Coding & Billing

Healthcare billing is a complex mix of federal, state and carrier regulations, but MBA specialists know how to successfully navigate billing challenges to get you paid as quickly as possible. Clients are assigned a dedicated Billing Specialist who will know you and your practice, and can quickly follow up and resolve any billing, coding or insurance problems.

Our specialists solve billing issues using proven processes, proactive communication with patients and insurers, and the right technology solutions. We offer an On Demand Billing Software Solution, offering you use of the latest billing software without worrying about hardware and software purchases, maintenance and technical support.

MBA utilizes SSIMED Practice Manager™ software, which simplifies and streamlines every process - from capturing charges and payment postings to patient management and reporting. Practice Manager™ features include:

• Fully integrated electronic claims processing 
• Charge and Payment posting directly from patient registration
• Direct charge posting from patient appointment information
• Post a single payment to multiple charges

Billing Services

MBA offers a complete range of billing services, from coding review and superbill formatting to receivables review and collection. Consistent monitoring of insurance payments is ongoing, and we provide a resource for you and your staff should any questions arise regarding billing.

Coding, Control and Compliance

MBA’s certified professional coders consistently review claims for proper procedural and diagnosis coding. We ensure claims are paid as quickly as possible, utilizing:

• Reimbursement Maximization
• Receivable & Payable Analysis
• Coding Review & Superbill Formatting
• Contract Review & Negotiation
• Monthly Status Reporting

Electronic Claims Submission

Claims are submitted electronically to all carriers who accept electronic submission. Electronic Claim Submission expedites claim processing from 6-8 weeks to 2-4 weeks.

• Medicare/Medicaid
• Blue Cross/Blue Shield
• National Electronic Clearing House
• HMO Plans

Billing Follow-up

Insurance charges are followed up on a daily basis. All insurance claims are followed up within a 30-day time frame after submission. This consistent follow up improves and reduces the number of days an account spends in accounts receivable. At the end of each month, you are given a status report of all claims over 60 days with an explanation of why the claim remains unpaid. You are assured that MBA is providing continuous efforts in maximizing practice reimbursement.

Aged Receivables

MBA recognizes that even with an effective billing service, there are always accounts that need special attention. To address the accounts, MBA has an in-house collection department. The collection representatives use a soft approach to collect on these accounts, offering the patient plenty of opportunity to pay on the balance due.

Complete Practice Reviews

MBA’s Practice Management Specialists will perform a complete operational review of your practice, identify any issues found, and deliver a detailed action plan. A specialist will work with you to implement the recommended changes and new procedures including:

• Systems and Processes 
• Regulation Alerts
• Medicare Audits
• Fee Schedule Reviews
• Billing and Collection Analysis
• Overhead Management
• HIPAA compliance

Be sure to ask one of our specialists about MBA’s
ROI calculator to determine total savings for your practice!