance information or arrange alternative payment.
Do you handle prior authorizations?: Yes, we manage the prior authorization process including identifying which services require authorization, submitting requests with supporting clinical documentation, following up on pending authorizations, and tracking approval status to prevent service delays.

General Questions

How do I get started with LL Billing?: Getting started is simple: schedule a free consultation through our website or call us at (305) 786-4001. We'll discuss your practice's needs, assess your current workflows, and create a customized plan. Onboarding typically takes 1-2 weeks depending on the services you need.
Do you work with practices outside of Florida?: Yes! While we're based in Miami, Florida, we serve healthcare providers nationwide. Our services are performed remotely, allowing us to support practices in any state with the same level of dedicated, personalized attention.
What languages do you support?: Our team is trilingual — we communicate fluently in English, Spanish, and Portuguese. This allows us to serve diverse healthcare communities and ensure clear communication with providers, staff, and patients regardless of language preference.
How is LL Billing different from larger billing companies?: We're a boutique healthcare operations partner, not a large impersonal corporation. Every practice gets a dedicated account manager, personalized communication, and solutions tailored to their specific needs. We treat your practice as a valued relationship, not just an account number.
What are your fees and pricing structure?: Our pricing varies based on the services you need and your practice's volume. We offer transparent, competitive pricing with no hidden fees. Contact us for a free consultation and customized quote based on your specific requirements.
Can I choose only specific services or do I need a full package?: Absolutely — our services are modular. You can choose credentialing only, billing only, insurance verification, or any combination that fits your needs. Many practices start with one service and expand as they see results.

Have more questions? Contact us or call (305) 786-4001.