Privacy Policy

MEDICAL BILLING

Customized to the doctor's/providers practice and needs, we file your claims electronically and if necessary, we are able to send physical documentation and files to insurance companies so you can be compensated as quickly as possible.

For seamless billing operations we:
- Post charges
- Payments and EOBs
- Execute appeals for erroneous denials
- Update all insurance fee schedules.

Our internal processes implemented are structured so claims are reviewed, converted to proper EDI formatting, audited for any potential issues. We then send to the insurance carrier for processing within 24-48 hours upon receipt from your office. All claims are carefully audited for accuracy before submission (electronic or paper) utilizing the proper ICD, HCPCS and CPT codes. Our quality assurance during these stages of the process is what gives us the advantage over our competitors.

Our full service billing also includes generating patient statements on a daily basis. We provide a "soft" collection method for patients consisting of letters and telephonic communications if necessary. Our error free checks are also provided and comprises on customized monthly financial reports that reflect charges, deposits, adjustments and patient balances.

FOLLOW-UP PROCESS (One of the most important steps to the SUCCESS of your Practice)

Our follow-up on claims is what truly separates Medicorum Medical Billing Solutions (MMBS) Services from the competitors. We are committed to following up on all outstanding claims, no matter the charge or reimbursement. We believe in continually following up with each insurance company until payment or processing is resolved. Medicorum MBS is dedicated to detail and a commitment to our clients that provides an increased level of reimbursement.

Our follow-up methods include:
- Corresponding and communicating with insurance companies regarding unpaid claims with in 30 days for electronic claims and 45 days for paper claims
- Filing secondary and tertiary insurances
- Appeal of incorrectly denied or underpaid claims
- Insurance Inquiries and Appeals to insurance companies for denied services that do not meet the National Correct Coding Policy that have been certified by CMS and approved by the AMA

Medicorum Medical Billing Solutions (MMBS) will make every attempt to collect payment from insurances companies.

ACCOUNTS RECEIVABLE RECOVERY

Medicorum Medical Billing Solutions (MMBS) provides services to include contacting the insurance carriers to determine a claim status. If a claim was never received, never paid, or is not on file, the claim will be resubmitted to the insurance carrier. Follow-up will be performed per claim status. Claims requiring medical records will have the records attached to it and resubmitted. This is yet another value- added component of our services. Most Physicians discover, to their horror, and often too late, that their in-house staff routinely fails to reconcile aged claims. Don’t wait to find a pile of aged claim reports stuffed in a desk drawer; ask us today how we can eliminate your aged claims.

PRACTICE MANAGEMENT

Medicorum Medical Billing Solutions (MMBS) provides a variety of consulting from small to medium sized Healthcare Providers the following are a few examples of this service:
- Training the front office staff
- Analyze and update all CPT and ICD-9 codes
- Review and/or create forms for Physicians Credentialing
We work closely with your staff to provide a smooth transition and understanding of all new material.

PHYSICIAN CREDENTIALING SERVICES

Medicorum Medical Billing Solutions (MMBS) will perform initial credentialing and/or re-credentialing for every provider in your office. Applications for all insurance companies, including 855s for Medicare, are completed and stored in our database. We attach all relevant documents, such as current license, CME's, declarations pages, malpractice narratives, certification, etc. to complete applications and then send it to you for signatures and/or seal of approval.

INSURANCE VERIFICATION

Verifying benefits before a patient is seen in the providers office is an essential step to ensure reimbursement from insurance carriers. Medicorum Medical Billing Solutions (MMBS) offers this service, if needed.

CONSULTING

Medicorum Medical Billing Solutions (MMBS) also offers Consulting. We provide a variety of consulting services including:
- Computer systems and software installation
- Staff and Physician training
- Creating master copies of patient forms
- We offer a wide range of additional services, depending on your individual needs.

Out of City/State Providers

With the use of the latest technology, we can offer our services in any City or State. With a toll-free number, toll free fax and email, we are always just a few minutes away. We offer a variety of solutions for getting information to and from your office.