Our Services
Medical Billing and Coding
As your practice grows, so does your medical billing and coding workload. If your staff is trying to manage the day-to-day operations and medical billing, mistakes are bound to occur, resulting in rejected or denied claims and delayed payments.
At MD Reimbursement Associates, our coding and billing experts utilize state-of-the-art HCFA-1500 software to manage your claims submission and remittance processes, reducing errors, so you get paid faster.
When you partner with us, we will implement a streamlined revenue cycle process to maximize your profitability. Billing and coding is a significant component of the revenue cycle, and our team of experts has years of experience handling insurance claimsOur billing and coding services include:
- Capture and enter charges
- Prepare and code claims
- Check, or “scrub,” claims for coding errors and missing, incomplete, or inaccurate information
- Correct any errors detected before submission
- Submit claims, both electronic and paper
- Post payments from patients and payers
- Review and correct denied claims
- Follow up on rejected claims and appeal underpaid claims
- Prepare and send out monthly patient statements
- Manage accounts receivable
- Recover old accounts receivable
- Review and analyze your fee schedule
- Create and analyze monthly and on-demand billing performance reports
Revenue Cycle Management
No other industry has such complexities in getting paid for services as healthcare does, and it changes all the time. At MD Reimbursement Associates, we stay abreast of the latest changes and trends in the healthcare industry. Your practice will benefit from our knowledge of payer requirements, CPT and ICD codes, and regulatory changes.
Successful revenue cycle management (RCM) is the key to any medical practice’s growth and development. If you are a growing practice, it’s advantageous to outsource your RCM to third-party professionals like MD Reimbursement Associates. We will implement specialized RCM software to keep track of all aspects of patient care being delivered, from setting appointments to patient registration and insurance verification, to filing claims and receiving payment for medical services provided.
By outsourcing the management of your revenue cycle to MD Reimbursement Associates, we take care of the back-end side of your business, including:
- Charge capture and coding
- Electronic claims submission, status, and management
- Address and refile appeals of denied or rejected claims
- Collect payments from insurance companies and patients
- Manage accounts receivable (AR)
- Analyze workflow and financial performance metrics
- Utilization review
Practice Management Consulting Services
MD Reimbursement Associates understands how difficult it can be for healthcare providers to both care for patients and manage the business operations of your practice.
As a practice management consulting firm, we have the experience and knowledge of managing both the front and back end aspects of medical practices. As your partner, our goal is to keep your practice running successfully by improving operational efficiencies and productivity as well as increasing revenue and profitability.
MD Reimbursement Associates doesn’t have a one-size-fits-all approach to practice management. We base our recommendations on the detailed operational and financial assessments we conduct. Your goals are our goals as we aim to enhance your practice operations and finances by:
- Maximizing revenue and profitability
- Improving cash flow
- Increasing productivity
- Improving operational procedures
- Creating effective processes and workflow
- Producing better financial reporting and metrics
Credentialing Service
Payors & Government Payors:
- Initial Enrollment with Federal, State and
- Commercial Payors
- Revalidations/Recredentialing with Federal, State and Commercial Payors
- DME Credentialing
- Payor Auditing
- Payor Directory Validation
Other Services:
- Primary Source Verifications
- ECFMG Verification
- Initial and Reappointment Privileging
- Criminal Background Checks
- NPDB query
- CAQH Initiaion and Maintenance
- NPI Verifications
Benefits of Outsourcing to MD Reimbursement Associates
By partnering with MD Reimbursement Associates for your medical billing and coding services, you will achieve the following:
We look forward to hearing from you and partnering with you. To learn more about our billing and coding services, call (239) 300-0987 to schedule a consultation, or you may use our online form to contact us.