Serving the Medical Community since 1989.
Phone: 856-690-1025
Fax: 856-690-1352
E-mail us with your questions
FACTS ABOUT CLAIMS:
It is estimated that the amount of money lost by inaccurate coding ranges from 3% to 15% of total practice revenue.
CMS estimates that approximately $259,000,000 in Practice revenues was lost last year due to incorrect coding or under-coding and it is expected to increase.
Average billing error rates for General Practices is 27%.
Average billing error rates for OB/GYNs is 24%.
FACTS ABOUT DENIALS:
30% of all claims are denied by insurance carriers for multiple reasons.
Insurance carriers depend on practices to "write off" denied claims.
FACTS ABOUT APPEALS:
Less than 25% of medical practices appeal their denials.
Insurance carriers depend on medical practices not following through on their denials.
Real Stories/Real Results
Lost Revenue/Found Revenue
A junior member of a Primary Care Practice, who had a large patient panel noticed his revenues were not increasing. After hiring MPMA, it was discovered that the in-house billing department never credentialed him. The old billing staff had been using another Doctor's ID number on the claims.
Medicare is conducting more and more audits of physician practices.
What will you do in case of an audit if you cannot retrieve your billing documents?
Do you know what your managed care contracts are currently worth?
Do you know where they are stored?
Services
We provide Medical Billing and Practice Management Services as well as Medical Collection Services. MPMA utilizes a team approach starting with our certified coders when billing claims so that "many eyes" will review the claim before it is submitted for reimbursement by the Billing Manager. We do not depend solely on claim scrubbing software.
Medical Billing -
Maximizing Assets / Maximizing Revenues
MPMA's billing staff is committed to collecting your revenue in a timely and professional manner. Our staff consists of certified coders who are required to be recertified each year.
Our facility is located in the United States where we employ a staff of highly skilled certified procedural coders, computer data entry clerks, billing managers and IT support staff. MPMA provides on-going training to our staff to ensure compliance with HIPPA and federal regulations. Our Goal is to maximize your revenue.
View Report Card to determine how your Billing Department rates.
Claims - Increasing Your Cash Flow
- All claims are filed daily either electronically, or by paper if the carrier does not accept electronic claims
- Upon receipt of your file, the claims are reviewed by our statistician to validate patient demographics and to ensure all claims have been received. If there are any discrepancies, your office will be contacted promptly.
- The claims are then sent to our team of certified coders to ensure accurate coding: CPT-4, ICD-9CM, HCPCS Level II to prevent denials on the first submission.
- A Senior Manager, who is familiar on your practice's specialty, will oversee your account, and will answer any questions your staff or patients may have.
- Remittances are sent to patients for the collection of co-payments and deductibles.
Denials - From Pending to Paid
- EOBs are audited to ensure payments are correct. Our Billing Managers will immediately challenge any discrepancies and follow up until resolution is successful.
- All notes of conversations with your office staff, payer, or patients regarding the claim are documented electronically in the patient's account file.
Appeals - Get Rid of the Words "Write-Off"
- Appeals are addressed on a day-to-day basis.
- Our Billing Managers will obtain the necessary documentation for an appeal, forward it to the insurance representatives, and follow up until resolution.
- MPMA has successfully used all four levels of appeals with Medicare and will use all levels of appeals until satisfied with the ruling.
Is your billing staff working
as efficiently as possible?
View Report Card to determine how your Billing Department rates.
Practice Management -
Maintaining Control of Your Practice
In addition to our Billing and Collection services, we offer full Practice Management services. MPMA will review your Practice's procedures and policies and make recommendations to increase efficiencies. Our full services include bookkeeping, payroll, credentialing and re-credentialing services. We also perform annual reviews of payer contracts and renegotiate rates as necessary.
Patient Statements - A Seamless Link to Your Practice
- Customized patient statements provide ease of reading for your patients regarding the insurance payments and balance due. Statements are designed with your logo for ease of identity.
- A toll free number for out-of-state clients.
- A special notice section on the patient statement describes the reason for the statement, such as, "Collection Notice".
- A self addressed envelope is enclosed to facilitate prompt payment.
- We accept credit card payments with no pass-through discount to your account.
Disaster Recovery Plan - Protecting Your Financial Records
- All billing documents are scanned and stored in two different States to prevent loss of any important practice financial information, as well as guaranteed ease of retrieval for special inquiries.
Standard and Customized Reports on a Monthly and Yearly Basis
- Charge Summary by CPT code
- Record of Daily Transactions
- Balance Sheets and Charts Aged Trial Balance Summary
- Transaction Summary by Physician
- Establish benchmarks to track your financial growth
- Specialized reports are tailored to your Practice Specialty
Outstanding Customer Service - Seamless Interaction with Your Patients
- Phones are answered quickly and courteously by the assigned Account Manager using your practice specialty to provide a seamless extension of your office.
- A special toll free number is available for your patients and your staff to call with their inquiries.
- Monthly meetings with physician and office manager on initial start-up and then on an as needed basis thereafter.
Annual review and renegotiation of Managed Care Contracts
- We will review your current payer contracts and determine the need for increasing reimbursements and negotiate new rates for you.
Credentialing and Re-credentialing
- We will complete any new credentialing applications as well as the renewal application
- We will ensure they are completed timely and accurately and work with the insurance carrier to prevent delays in approvals.
Quick results for increased revenue!
Call TODAY! 1-856-690-1025 or fill out a Practice Information Form to set up a private consultation with you.
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