Looking Beyond
417 Walnut Street
Saltsburg, PA 15681
Toll Free (866) 720-1214
M&B Medical Billing, Inc.
SERVICESEverything required to maximize your collections is included in M&B's Full Medical Billing Solution. You will see everything we do on your account, in Real-Time on our remote office server. Our only request is that you monitor your Provider Request for Information Web Page or Faxed Request for Information, and provide us with any requested or missing data. This allows our office to effectively collect on all of your claims.
The more you do yourself using your own resources, the lower your charge will be. The Back Office Medical Billing Solution gives you total control of your practice data and gives you the freedom to choose what you outsource to M&B and what you want to do yourself.
The patient Well-Care Service is a marketing system that is designed to assist your office in increasing business by reminding patient's of their appointments, acknowledging patients on their birthdays, notifying them of their annual visits or tests such as mammogram's, bone density, etc.
This program can also help you gain entrance into an insurance companies participating network as a Participating Provider. Preventative medicine lowers the cost of healthcare overall and is what insurance companies are gearing toward.
FEE SCHEDULE ANALYSIS
We take your present fee schedule and compare what you are charging to your local GAF (geographical area factor) From there we can give you an analysis of what you are charging compared to other physicians to the 50th, 75th and 90th percentile of a select procedure. We also keep your practice up date on changing Medicare fee schedules.
PRACTICE CONSULTING - Charting, Procedure and Diagnosis Auditing
Ensure your medical records contain accurate and complete information. This service includes a review of the evaluation & management codes and documentation in a patient's chart.
PROVIDER & FACILITY CREDENTIALING
Our office can help you to obtain an individual provider number as well as credential your office as a group practice to Medicare and commercial insurance companies. From there we keep track of the expiration of your credentials and re-credential as needed ensuring you don't fall out of network compromising the payment of claims.
Copyright M&B Medical Billing, Inc. 2003
Future Solutions...NOW
Full Medical Billing Solution
Electronic and paper submission of claims
We are equipped and trained to handle all forms of insurance claims submission - paper or electronic- and will pursue the most efficient means possible to achieve the quickest carrier payout for your practice. We can submit electronic claims to 1500+ insurance companies for all 50 states. Smaller insurance companies without electronic abilities are submitted via paper.
Electronic claim tracking with follow-up on all rejected and denied claims
All electronic claim submittals generate a report so we know within 24 hours claims have either been accepted or denied by your insurance company. You can also check the status of your claims in real-time 24/7 on the Internet.
Filing of primary and secondary insurance claims
We pursue all secondary and tertiary carrier claims, as well as follow up on ALL disputed claims until a resolution is found. We don't stop until FULL payment is received.
Experienced Billing for Medicare Claims and Medicaid Claims
There is nothing more frustrating than having a Medicare or Medicaid Insurance claim denied. Health care providers face a complex, evolving system of rules and regulations governing Medicare and Medicaid reimbursement for service. We have experience in Medicare and Medicaid claims submissions and have the ability to submit claims electronically for all 50 states.
Posting of insurance patient payments
When you receive payment, simply forward us a copy of the Explanation of Benefits, patient receipt, or completed daysheet. We will review all EOBs for accurate reimbursement, and then promptly post all payments to the appropriate account.
Handling of patient calls regarding statements
We will field patient phone calls about their invoices, accounts, or general insurance questions. Your patients can call our toll-free number to speak with an account representative.
Comprehensive real-time online reporting, monitoring and tracking
We provide you with your choice of a multitude of management reports, some of which include: patient, procedure codes and payment daysheets; practice analysis, referring provider reports, referral source reports; patient and insurance aging reports; and patient ledgers. You have real-time reporting and monitoring 24/7 access via the Internet.
Real-Time account access
Through our secure web portal you will have 24/7 tracking and monitoring of patient accounts, claims, payments, online patient scheduling software and more.
Monthly processing of patient statements & soft collections
Monthly statements are sent to your patients with remaining balances at 30, 60 & 90 days with no additional fee. After the third statement at 90 days the account is turned over to your office for submission to the collection agency of your choice.
Follow-up and resolution of all aged accounts
Your billing account representative will challenge any and all rejections and will do prompt follow up on any problems.
Additional Services
Credit Card Processing
With your merchant account we can process credit & debit card transactions on your behalf. We can process VISA, Mastercard, Discover and American Express.
Patient Well Care Services
We help your office with patient retention using our patient well care services marketing plan. For a small additional fee, monthly we will send greeting cards and postcards to your patients reminding them of appointments, annual exam, birthday greetings, etc.
Back Office Solutions
The more you do yourself using your own resources, the lower your charge will be.Our Back Office Solution gives you total control of your data and gives you complete freedom to choose what you want to outsource and what you want to do yourself. All services necessary to maximize your collections are still offered optionally with this program. The database and software will remain in our office with total access by your office, and will remain under your complete control during your working hours. At the end of your day when you log out of our software we perform the tasks you have elected to have us do. The flexibility offered by this solution enables you to choose which tasks you want to outsource and which ones you want to do yourself by utilizing your existing staff.
Advantages
Total Data control – Software and database reside in our office - but are controlled by your office staff.
We do all of the tedious tasks at the end of the day - submitting claims, stuffing envelopes, electronic submissions, etc.
Seamless integration with our processing center for overnight processing
Leverage your own resources and reduce your charge
Pay only for the services you use
Overnight processing of your work
No costly software upgrades required from your office
Software can be used to perform all billing functions and run all reports - remote printing in our office - scanned and e-mailed back to you.
Web-based appointment scheduler
Optional Services
Data entry of your claims
Posting of payments
Responding to your patient billing inquiries
Actions on ‘Zero’ payments
Appeals on incorrectly denied claims
Handling exceptions resulting from incomplete or inconsistent information or unreadable documents
Patient Statements - Printing, Folding and mailing of patient statements
Follow-up on any outstanding claims.
Appointment scheduling on your behalf during vacations, lunch, etc.
Patient Well Care Services
Patient Well Care Services
One way a practice can ease cash flow burdens is to increase their overall revenue. A physician's office is no different from any other business, only the patient's are the practice's customers. Just like a business, the ability to make money hinges on the physician's ability to serve more and more patients effectively at the lowest possible cost.
Anyone in business would agree that the best customer is a "repeat customer" - someone who was satisfied with the service or goods and comes back time and time again. What many do not know is that a repeat customer costs less for a business to retain/maintain than marketing to acquire new customers - therefore repeat customers are more profitable.
Just like any other type of business, physicians can increase their revenue by encouraging patients to come back over and over again as needed for services as well as referrals to friends, family, etc. Common services for repeat customers might include check-ups, immunizations, bone density studies for HRT, and the like that every patient needs to remain healthy. What physicians need is a systematic way to follow-up with their patients to remind them when it is time for scheduled appointments, or alert them to services they may not know they need or can obtain in your office.
Unfortunately, most physicians are far too busy with the business of seeing patients and handling payment problems that they do not have the time to attend to critical, practice-building activities. That's where outsourcing your patient well care to M&B Medical Billing, Inc. can help you. Outsourcing can help physicians implement a systematic approach for following up with their patients. We can send patients letters, cards, and postcards to remind them of appointments and to offer additional services they may not know about. Having a blood pressure clinic? We can help by sending reminder cards to your patients.
The net result of this kind of marketing program is an inevitable increase in patient appointments and billings. Physicians will be charged a small service fee for sending out the cards and letters and will quickly find that any money spent on this service is recaptured at a profit when their practice is built to new levels of revenue through this program.
