EzeeJim,
I export my office AC claims electronically. We scan patient info/insurance cards when patient first comes, then upload this to MTBC via FTP. All office claims are uploated electronically. There is an AC option: Billing -> Pull/Export Bills by date -> Pull Bills -> Export
The daily bills will be securely uploaded to a billing company of your choice.
As for hospital bills, I scan paper superbills and upload them via FTP to MTBC. It is possible to create hospital superbills in AC and upload them the same way as office superbills, but it is more time consuming.
All money and EOBs are coming to me. We scan EOBs and upload them to MTBC. I usually go through all EOBs before uploading to see if any claim was denied. Sometime I let MTBC deal with denial (i.e.missing modifier), sometimes I tell my receptionist to investigate (i.e.insurance cancelled).
As for collections, MTBC will bill the patients. Patients send money to me. If patients don't pay over a certain period of time, MTBC fowards them to me. My receptionist calls them, and if they still don't pay, we sumbit them to collection agency through MTBC website. MTBC has all patient accounts avalable online, so it is very easy to monitor collections.