Medical Reimbursement Solutions

Medical Reimbursement SolutionsMedical Reimbursement SolutionsMedical Reimbursement Solutions

Medical Reimbursement Solutions

Medical Reimbursement SolutionsMedical Reimbursement SolutionsMedical Reimbursement Solutions
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    • Home
    • About Us
    • Meet The Team
    • Services
    • Contact

  • Home
  • About Us
  • Meet The Team
  • Services
  • Contact

SERVICES OFFERED

Working Together—Here’s What to Expect

While we handle the heavy lifting of your billing and follow-up, there are a few things outside our control:


➡️ We don’t have visibility into the operating room, so we rely on the documentation you provide.


➡️ We can’t collect from patients who truly can’t (or won’t) pay.


➡️ We aren’t able to bill under a policy once it’s been canceled.


➡️ We can’t submit claims for procedures that weren’t pre-approved by the insurer.
 

Within these parameters, our team maximizes every opportunity to get your claims processed and paid as smoothly and quickly as possible.

Full-Service Practice Management

Let us take billing off your plate—completely. From claim creation to collections, we handle every step so your team can stay focused on patient care. With our proactive approach, you'll see cleaner claims, faster reimbursements, and fewer headaches.

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Provider Credentialing

We manage the time-consuming credentialing process from start to finish—handling applications, follow-ups, and revalidations. Whether you're a new provider or expanding your panel, we make sure you get approved faster with fewer delays.

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Consultations for Struggling Practices

If billing issues are slowing you down or your revenue feels unpredictable, we’ll assess what’s not working and help you fix it. From process gaps to payer challenges, we offer hands-on guidance to help your billing get back on track.

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On-Site Procedural Audits and Staff Training

We come to you. Whether your front desk needs workflow improvements or your team needs clarity on coding and compliance, our in-person training ensures your staff and systems are aligned for billing success.

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FREQUENTLY ASKED QUESTIONS | FREQUENTLY ASKED QUESTIONS | FREQUENTLY ASKED QUESTIONS

FREQUENTLY ASKED QUESTIONS | FREQUENTLY ASKED QUESTIONS | FREQUENTLY ASKED QUESTIONS

FREQUENTLY ASKED QUESTIONS | FREQUENTLY ASKED QUESTIONS | FREQUENTLY ASKED QUESTIONS

FREQUENTLY ASKED QUESTIONS | FREQUENTLY ASKED QUESTIONS | FREQUENTLY ASKED QUESTIONS

FREQUENTLY ASKED QUESTIONS | FREQUENTLY ASKED QUESTIONS | FREQUENTLY ASKED QUESTIONS

FREQUENTLY ASKED QUESTIONS | FREQUENTLY ASKED QUESTIONS | FREQUENTLY ASKED QUESTIONS

Income Expectations

A billing company is not able to provide revenue projections.


This varies by procedure, length of time, payor, locality & case volume.


Be sure to have a conversation with the facility about your patient demographic. Large Medicare or indigent population? Uninsured, cash patients? 


Commercial carriers.


It will realistically take about six months for a clear picture of your monthly revenue.

Timelines for Credentialing

Timelines for Credentialing

Timelines for Credentialing

  • 30 to 180 days (depends on the carrier)
     
  • Do I have to wait until credentialing is completed to file claims?
    • Medicare, Medicaid & BCBS – Yes
    • Commercial carriers (UnitedHealthcare, Aetna, Cigna, etc.) – No
      • Note: Cigna is taking over six months
  • Some aspects of credentialing are not finalized until a claim is filed

Credentialing Complete

Timelines for Credentialing

Timelines for Credentialing

  1. Database creation
    Collaboration with software vendor, adding codes, tweaking settings
     
  2. Electronic Data Interchange (EDI) enrollment
    Need a “green light” to transmit
     
  3. Test batch
     
  4. Your money
    Trickle, avalanche, flow
     

Stay Out of the Pile

Timelines for Credentialing

Stay Out of the Pile

Things that slow down processing your claims.

➡️ Missing, incomplete, illegible or inaccurate patient information

➡️ Vague diagnosis or codes that aren’t in proper ICD-10 format

➡️ Vague procedural information

➡️ Inconsistent anesthesia start/stop times

Contact Us

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Better yet, see us in person!

We love our customers, so feel free to visit during normal business hours.

Medical Reimbursement Solutions

Abilene, Texas, United States

325-675-6466

Hours

Open today

09:00 am – 05:00 pm

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