What we do...
Physically review order documentation, applying Payor Policy and Guidelines, to catch potential denials, audit issues and fraud. Recommended changes and corrections are communicated back to client staff.
Our Document Review Team is dedicated to the accuracy and compliance of DME Provider paperwork. When claims are submitted they review each claim for accuracy, compliance with Payor Policy and even fraud. Any issues found are promptly brought to the attention of the appropriate client contact and an effort to expedite the resolution of the issues is begun. This proven process resolves denials before they happen while educating client staff.
Ensure proper claims submission, price table configuration and cash posting. Stay in front of Payor Communication issues to streamline the Revenue Cycle Process..
Our Team can assist with software conversions, price table configuration, EFT and EDI enrollment and more.
Tackle outstanding billed claims utilizing a proprietary algorithm and tasking system turning Accounts Receivables to Cash.
Our AR Team continually works any Denials or AR Issues that arise consistently striving to stay in front of changes in Payor Policy that affect cash flow. Our Proprietary Dashboards utilize intelligent algorithms to guide our Collection Team in tackling Client AR effectively while organizing work efforts.
Analytics, Assisting with Audits, Financial reporting and more. As a true Billing Department our service extends beyond the usual Revenue Cycle Management Functions.
MedBill provides more than just a complete DME Billing Service.
WHY WE ARE THE INDUSTRY LEADER
We are the Experts at DME Revenue Cycle Management because that is all we do.
While much of the industry has reached overseas to increase margins we looked inward, found internal efficiencies and fostered greater teamwork to provide better results.
Our Group approach focuses all our staff on each account. Breeding knowledge base growth and performance consistency.
Our Document Review Team physically reviews every Claim that we receive applying Payor policy before submission ensuring accuracy, lowering denials and increasing collection percentages all while communicating industry guidelines and changes to client staff.
Focus on DME
% of our Focus is on DME. We are experts in DME Revenue Cycle Management.
U.S. Based Staff
% of our Team is located in the United States.
Our Team = Your Team
% of Our Staff Works with each Client.
% of Client Orders are Reviewed prior to Submission to the Payor.
Anytime I call or e-mail a question I get an immediate response. Whoever answers the phone is always personable and willing to help out anyway they can” – Kristen Ulakovi – Lifeline Sleep Centers – North Huntingdon, PA
the web portal is great. Doing my AR is a lot faster, thanks so much” – Jawana Tatum – Penrod Medical – Salisbury, NC
They make me feel like I am their most important client” -Jocelyn D’Angelo – HomeTown Oxygen Charlotte – Concord, NC
On the transition to MedBill “…. The process went extremely smooth. And, we’re seeing the results, as our collections are coming in significantly faster.”
A recent ruling by a U.S. Department of Health and Human Services Administrative Law Judge (“ALJ”) in the case of Director of the Office for Civil Rights v. Lincare, Inc., (Decision No. CR4505, Jan. 13, 2016), underscores the substantial penalties that a health care provider can face, even for relatively small-scale HIPAA violations, particularly if[…]
The effort to privatize North Carolina’s Medicaid program made its first substantive deadline last week, but Department of Health and Human Services officials warned lawmakers that putting the plan in place will face at least one big obstacle: presidential politics. For years, North Carolina’s health insurance program for the poor and disabled has been based[…]
The Allegheny Health Network, in Pennsylvania, is expanding its home health business by purchasing a Pittsburgh pharmacy that specializes in home infusion medicines. The North Shore-based nonprofit hospital system, which is owned by Highmark Health, said its Healthcare@Home division acquired the home infusion pharmacy in Sharpsburg from Infusion Partners, a subsidiary of Elmsford, N.Y.-based BioScrip[…]
The state’s largest health care systems have been caught in a logistical tug-of-war after legislators proposed a hybrid strategy for handling the biggest piece of Medicaid reform. Do the systems pursue a statewide Medicaid coverage role, whether individually or collaboratively, which carries both revenue opportunities and risk, or do they focus on serving their own[…]
With no time to lose, HME industry stakeholders are ready for another run at the competitive bidding program. Legislation in the works by Sen. John Thune, R-S.D., would delay the next round of cuts for nine to 12 months, depending on the CBO score. “This proposal is fresh and new,” said Jay Witter, senior vice[…]
Jimmo plaintiffs complain in court that CMS still using ‘improvement standard,’ despite landmark settlement
Plaintiffs’ counsel in Jimmo v. Sebelius was back in court Tuesday to file a motion that would force the Centers for Medicare & Medicaid Services to adhere to the settlement of the landmark lawsuit. The case involved Medicare beneficiary Glenda Jimmo, who was denied coverage for treatment of her chronic, diabetes-related conditions because she was[…]
Health insurance giant UnitedHealth Group and big chipmaker Qualcomm are rolling out nationwide a wellness health benefit that links patients and their wearable devices to a plan that offers cash rewards for reaching health goals and specific outcomes. UnitedHealthcare Motion is more than “throwing a Fitbit at people” to do “step competitions,” Qualcomm Life chief medical officer[…]
Earlier this month, a bipartisan group, led by U.S. Senator Brian Schatz (D-Hawaii), introduced a bill in the Senate focused on promoting cost savings and quality care under the Medicare program through the use of telehealth and remote patient monitoring (RPM) services, and incentivizing such digital health technologies by expanding coverage for them under the[…]