Medical Billing Companies & Consultants in Hot Springs National Park, AR

Overview

Medicus Billing and Consulting handles medical billing and practice consulting for physician groups, independent practices and ambulatory surgery centers. It describes its role as a partner on the business side of healthcare. One engagement can cover claims processing, coding guidance, accounts receivable follow-up and bad debt collection.

The firm works with practices across the country, and its website names North Carolina, Pennsylvania, Texas and Arkansas. Business listings place its Arkansas office in Hot Springs. Its headquarters is in Poteau, Oklahoma, and it has a further location in Las Vegas, New Mexico.

The core service covers the whole revenue cycle. Medicus submits claims, follows up on unpaid balances, manages patient statements and questions, and enrolls providers with insurance carriers. Each client gets a dedicated account manager and a monthly report that reviews financial results in detail.

Patients of client practices can call a toll-free line staffed by Medicus with billing questions, so those calls stay away from the front desk. The firm says clients usually see revenue rise by 25 to 30 percent. It also says claims usually turn into payments within 20 to 30 days.

• Medical billing and claims submission
• Denial management and payer appeals
• Accounts receivable recovery
• Patient statements, inquiries and collections
• Provider credentialing and payer enrollment
• Coding education, chart reviews and compliance programs
• Underpayment, unbilled service and contract reimbursement analysis
• Practice operations assessments and software selection
• ASC charge capture, coding and implant billing

Denial work gets particular attention. Medicus calls payers itself and groups each rejection by its cause, its origin and the underlying reason. Every month it sends a spreadsheet with notes on each claim. It tracks problem patterns at the point of service, the front office, coding and the back office, then suggests changes to stop repeat rejections.

For this service the company reports an average revenue gain of about 25 percent and success on more than 80 percent of the appeals it files.

The firm also offers audits and consulting. A project may start with a review of current billing workflows. That review leads to a custom correction plan, coding instruction for staff and advice on insurer rules. Revenue recovery reviews look for underpayments, unbilled services, coding gaps, chronic denial patterns and payer recoupments.

Medicus also advises on fee schedules, price transparency reports, payer contracting, scheduling and patient flow, ancillary service development and how provider income is split. Its compliance team helps practices build programs around the seven elements set out by the Office of Inspector General. That work covers HIPAA privacy and security, OSHA, fraud, waste and abuse, and a yearly program review.

Specialties and background

Medicus supports many specialties, including the following:

• Gastroenterology and pain management
• General, colorectal, cardiothoracic, vascular, pediatric and neurological surgery
• OB/GYN and gynecologic oncology
• ENT and urology
• Anesthesia, dermatology and emergency medicine
• Neurology, pathology and radiology
• Endocrinology and allergy and immunology
• Family and internal medicine and pediatrics
• Infusion services

A separate surgery center service covers case review, modifier accuracy, implant and device billing, payer contract alignment and denial tracking. Its LinkedIn profile says the company was founded in 1987 and has 11 to 50 employees. Client testimonials on its website mention Cyndi Walker and her team.