Medical Business Consultants, Ltd.
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Services Offered
HCFA/CMS 1500 and Facility UB92 Claims Processing
Coding Assistance (CPT, ICD-9 and HCPCS)
Patient Demographics Entry
Charge Entry - All Specialties
Payment Posting (Manual and Electronic)
Payment Reconciliation
Denial/Rejections Analysis and Resubmission of Claims
Continuous Accounts Receivable Follow-up
AR Reports
Collection Agency Reporting - as defined by client
Coding Services
Our Medical Coders are seasoned and trained professionals with a minimum of 10 years hands-on experience.
Assistance with CPT, IDC-9 and HCPCS coding
Insurance, as well as other third party and regulatory requirements are strictly respected and adhered to
Payor-specific coding requirements
Demographics and Charge Entry
Our staff has the ability to work on scanned images as well as electronically submitted demographic and insurance information.
We process charges for all specialties according to client specific, as well as regulatory agency or
other third party specific rules.
We perform internal Quality Assurance at different levels to provide submission of high quality or "clean claims”.
Payment Posting
Payments reconciled daily
Specific payment reporting such as no pay or low pay reports sent to client as requested
Denials are worked immediately and secondary claim reports generated automatically
Claims Follow up
Last, but not least, we believe follow up is the most important aspect of claim processing as well as, from past experience, the most difficult area medical practices are constantly struggling to manage.
Our goal is to improve our client's cash flow by reducing personnel costs, reducing days in A/R and
improving profitability.