Our History
The company was incorporated more than 20 years ago. As part of our sevices at that time, a growing responsibility of our staff was adjudicating claims between patients and insurance companies for large employers. This involved working with physicians' offices, provider networks, fee negotiation, credentialing, claim payments, and tracking. What we discovered was that nearly all the unpaid claims were the result of errors made in the billing department of the practices themselves. We decided then that our experience would better be applied by becoming an independent medical biller and by offering our services and expertise directly to physicians.
Our systems have evolved over time, and are at the forefront of current technologies. Yet, our service philosophy has never changed: we offer the best possible service to our provider-clients.
Even the best physician or medical service provider misses entries on their patient encounter forms. That's why our staff is totally at ease and familiar with both current CPT and ICD coding. They are also completely familiar with not just CMS rules and regulations for Medicare billing, but each state's Medicaid requirements, as well as the specific billing and contractual requirements for every insurance company and plan that a practice may accept. This professional knowledge coupled with our multi-faceted software system results in 100% error-free claim transmittals, all compliant with current regulations.
Not only do we help you to get your coding right, we fix problems that may occur due to outside problems. For example, the switchover on May 23, 2008 to use of the NPI for billing has been a nightmare. Frankly, medical providers never got a solid explanation of how to properly utilize the NPI Registry to avoid problems. We are experts in using the NPI to the benefit of our clients. Our clients have the highest collection rates in the industry, and this has been independently confirmed by numerous independent accountants.
Heard of the CCI or Correct Coding Initiative? It's a program that alleges that it's designed to help you code correctly. In reality, it's being used by Medicare payers and many commercial insurers to find an extra reason to deny payments. Worse, it's also an effective audit tool used by insurers to recoup payments already made. Our system conducts CCI testing on each and every claim, and non-compliant claims are marked, you're notified of changes that must be made, you correct your patient files and records, and then, the claim is corrected and submitted to the insurer.
All of these services help you to make your practice bulletproof should an audit ever occur.
All of this means less rejections, faster payments, and larger checks for the practice.
Long ago, we evaluated how our competitors charge and handle their clients. We decided to be different. We charge the lowest possible fee, and haven't increased our rate in nearly 10 years. It's a low, flat fee that is a percentage of your net payments. In fact, our fee is 25% to 70% lower than nearly all of our competitors, and is more than 50% less than the cost of running a billing system within your practice's office!
Our flat fee is all inclusive. There are no hidden fees. No hidden charges. Our fee includes all claim submissions, patient statements, postage, materials, and both toll-free phone numbers and fax numbers for both your practice, and your patients.
It's a practical approach to medical billing, that allows you to significantly reduce your billing costs while at the same time, significantly increasing your practice revenue. Best of all, you'll feel more in control than you ever have, either billing from your own office, or from any other medical billing service. Why? Simply because our understandable and useful reporting let you focus your intention not only on practicing medicine, but on those areas of your practice that will help you grow.
It's part of what separates us from our competitors. That, and the fact that our collection rate is as high as 99.96% for primary claim submissions!
It's all about success. Your success. That's our main objective. A business partnership second to none.
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"The average medical practice spends $50,000 on a billing system that costs them more than 11% of practice income a year to operate, all with virtually no knowledge of what's going on in their own billing office."
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