Medical Billing
About CBS Medical Billing
CBS Medical Billing and Consulting, LLC is the professional resource you need to maintain and grow a healthy medical practice. Beyond Medical Billing Services, we deliver comprehensive Revenue Cycle Management and Practice Management Support that stimulates your revenue cycle, stabilizes your cash flow, ensures your compliance with ever-changing regulations, eliminates guesswork and enables you to focus on patients, not paperwork.
Drawing upon our expertise in the highly-regulated Orthotics and Prosthetics industry, our team specializes in solving complicated medical billing challenges for all types of medical practices.
Consistent with the vision of our founder and principal Erin Cammarata, our in-house, U.S.-based team of certified professionals works collaboratively from offices in Exeter and Portsmouth, NH to serve medical practices in more than 20 states nationwide. Our team is proud of the results we achieve for clients, including an industry-leading audit pass-rate of 98% for claims on which we have performed medical claim scrubbing.
As evidenced by our growing list of client testimonials, we serve as your business partner, providing you with consistent, real-time, off-site support from a dedicated leader and team members that operate as if they are your own employees.
Medical Billing Services
Claims management requires consistent follow-up and follow-through to maintain a healthy accounts receivable status for your medical practice. CBS’s proven process for claims management affords you peace of mind that your claims will be followed up until approved and paid, avoiding unnecessary loss of revenue. You also gain a mediator to efficiently collect what you’ve earned from patients, using the full potential of your own medical billing software, or our own in-house medical billing software. Electronically-received insurance payments are uploaded into each patient’s medical billing record. CBS can manage your existing insurance contracts, as well as help you apply for new ones.
Let CBS protect you from the burdensome paperwork, costly fines, and embarrassment that can ensue when your accounting records, medical charts, or other documents are cited for non-compliance by your insurance provider. Our proven CBS multi-step medical billing compliance audit process is designed to protect your medical practice and reputation. Our compliance program meets CMS, ABC, and BOC Standards, to ensure your consistent compliance with the multitude of medical insurance policies of healthcare insurance partners such as Medicare, Humana, Blue Cross/Blue Shield, United Healthcare, and more. CBS consultants consistently achieve a pass-rate of 98% on the audited claims we submit on our clients’ behalf.
You’ll gain valuable insight into health of your medical practice with CBS’s detailed reporting, designed to provide you with a clear summary of key metrics so you can confidently make business decisions. In addition to the quarterly and annual reports we generate on your behalf, we advise you regarding other reports we can customize to help you evaluate specific factors about your medical practice. This transparent and accurate reporting ensures that you always know where your money is, and why. We work to ensure that your records are well-documented, correctly coded, and appropriately submitted, to streamline your accounts receivable and generate positive results for your medical practice.
A transparent approach is the cornerstone of your partnership with CBS Medical Billing and Consulting, LLC. We work with you to consistently apprise you of where your money is, and why. Unique to CBS, our weekly account review call is an opportunity to regularly review your account, discuss outstanding topics, and to address hot topics or minor issues before they can negatively impact your business, revenue cycle, or bottom line. Consistent review supports your accounts receivable, collections, patient management, and compliance, and examines as-needed specifics such as the history and cause of any denied claim, as a valuable learning tool for your practice.
Revenue Cycle Management Services
Billing and Collections Standards
Our experienced, certified team of CBS coders and billers are passionate about accelerating your revenue cycle, to enhance your bottom line. We hold ourselves to high standards, and have earned our position as an industry leader by consistently achieving results well above industry average for our clients. We accomplish this by strictly adhering to a rigorous, in-house developed process of CBS Billing and Collections Standards, proven to streamline Medical billing and accelerate collections. Our process of maintaining all claims in an active status ensures follow through until payment, and if a claim is denied, we research and work with the insurer to obtain payment for the claim.
