MedBillingStar guarantees that primary insurance claims will be paid within 2 to 6 weeks of submission. If for some reason any claims are not paid, then MedBillingStar will reduce the monthly rate for those claims which were not paid within 2 to 6 weeks of submission.

We guarantee this with confidence, as we closely monitor the high hanging fruit, in addition to the low hanging fruit, on your Accounts Receivable.

It is very easy for a billing company to come in and go after easy money that has been left on the table, but it takes knowledge and finesse, to understand a Payer’s Reimbursement Guidelines and apply that to your individual practice.

What makes MedBillingStar standout, is that we apply all of this knowledge to the RCM process with superior results.

Please fill out the form below to speak with one of our Certified Specialty-specific Coders and Billing Professionals
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Client References: There is no better way to know us, than by speaking with our Clients. Our Clients are our best references! They can tell you first hand, the positive effort we put behind managing Medical Coding, Billing & Revenue Cycle effectively.

Industry Facts:

MGMAStat found that only 44.38% of Physicians’ Offices use Certified Coders. 29.96% of Providers do the Coding themselves and not audited.

Many Providers have challenges staying abreast of the ever-changing payer reimbursement guidelines and mandatory requirements. Some of these include:

  • Coding
  • Billing
  • Auditing
  • OIG/CMS Compliance

Best Practices are to have AAPC/AHIMA Certified Coders/Auditors in-house, but it can be costly for a practice to do so.

What Makes MedBillingStar Different From Other Billing Companies?

Under our CES (Continuing Education System) program, our Certified Coders attend Coding/Billing related Events and Conferences and actively participate in AAPC/AHIMA Forums.

It allows our Clients the freedom to go about their daily practice lives and eliminates the need for them to be concerned about any Coding/Billing/Auditing/Compliance Challenges that a payer may present.

RCM Tools MBS Utilizes to Minimize Payer Reimbursement Challenges:

The Surveys are in and on average, 15% of Claims are Denied. More than 66% of Providers do not have the proper staff or tools in place to Track and Correct/Appeal Denials.

We have over 20+ years of Medical Coding, Billing & Auditing experience, which has helped us understand the intricacies of Claim Denials that payers often present to the providers who treat their members. This often leads to significant revenue loss, as many back offices, do not have adequate staff with experience who can follow up and appeal denied claims.

We have developed a tool called AnalyticsStar, which has significantly reduced these ongoing payer reimbursement issues, which does the following: Track, Categorize, Strategize, Correct & Learn (TCSCL).

  • It can Track & Categorize every Denial,
    • by Denial Code along with Reason
    • by Source
    • by Root-cause based on Root Cause Analysis (RCA)
  • It sets Denial Addressing Strategies (DAS)
  • It sets 24-48 hour TAT to fix Denials
  • It can fix many Denials permanently
  • It can self-learn once a Denial Solution has been derived

AnalyticsStar goes beyond the basics and also is able to assist Physicians with tracking 15 different KPIs.

Urgent Care Internal Medicine Family practice Pediatric Cardiology
Dermatology Orthopedic Nephrology Neurology Neurosurgery
Endocrinology Ophthalmology Podiatry Pain Management
Home Health Ambulatory Surgery ASC Freestanding Facility Center
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16

YEARS & COUNTING

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75

CLIENTELE

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25

EMRS/EHRS

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15

SPECIALITIES

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FAQ

FAQs that our Clients have asked prior to signing up with our service.
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How many days prior to DOS you verify Patient Eligibility?

We verify Patient Eligibility and Benefits two days prior to DOS.

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How do you communicate the obtained Eligibility info with our office staff?

We update your Patients Eligibility, Benefits verification and past balance directly into your EMR/EHR/PM and set an alert, so that no one in your office misses the vital information needed to inform and educate the patients at the time of visit.

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How does our office staff communicate with your team, if they have any questions?

Your staff can communicate with our staff via the HIPAA compliant messaging system that every EMR/EHR/PM has. Your staff can also call our staff through the dedicated phone number.

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Do you have certified coders?

Yes, we have AAPC/AHIMA Certified Specialty Specific Coders to assist you with CPTs, ICD-10s and Modifiers based on LCD and NCD.

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Do you make changes to the CPT levels if the Clinical Documentation does not have sufficient documentation that supports medical necessity?

No, we will not make any changes to the CPT levels. We may query the provider for clarification, if we need to. We will have our Certified Clinical Documentation Specialists to educate the doctors on Clinical Documentation guidelines set by CMS and we can also help with setting up documentation template for the procedures.

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Do you audit charts to verify codes, if yes how many charts you audit?

Yes, we do audit 100% of charts to ensure accuracy and proper DX mapping.

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