Frequently Asked Questions

Below are answers to questions we often receive from physicians considering MedValent for their practices. If your question is not on the list, please contact us.



What is MedValent's mission statement?

To provide physicians personalized, professional, and cost-effective practice management services which optimize their practice's performance.

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How does MedValent achieve results?

The MedValent system and procedures are based on years of experience and knowledge of medical practices in both the front-office and back-office. Our system ensures that practice staff capture all the necessary data when scheduling appointments and collect the required co-payments during the patients' visits.

Once a set coding [paradigm] is in place, our team periodically audits practice charts to ensure consistently correct coding. For all claims, this includes:

  • Use of our internal pre-submission "claim-scrubbing" feature, embedded in our software system, which automatically flags a claim for our coder's attention if needed
  • Review of each batch of submissions by a Certified Professional Coder prior to submission

The MedValent process also tracks outstanding claims until they are paid in full. When posting EOBs, if the payment does not correspond to your payer contract, and if your selected Practice Solution Plan™ covers the appeals service, MedValent will automatically engage in an appeal process on your behalf.

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How many days after the Date of Service (DOS) should I expect to get paid?

80% of claims are typically collected within 30 days, and less than 3% go beyond 90 days.

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How does MedValent make my practice more money?

We save cash cycle time for your practice and increase your rate of receiving payment when it is due from third-party payers. Our claims rejection rates are low, and our system does not require a practice to make large upfront expenditures.

As a result, your total cost of collection can be captured in one simple relationship with MedValent – and cost you less than the national average expenditure for collections.

Typical paper-based collection systems average 60 days for payments from provider checks. MedValent's electronic submissions take an average 15 days for payment, with 80% of claims paid in 30 days. Clients utilizing MedValent's system and EFT can receive payments in as little as 3 days with some payers.

MedValent reduces its cash cycle time and rejection rates by:

  • Having a strong computerized front-office process and tools for patient check-in
  • Utilizing professional coders to examine claims before electronic submission
  • Using an internal "claim scrubbing" feature embedded in our software system, which automatically flags an incorrect claim for our coder's attention prior to submission

Rejection rates for MedValent processed claims typically run less than 5%.

Many commercial software packages require a financial outlay ranging from $3,500 (typical for an Application Service Provider/ASP-based system) to $35,000 (typical for a client-server system), plus seat licenses, plus training hours, plus expensive computer hardware, plus annual maintenance fees.

MedValent has three different Practice Solution Plans™, each with a progressive fee structure based on the level of service desired. In all cases, the fees are significantly less than the AMA-reported national average physicians spend to collect fees.

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How does MedValent lower my practice expenses?

According to a June 2008 report issued by the AMA, a typical practice can expect to incur approximately 14% of its fees in costs related to collecting their fees. These costs include:

  • Salaries and fringe benefit costs
  • Computer software and hardware costs
  • Clearinghouse, mailing, ink and paper costs
  • Real estate costs (office and files related to the collection function)
  • Credentialing costs
  • Lower fees due to inappropriate coding
  • Lost-opportunity costs (from uncollected amounts due to staff prioritizing of tasks)

MedValent's all-inclusive PLATINUM Practice Solution Plan™ includes all software, processing, collection, and consulting costs for significantly less cost than the national average. The Client's practice requires no additional staff, and floor space required for collections and files is eliminated.

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What is the difference between a certified medical coder and a medical biller?

A certified medical coder – referred to professionally as a Certified Professional Coder, or CPC – has taken coursework in medical coding from an accredited institution with specific focus on CPT and ICD-9 coding. To receive certification, coders must pass a national exam. To maintain a CPC license, they must submit annual continuing education units. Certified Professional Coders are registered with the AAPC (American Academy of Professional Coders).

A medical biller primarily performs data entry and follow-up with patients. He/she may have some training in medical billing.

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Does MedValent make sure I'm getting paid according to my provider agreement?

When posting EOBs, if the payer adjudication of a claim is questionable, and if your selected Practice Solution Plan™ includes the appeals service, MedValent will automatically engage in an appeal process on your behalf.

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What advantages does MedValent have compared to other billing services?

Many service providers are billing companies established by laypeople based in home offices. MedValent was established by degreed professionals who designed Company processes and systems from both a medical and financial systems point of view. Our professional management team understands the time value of money and the process steps required to ensure optimized cash-flow cycles for medical practices dependent on third-party payers for revenue flows.

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What size practices does MedValent serve?

We serve single-physician practices, multi-doctor practices, and national providers with thousands of claims per month. MedValent has the service capacity to handle most mid-sized practices and can ramp up quickly to accommodate larger Clients.

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We are thinking of outsourcing our practice's billing functions. What are the start-up costs to work with MedValent?

MedValent requires only a small initial fee of $500 for Client start-up. Clients who select PLATINUM or GOLD Practice Solution Plans™ will also need to have a computer and high-speed Internet access available.

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How does the transfer of information work between my office and MedValent?

We will work with you to determine the best method for your practice. The available methods of information transfer include:

  • Courier: A MedValent courier picks up documents, or Client mails them via USPS Second-day Express Mail (paid for by MedValent)
  • Scanned documentation: Client emails scanned documents via secure Internet transfer
  • Secure Fax: Client faxes document via secure MedValent e-FAX
  • Secure FTP upload: Client uploads data to secure FTP site accessed by MedValent

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How will I know that MedValent is actively working on my claims?

Our Web-based 24/7 ASP system is transparent to Client management. Every claim-related activity is recorded in the Optimized Practice Performance™ system. Our Clients have 24/7 access to the same information and reports our managers use to ensure that your claims are progressing through the MedValent system as planned.

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Is MedValent HIPAA compliant?

Yes. All of MedValent processes and services are documented and HIPAA compliant. Our HIPAA compliance policy is available for review at our offices upon written request.

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Whom does a patient call with a billing question?

All patient statements instruct Client patients to call MedValent directly with any billing questions, using either a local or toll-free phone number listed on the statement. Our customer service representatives are all US based and ready to assist patients with their billing questions.

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What types of financial reports are available?

Our standard, state-of-the-art Practice Management System comes with a number of financial management reports. These include practice analysis reports by time period (monthly, yearly, custom dates), procedure and dignosis code analysis, aging reports by payer, patient, or physician, and many other useful reports. Your MedValent Practice Relationship Manager is always available assist you with them.

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Does MedValent serve medical practices nationwide?

Yes. Today's Information Technology options provide a very secure and effective way for MedValent to work with medical practices around the country. Our secure and transparent Web-based 24/7 ASP system has no geographic boundaries and can provide Clients full visibility into billing and claims status from wherever they are located.

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How does MedValent submit claims to payers?

To expedite cash-flow cycle time for our Clients, claims are primarily submitted electronically. When a third-party payer accepts only paper claims, MedValent submits paper claims.

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Does MedValent send patient statements?

In accordance with the terms of the Client's selected Practice Solution Plan™, MedValent mails out patient statements at regular intervals using our patient billing process.

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What are MedValent's hours of operation?

MedValent office hours are Monday to Friday, 9:00AM to 5:00PM, Pacific Time.

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What part of the computer system am I responsible for?

MedValent Clients are responsible only for their practices' computer, printers, and high-speed Internet connection. MedValent is responsible for the practice management software application, data storage, and payer connectivity. Our Application Service Providers (ASPs) maintain servers in secured, professionally managed remote facilities that have redundant power and network connectivity, and the data is regularly backed up to a remote data-storage facility.

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