Our proactive claim scrubbing process ensures that your claims are thoroughly reviewed and “cleaned” for accuracy and compliance, before we submit them to Medicare for approval. Key claim details include patient demographics, procedure codes, diagnostic codes, insurance carrier details, and other details such as modifiers, quantity, etc. The risk of submitting a non-scrubbed claim is that it may be “kicked back” or rejected by an insurance company for a number of reasons, such as improper coding, incomplete documentation, and more. This setback increases the time until you are paid, and risks that you may never get paid for the claim.
In addition to proactive claim management, prompt claim submission and follow up are critical to the health of your medical practice. Our CBS Medical Billing and Consulting team strives to submit all “clean” claims to insurance companies within 24 hours of notification to bill. We then follow up on each claim every 15 days on behalf of your practice, until claims are paid. This comprehensive process maintains your claims in active-status they are paid. Within 24 hours of payment notice, payments are posted to your account. Our experienced team manages pre- and post-payment audits, to ensure that you receive payment; and we are not paid until you are.
Applying our proven system of comprehensive analysis, the CBS Team works to identify any practice performance deficiencies that can adversely affect your practice’s cash flow, costs and consistency. Your dedicated CBS Medical Billing and Consulting specialist will prepare a baseline report prior to working with your medical billing and coding systems. This baseline serves as a starting point from which we will measure the progress of your practice’s medical billing and coding performance. Once this baseline is established, your specialist will analyze and compare your quarterly reports to the established baseline, and identity your opportunities and options for performance improvement.
Practice Management Support Services
You need accurate maintenance of your patients’ electronic records, and skilled administration of your medical billing and coding processes. No matter the size or type of your medical practice, the CBS Medical Billing and Consulting team provides efficient, effective, fully-compliant administration services. Regulatory agencies require you to designate a Compliance Officer, and CBS can fill that role and maintain a strong medical billing and coding compliance program for you. We save you valuable time by streamlining your patient verification and authorization process, and work remotely with your existing software to seamlessly and efficiently manage your electronic records and medical billing and coding processes.
Regulatory compliance is vital to the overall health of your medical practice. Our in-house compliance experts spend their days keeping up with the rules, regulations, and ever-changing updates to Medicare, Medicaid and private insurances. This expertise helps you avoid the damaging effects of non-compliant medical billing and coding that can lead to a full audit of your business, loss of your time and revenue, loss of your key insurance contracts, and a tarnished reputation. Let our proactive, personable CBS team focus our expertise on maintaining your practice’s compliance, while you focus your expertise on maintaining your patients’ health.
Practice Management Consulting
We partner with general and O&P medical practice clients to add overall value by consistently maximizing their performance and potential. By putting our experience to work for you, you can leverage our team’s expertise in all aspects of medical practice service and management to overcome the challenges that inhibit your firm’s growth and profitability. Through our work with hundreds of medical practices throughout the U.S., we’ve developed a proven process of consulting with you to achieve your goals for your medical practice. We serve as your practice’s missing piece, enabling you to focus on your primary objectives, while we work to stabilize and stimulate your cash flow, profitability, and credibility.
Temporary Medical Billing Support
We understand the urgency of temporary or emergency needs, and we strive to accommodate unique situations. Common temporary or emergency situations that necessitate temporary medical billing support include: maternity leave coverage, coverage when another billing company quits, and coverage when a practice administrator quits. Depending on your needs, and contingent factors such as your existing support staff and promptness of remote access setup, CBS can work to assume responsibility for managing your medical billing services in as little as 3-5 days in urgent situations. Many of our current clients began using CBS as temporary support, and have grown to become long-standing clients.
Medial Practice Training and Staff Support
In addition to outside training and certification in medical billing and coding, the CBS Team undergoes rigorous in-house training and testing administered by firm Founder and Principal Erin Cammarata. This custom-developed, multi-week series of training modules includes specifics regarding state-of-the-art, professional administration of medical billing and coding services. Since this level of training is not offered through standard outside programs that typically provide an overview of medical billing and coding, you can be assured that CBS Team members are well-equipped to provide you with consistent professional service that delivers positive results. Our team also participates in continuing education courses throughout the country to maintain our industry-leading support.