Medical Billing Services

Medical Billing Professionals understand the challenges you face in an increasingly competitive environment for the delivery of your services. Tougher compliance requirements mean closer scrutiny.

Medical Billing Professionals embraces the entire reimbursement cycle - from claim submission to collection. By Outsourcing to Medical Billing Professionals acheives maximum reimbursement for billings through a custom team approach that emphasizes timely and accurate account processing and extensive follow-up.

Medical Billing Professionals provides a complete spectrum to cover medical billing needs, including full-service medical billing and collection, financial reporting and analysis, compliance monitoring, practice management and analysis services for numerous medical specialties.

At Medical Billing Professionals, it is all about prompt reimbursement. Our skilled coding and billing, effective insurance processing and follow-up, timely collection, attentive patient and client service, and sophisticated data management contribute to shortened revenue cycles and improved revenues.

Medical Billing Professionals is committed above all else to providing quality service to its clients. MBP’s success in acquiring and retaining clients is largely due to the personal service we provide for our doctors. Each group’s Client Manager is personally and readily accessible to his/her clients to answer any questions that arise regarding the billing and collection process.

MBP provide the ongoing expertise of professionals well versed in managing virtually every facet of your practice. Ongoing coding, reimbursement, management, medical billing and information systems consultation with our experts ensure your practice is more profitable. Reimbursement and revenue cycles improve.

To support the billing and accounts receivable management services, MBP utilizes advanced software necessary to transmit claims directly to Medicare, Aetna,
UnitedHealthcare, Healthnet, CIGNA, Blue Cross Blue Shield of Wisconsin and Florida, in addition to other smaller insurance companies who will accept them.

Medical Billing Professionals has handled the needs of the following types of medical practices:

• Ambulance Billing
• Anesthesiology & Pain Management     
• Allergy & Immunology
• Cardiovascular Surgery                          
• Cardiology
• Chiropractic                                         
• Dermatology
• Durable Medical Equipment                  
• Emergency Medicine & Urgent Care
• Ear, Nose, and Throat
• Endocrinology
• Family Practice
• General Surgery
• Hematology/Oncology
• Internal Medicine
• Neurology
• Nephrology
• Occupational Therapy               
• Obstetrics/Gynecology
• Orthopedic                                           
• Podiatry
• Pathology                                             
• Psychiatry
• Physical Therapy
• Pediatrics
• Radiology                                 
• Urology                                                           

Billing shall occur within three (3) days of receipt of a completed demographics face sheet, copy of insurance card (if available) and the dictation. The chart will be coded with the proper ICD/CPT codes in accordance with the services rendered to the patient, as presented in the dictated notes of the medical record.

Insurance Billing & Follow up

• Create a customized encounter forms/superbill/charge ticket for each practice.
• Hospital Encounter Forms and Cards allow you to bill for a complete range of hospital care and consults.
• The experts in our office do all surgical procedure coding from your operative notes to achieve the maximum level of reimbursement.
• Verify all charges are received for billing (no lost revenues).
• Data enter information necessary to submit claims.
• Generate and process insurance claims in a continuous billing cycle.
• Submit claims via electronic media directly to carriers and via various clearinghouses, as well as paper claims that require attachment such as OP Reports and industrial forms. By submitting electronic claims which can reduce the payment cycle to as little as 13 days.
• Edit electronic claims, which results in 2% rejections.
• Record rejection notices, and re-bill claims.
• Update required insurance and patient account information as notified.
• Verification of proper reimbursement of clients HMO/PPO contracts.
• Process capitated encounters to insurance and networks.
• Performs automated tracking and tracing of unpaid claims.
• Follows up unpaid claims with appeal letters and telephone calls.

Payment Posting

• Deposit receipts daily into client’s depository account.
• Payment receipts are posted (line item) to reflect the exact amount deposited into client’s bank account.
• Claims submission to secondary insurance.
• Automated Processing for Capitation Services. 
• Monthly, weekly, and daily transaction journals are available to keep the client informed. At month end, a summary of all transactions for that period will be generated and reviewed with the physician.

Patient Services

• We handle all the patient calls regarding balance after insurance, outstanding
  co-pays, patient deductions and Medicare covered/non-covered services.
• Many of our Patient Account Representatives are fluent in a second language.
• Send initial patient statements showing the overall account balance and portion owed by the patient.
• Track and trace by follow up statements with progressive aging messages, delinquent letter routines, and telephone follow-up.
• Option to pay with credit card.

Self-Pay Collections

• We do all patient billing and follow up phone calls. We have an aggressive self-pay team that will exhaust all efforts before sending the bill to an outside collection agency. 
• Strict adherence to your collection philosophy and protocols.  
• Automatic generation of past due notices and collection letters. 
• Budget plans

A/R Management

• Prompt filing of primary insurance allows for secondary filings to occur within the first sixty days.
• Electronic submissions prevent loss from paper claims submission and speed up of cash flow assuring less days in AR.
• Comprehensive financial reports are provided on a monthly basis. In addition, we tailor reports to meet the needs of individual clients.  Monthly reporting typically consists of:
  • Charge payment and adjustment by facility, physician, financial class and/or modality
  • Charge and payment trends, including historical and projected
  • Aged accounts receivables

A medical billing consultant from MBP will meet with your practice frequently to advise you on current issues and changes in the medical billing industry.