Medical billing and coding is a crucial stage in the healthcare delivery lifecycle. It pays the providers for their hard work and services. What traits in medical billing companies in the US make them outstanding billers?
A question that needs an answer from time to time!
As a matter of fact, there is no replacement of experience in this particular field. Even if a company carries an impressive list of certified coders, the experience is a matchless skill. When you go ahead with your decision, give preference to the years under their belt over diplomas & degrees.
The article mentions those companies which have shown prominence and a large number of physicians, specialists seem to adjust with them comfortably. The order in which the companies are listed doesn’t matter as each one of them has the caliber to be at the top.
1. AdvancedMD
A company that hails from the land of the scones and fry sauce, South Jordan, Utah, has enough physician-following as we can imagine. The list of medical billing services in USA is incomplete without their name in it. They have the experience and the certifications to tackle the complex process of billing.
• HIPAA Compliance: With the hovering OCR audits, a company that shows HIPAA compliance is more than acceptable.
• All-in-one Solution: It carries out a range of operations when it comes to delivering for the healthcare sector. It is an EHR manufacturer with interactive patient portal and customized medical billing software to facilitate the billing process.
• Price: the average hourly rate of this billing company is less 25 USD which is neither expensive nor cheap. It has a balanced strategy when it comes to charging their clients.
2. Kareo
Medical billing outsourcing is the right solution to a stuck up in-house billing department. Kareo hails from Irvine, California, where the famous University of California is situated.
It is a reliable name as it is hard to find someone who doesn’t know about Kareo in a positive manner.
The striking qualities of this organization include –
• Medical billing services
• Practice management software
• Cloud computing products
• Electronic Health Record Management
Wikipedia reports 30,000 providers on their platform as of 2014. It was found by Dan Rodrigues in 2004 which means they have an experience of more than a decade. It has offices in Las Vegas, NV, and Indianapolis, IN.
3. P3 Healthcare Solutions
P3 Healthcare Solutions is an experienced medical billing and coding company with the focus on 100% claims recovery. From Ontario, California, P3Care does not falter when it comes to fulfilling the core purpose of a medical billing service. The proof of that lies in their teamwork and ability to maintain clean claims.
• MIPS Qualified Registry: P3Care has the honor to be recognized as a MIPS Qualified Registry consecutively, for the years 2016, 2017, and 2018. It is an achievement and a quality that may help the providers decide.
• High First-Time Acceptance Percentage: We often look at the claim acceptance percentages to judge the quality of a billing company. P3 Healthcare Solutions delivers in the first instance for more than 95% of the claims. Medical billing reviews by clients on their website explain a lot about what to expect from them.
• HIPAA Compliance: It runs HIPAA compliant security risk analysis for their clients and enables encryption and top-level security to safeguard patient health information (PHI). These security measures protect the covered entities and the business associates against HIPAA implications.
• No More HIPAA Violations: As a hospital, private practice or an individual physician, your actions and IT systems must demonstrate HIPAA compliance. A HIPAA violation occurs if your practice is violating HIPAA Privacy Rule or HIPAA Security Rule.
You may choose P3Care to avoid a mentally exhausting OCR audit and save your reputation and finances.
• Timely Reports: The reports against the status of the claims and the total collections are at your table on a weekly or a monthly basis. They give you insights into your revenue in the past and how far have you come.
• Medicaid Meaningful Use Assistance: Eligible Clinicians (ECs) for the Medicaid meaningful use program can seek their expert assistance as they have the team to remove the complexities moving forward.
• Reporting for the Quality Payment Program (QPP): As experts in reporting the meaningful use of EHRs, they give a fair chance to the MIPS eligible professionals to standout and score a high Composite Final Score (CPS). It confirms higher reimbursements and a better reputation.
By reporting for quality measures and playing an active role in promoting interoperability (PI), it plays a major role in the value-based care transitioning.
If there is a lack of satisfaction and transparency in your billing, P3Care is a healthy outsourcing alternative. They bring in top-class coders, convincing claim negotiators, and accounts receivable (A/R) specialists better than most. Talk to them a call to clear your doubts 1-844-557-3227.
