Medical Billing
Over 25 years of experience with medical billing
MEDICAL BILLING SOLUTIONS
At Medical Claims Consultants, our team is CCA & CCS certified.
At MCC, we understand that billing and software are not the same thing. Revenue cycle management is too important and complex to be an add-on to bundled software services. Quality medical billing requires the work of experts with years of experience. It requires vigilant attention to detail. Anything less results in lost revenue.
Key Facts about our services
- Our system has numerous checks and balances to ensure that every charge is captured for submission to insurance, every claim is followed up, and errors are greatly reduced. Each account is monitored by multiple supervisors, which allows for greater accuracy and consistency.
- We offer front-end office advice, concerning patient engagement and information collection, which allows the physician billing cycle to run more efficiently from beginning to end.
- Each practice has a team of employees working for key charges, submit claims, track audit trails, post payments, pursue delinquent insurance claims, and answer patient billing questions.
- MCC offers a proven process of charge-capture and payment reconciliation, ensuring an accurate and transparent billing system for hospital and/or practice staff. MCC routinely works with hospital accounting departments to ensure daily reconciliation.
- Our staff has decades of medical billing experience. Operational staff members conduct weekly coordination meetings, to share collective knowledge and ensure cohesiveness.
- MCC staff members are always available to answer specific billing questions. Since multiple staff members work each account, there’s always someone available with personal knowledge of your account.
what we do
Front Office Consulting
Front Office Consulting
To help facilitate your patient’s journey on the road to recovery and to expedite the process of receiving payments, the patient’s input of information is just as critical for payments and administrative aspects. Our billing experts will advise your front office staff regarding patient eligibility and pre-authorization.
Claim Submission
Claim Submission
Electronic insurance claim submissions are the fastest way to process payment for your claims. Claims are scrubbed and reviewed for accuracy by our billing team.
Appeal Management
Appeal Management
MCC brings you over 25 years of knowledge gained from working with other healthcare organizations and apply best practices immediately from appeal strategies to writing effective appeal letters. Our experienced team will track appeals to ensure denied claims are paid appropriately.
Reporting & Analytics
Reporting & Analytics
Financial reporting is critical to understand your healthcare organization’s financial state. Our client manager’s provide customized monthly reports, offering financial insights of your practice’s performance including national benchmark averages.
Financial Responsibility
Financial Responsibility
Our billing experts will work with you to set up best practice check-in operations. Collecting appropriate patient benefits verification is the first step in increasing your revenue as patients today represent 30% of your total revenue.
Denial Management
Denial Management
When claims are denied, our certified billers and coders find missing information immediately, and refile or appeal the denials daily. We quickly determine the cause of the denials, alleviate the risk of future denials, which helps you get paid quicker.
Patient Statements
Patient Statements
Statements are processed by our team to ensure your patients receive accurate statements on a monthly basis.
Previous A/R
Previous A/R
In many cases, healthcare organizations reach out to us when their current billing provider is leaving money on the table and not collecting as much as they should be. MCC believes in collecting every dollar amount you deserve. We will help collect previous A/R missed by your previous vendor.
Charge Entry
Charge Entry
Our expert charge posting team will post, review, and submit all office charges, hospital visits, surgeries, and diagnostic tests to ensure proper coding and accuracy. We post and submit daily so your practice maintains a steady flow of revenue.
Payment Posting
Payment Posting
Our team is experienced on the most advanced electronic remittance scenarios: including denials, underpayments, over-payments, multiple adjustments, secondary remittance, reversals, and much more. We run reports and post payments on a daily basis to assure payment reconciliation.
Patient Collections
Patient Collections
Our billing experts are the primary point of contact for your patent’s statement, payment plan arrangements, and collections
Payer Contract Review
Payer Contract Review
Our billing experts review payer contracts on a weekly basis. We will review payer contracts and assist with payer negotiation for higher reimbursements.
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