Medical Billing

Billing & Administrative Services Packages:

Support pricing

Monthly:

Starting at $400

*This package is designed to support providers who do their own billing, but need help on the back end cleaning up accounts and managing denials. *

Services included

· Clinic demographics form

· Denial, rejection and appeal management

· Manual posting of EOBs

· E-card processing and posting

· Quarterly Availity re-attestation

· Email support for providers, claims

· Email support for administrative staff, claims

· ERA posting management

For extremely small practices, patient loads under 15 patients a week and less than 3 in network commercial insurance companies, we may be able to offer a reduced price per month. When scheduling your New Client Consultation, please note in the booking how many patients you see on average weekly and how many insurance companies you submit, or expect to submit, billing for.

Basic Billing

Don't need all the frills of an administrative service & billing package? Our Basic Billing might be what you're looking for!

Starting at $500

· Clinic demographics form

· Denial, rejection and appeal management

· Manual posting of EOBs

· E-card processing and posting

· Quarterly Availity re-attestation

· Email support for providers

· Email support for administrative staff

· ERA posting reviews

· Claim submission

· Electronic patient statement management

· CPT coding edits

· Out of network claims submission

· A/R management

· Limited Eligibility & Benefits verification

· Email updates for upcoming billing changes in your specialty

For extremely small practices, patient loads under 15 patients a week and less than 3 in network commercial insurance companies, we may be able to offer a reduced price per month. When scheduling your New Client Consultation, please note in the booking how many patients you see on average weekly and how many insurance companies you submit, or expect to submit, billing for.

Billing Plus pricing

Monthly:

Starting at $ 1000

· Clinic demographics form

· Denial, rejection and appeal management

· Manual posting of EOBs

· E-card processing and posting

· Quarterly Availity re-attestation

· Email support for providers

· Email support for administrative staff

· ERA posting management

· Claim submission

· Electronic patient statement management

· CPT coding edits

· Out of network claims submission and management

· A/R management

· Clinic document management

(W9, EIN letter, Void checks, +)

· Private pay account management

· Patient payment management

· Eligibility & benefits verification

· 30-minute virtual meeting monthly (optional)

· Email support for patients

· Clinic forms template access

· Email updates for upcoming billing changes in your specialty

VIP pricing

Monthly:

Starting at $1500

· Clinic demographics form

· Denial, rejection and appeal management

· Manual posting of EOBs

· E-card processing and posting

· Quarterly Availity re-attestation

· Email support for providers

· Email support for administrative staff

· ERA posting management

· Claim submission

· Electronic patient statement management

· CPT coding edits

· Out of network claims submission and management

· A/R management

· Clinic document management

· (W9, EIN letter, Void checks, +)

· Private pay account management

· Patient payment management

· Eligibility & benefits verification

· 30-minute virtual meeting monthly (optional)

· Email support for patients

· Video call support for providers and administrative staff

· Training for providers

· Training for administrative staff

· Insurance updates to clinic demographics

· Credentialing

· Clinic forms template access

· Email updates for upcoming billing changes in your specialty

· EDI, ERA and EFT enrollment management

· Consultations for: additional locations, hiring new providers, new services and billing logistics

· Custom forms

· Insurance portal management

Specialties we bill for:

Women's Health

Lactation

Behavioral Health

Chiropractic

Physical Therapy

Acupuncture

We have experience billing and/or credentialing in:

TN, IL, NH, GA, SD, DE, WI and NJ

We're always open to taking on new states and locations!

Why flat rate pricing?

The number 1 reason we implemented a flat rate pricing structure is for clinicians. You have enough on your plate with patient care and running a business. Estimating a percent or hourly based service can be daunting and difficult to budget for. Flat rate allows you to pick the services you find most important, and budget monthly for them.

Number 2 is also for clinicians. Paying a flat fee allows you to scale your business without stressing about the added cost of percent based or hourly fees. Grow your patient base and not your administrative bills!

It helps us to be more efficient, and in turn contribute more energy to your clinic. It doesn't sound like a hindrance, but stopping to record each individual claim, or punch a time clock for every email, phone call, or small task, adds up quickly. With flat rate, we have the ability to focus more on clients and patients.

More transparent pricing and wider variety of services. Charging a flat rate allows us to offer services such as: assisting with self pay accounts, or billing out of network claims. Out of network claims can be frustrating and confusing to manage. How to do you pay a biller a percent of an out of network claim? Self pay accounts are similar, there's no billing insurance involved. How do you justify paying someone a percent of a self pay visit to just help adjust small things occasionally? But, self pay and out of network claims are becoming more common. As much as software has evolved, even these simpler accounts often need auditing and adjustments. Our flat rate model allows for assistance with these accounts without the headache of additional costs.

How do we calculate our flat rate billing? Traditional billing companies typically charge a percent of your collections derived from billing. These percentages usually range between 7-10%. We calculated the average amount reimbursed per visit, based on a 20 insurance patient per week case load. This comes out to an estimated $728 per month for a traditional billing company charging a 7% fee for just billing services. We decided to charge under this amount to help with the cost for our clients. This gives you wiggle room if you have a slower week, or a bigger paycheck if you have a busier week here and there. Our basic billing package also includes support and some administrative services that most traditional billing companies don't offer with their billing prices. If you're seeing 20 or more patients per week, you could be saving $228 or more each month with our Basic Billing package! For billing Plus and VIP packages, we factor in the baseline billing calculations, plus an estimated time investment for all of the administrative services offered.