Medical Billing Companies & Consultants in Flagstaff, AZ

Based in Flagstaff, Arizona, Draper Precision Billing and Coding is a compact firm run directly by its owner that manages reimbursement tasks for medical offices. Its clients are mainly physician groups and outpatient clinics that would prefer to outsource claims processing, code assignment and insurer enrollment instead of keeping all of that work on their own payroll.

Travis Draper launched the company in 2017, and he contributes over twenty years of direct experience in coding, billing and the day-to-day administration of medical practices.

Background and credentials

The business has existed for only a handful of years, yet the depth of its founder's experience lends it considerable standing in the reimbursement field. Draper has earned four industry designations, each tied to a core area of revenue work: a coding certification (CPC), a billing certification (CPB), a practice management designation (CPPM) and a compliance officer designation (CPCO).

Because one person holds all four, a client can rely on a single contact for questions about code accuracy, getting claims out the door, running the office and limiting regulatory risk.

The firm emphasizes its skill at building and upkeeping department procedures, in-house operating rules, written guidelines and performance reports, an asset for offices restructuring how their front desk and billing staff operate.

Services offered

Working under contract, the company can cover every stage of reimbursement, beginning when a patient first checks in and ending when the account is paid in full. Areas it advertises include:

• Enrolling and credentialing clinicians with Medicare, Medicaid and private health plans
• Assigning diagnosis and procedure codes drawn from the ICD-10, ICD-9, CPT and HCPCS systems
• E/M (Evaluation and Management) coding for outpatient specialty care, matched to the rules of individual payers
• Producing CMS-1500 (HCFA) and UB-04 claim forms, filed either on paper or electronically
• Working rejected claims, clearing aging receivables and pursuing unpaid balances
• Sending claims on to secondary insurers
• Signing patients in and confirming their coverage with outside insurers
• Creating a custom fee schedule for the clinic's physicians
• Advisory help when an office changes its billing or coding setup, along with assistance protecting patient confidentiality

Systems and specialties

Offices evaluating outside billers frequently ask if a vendor can operate within the software they already use. The firm reports familiarity with NextGen's practice management and electronic health record tools, Office Mate, Practice Ally, EZClaim, Epic and CharmHealth, as well as clearinghouse platforms from Trizetto and Change Healthcare.

Since its work centers on outpatient medicine, specialty offices and clinics submitting professional-service claims match its strengths best. Draper Precision also indicates it is willing to handle adjacent work not named on its list and encourages offices to raise any particular requirements they have.

Compliance approach

Adherence to regulation features prominently in the way the firm describes itself. According to the company, its claims handling conforms to federal rules overseen by the OIG and HHS, and it points to the Fair Debt Collection Practices Act, the Affordable Care Act and the False Claims Act as examples of laws it follows.

Its stated goal is to protect clients from exposure arising from incorrect filings and to maintain clear communication between each office and its insurers. For modest-sized practices in the northern part of Arizona seeking a nearby partner with recognized qualifications, compliance expertise and wide software experience, Draper Precision presents a personal, closely involved option compared with big national billing companies.

Hernandez Healthcare Billing, LLC is a Flagstaff, Arizona firm that handles outsourced medical billing for healthcare practices, operating as what it calls a remote billing service. Founded in September 2009 and led by owner Dorothy Hernandez, the company serves clients across the country from its Northern Arizona office. It is aimed at practices that would rather not carry the overhead of an in-house biller while still keeping close control over their own revenue cycle.

Services offered

The firm's published offering covers the core tasks of getting provider claims paid, along with several specialty areas. Buyers comparing vendors will find these listed:

• Practice management support
• Specialty billing
• Submission of clean, accurate claims
• Medical and dental credentialing
• Billing for dental, orthodontic and obstructive sleep apnea (OSA) care
• Full accounts receivable follow-up
• Rework of denied, unpaid and underpaid claims, including appeals
• Cleanup of backlogged receivables

The specialty focus is notable: alongside general medical work, the company names dental, orthodontic and OSA billing, areas where the boundary between dental and medical insurance can make reimbursement tricky. Its credentialing service covers both medical and dental providers, so a single vendor can help a practice enroll with payers and then bill them.

How engagements work

Hernandez Healthcare Billing does not ask clients to switch platforms. Staff log into the practice's current electronic medical records system remotely and pull the data they need, so a client only needs a computer, its EMR software and a secure connection to begin.

The company stresses that the accounts stay the property of the practice; its billers simply work inside the client's system. Engagements can be short-term projects, such as clearing an aging receivables backlog, or ongoing arrangements that replace an internal billing role. The firm also says its compensation depends on the practice being paid, which ties its earnings to collection results.

Background and community ties

Dorothy Hernandez owns and runs the business with a team of billing staff, and the company points to strong client references as evidence of its track record. Beyond client work, she maintains long-standing partnerships with Native Americans for Community Action, Inc., College America and Coconino Career Services, organizations linked to workforce training and community support in the Flagstaff region.

She also volunteers with the Big Brothers Big Sisters program of Northern Arizona and plays in City of Flagstaff adult recreation leagues.

For buyers, the main points of difference are a remote model built around the client's own EMR, clear statements about practice ownership of data, specialty experience in dental and sleep apnea billing, and a credentialing service for both medical and dental providers. Smaller private practices looking to hand off claims and receivables work without new software, or needing a time-limited receivables cleanup, may find the firm a good match for their needs.