4. CureMD
A popular name in the healthcare industry if you are searching in the right areas! If you visit their web portal, you will see a list of achievements on their homepage. It is a company that has won awards on different platforms.
Their exciting qualities include –
• Awarded for an EMR solution with an integrated PM module
• A classic Practice Management software to optimize workflows
• A patient portal
• Population health solution
• Medical billing service company that increase your cash flows
5. MTBC
The billing company has roots in Somerset, New Jersey (NJ). It is a health IT firm which provides electronic health record software, medical billing, transcriptions and practice management solutions to the providers.
• Price: Their rates are neither too high to portray arrogance nor as low to exclude the key services.
• Certified EHR Vendors:They are among the recognized EHR vendors with their decorated meaningful use Stage 2 qualified EHR system.
• Experience: The Company goes back to 2002 when it became popular and had to expand its operations.
• Claim Recovery: Everyone starts small but only some manage to reach heights of success like MTBC did. It took time and a lot of following up on pending claims to come to this point.
It is operational with over 2000 employees working at different locations around the world.
6. Practice Fusion
Practice Fusion does not lack any skills needed to ace medical billing solutions. Their preference is on delivering a reliable EHR solution, one that is flawless and helps the providers focus on their patients. Its homepage sets their priorities straight and shows their level of participation in the US healthcare industry.
• It has an ONC certified Electronic Health Record system
• Exhibits HIPAA compliance
• The leading cloud-based EHR software
• Practice management software
• Loads of experience
The company began operations in 2005 and considers its team as its greatest asset. It is a San Francisco-based firm and the strengths involve cloud-based EHR software with functions like e-prescribing, scheduling, and medical billing. As an Allscripts enterprise, it boasts a workforce of 101-250 employees according to Crunch Base.
7. NueMD
Nuesoft Technologies Inc., a healthcare software as a service (SaaS) company is based in Georgia, USA. Medical billing companies in USA are not the same for everyone. We all have our separate interests and whichever company qualifies against them becomes our first choice.
• First Internet-based practice management software creator
• Medical billing services
• EHR management
• HL7 product integration
It has 50-249 employees currently working at different locations.
8. Athenahealth
A sought-after name in the health IT industry, athenahealth is headquartered in Watertown, Massachusetts (MA) with a large number of providers subscribed to them against many services.
According to a Statista report, the number of permanent employees at the end of 2015 was 4668 making it a considerably large organization.
The features of the company that make a difference in the lives of the healthcare practitioners include –
• Medical records management
• Revenue cycle management
• Patient engagement process
• Population health facilitation
Since its inception in 1997, the years of experience have only polished athenahealth in its core functions. It comes highly recommended to speed up the process of claim management and delivering the rightful reimbursements.
9. Precision Medical Billing (PMB)
Becker’s Hospital Review mentions the name of this company at the top of a survey conducted in 2017. Medical Billing Service Review is thought of as a reputable source of discovery and verification.
Their strengths include –
• Association with various local, state and national organizations
• One of the go-to billing companies maximizing claim acceptance percentage
• High first-time claim acceptance percentage
• Medical billing audit
• Medical billing outsourcing
It has roots in Modesto, California and was founded in 2015. Still, in its preliminary stages, the number of employees falls within 1 and 50.
10. GroupOne Health Source
It comes from Jefferson City, Missouri, and deals in medical billing, revenue cycle management, electronic health records, and other consulting services. The year 2007 was the year it was given life, and since then it has become one of the dependable names in medical billing outsourcing.
Expectations Are High as:
• A certified retailer of the eClinicalWorks electronic health record system
• Medical billing services company
• Medical transcriptions company
It was among the list published by Medical Billing Service Review in 2017.
End
This article deals with medical billing services in USA from a personal perspective. The intention is to spread the word out for those looking for reliable names in the industry.
Sometimes a single attribute is enough to clear the doubts in the hearts and minds of the providers. And, sometimes even a 1000 positive feedbacks are unable to gain their trust.
When we are relying on instincts along with existential evidence like reviews and word of mouth, it points us in the right direction. It is not an obligation but your right to choose the best medical billing company for your practice.