Medical Claims Billing California -- Our Services

california medical claims billing As an extension of your practice, our physician medical billing company will present the business image and protocols which are consistent with your philosophy. We realize your practice has specific and unique needs both in billing matters and public relations issues. We work with you to make sure we are representing your medical billing interests in a consistent and professional manner.

Medx provides all the basic billings services plus other services that are essential to maintain a strong financial practice. The following are many of the services included to our clients:

1. Medical Billing Services

  1. Charge and payment posting
  2. Electronic billing to Medicare, Medi-Cal/CCS, PPOs, IPA/HMOs
  3. Electronically submitted claims edited for incorrect CPT and diagnosis codes, bundling, mutually exclusive codes, which avoids denials and insures timely payment, often times in 14-21 days.
  4. System reimbursement verification compared to contracted amounts using carrier proprietary fee schedule or RBRVS percentage fee schedules
  5. Follow-up on unpaid claims using aging reports by insurance carrier
  6. Patient statement billing including progressive past due letters
  7. Continual upgrading inappropriate CPT codes after verification with office to maximize reimbursement
  8. Custom reporting is available to best capture the data you want to see.

2. Other Services

  1. Fee analysis to ensure charges meet or exceed contracted fee schedules
  2. Contract review/negotiations for appropriate reimbursement levels. Due to the great number of providers we bill, we have access to all the carriers contracted fee amounts for comparison with your contracts.
  3. Assist in credentialing doctors with insurance carriers to avoid “Out of Network” lowered reimbursement and higher out-of-pocket expense for your patients.
  4. Include your practice in “Class Action Filing” for carriers found to be practicing “Unfair Payment Practices” when applicable.
  5. Physician offices can have access to their database and view patient accounts. We also can support multiple sites.
  6. Collection Agency assignment after progressive “dunning” statements, letters, and phone calls have been made based on practice approval.

Regardless of your needs, we can provide you with a program that fits your medical billing requirements. Call us to day at 800-642-8004 or send your requests or queries through our contact form and put your medical billing on the right track with Medx Medical Billing, Inc.