Medical Billing Companies & Consultants in Chula Vista, CA

Medical Billing Management is a family-run billing firm in Chula Vista. It has worked with healthcare providers across Southern California for more than twenty years. Its clients are private medical practices and provider groups. The firm takes on the revenue-cycle work that tends to pull doctors and front-office staff away from patients. Its stated goal is billing support that is personal, thorough and reliable, with a workflow that stays simple for physicians and their teams.

Billing and Revenue Cycle Services

The company calls itself a full-service billing operation built on accuracy, timeliness and accountability. Its billing work covers the whole life of a claim, from recording charges to collecting what is still owed:

• Daily balancing reports to reconcile office activity
• Review and entry of charges
• Claims sent electronically or on paper
• Steady follow-up on unpaid claims
• Courtesy calls to patients about balances on their statements
• Accounts receivable reporting and oversight
• Help with insurance credentialing and payer contracts

Coding is a particular focus. The team uses its coding experience to code with a high level of detail, so that practices are paid in full for the care they provide. It also reviews records to keep billing accurate. Staff attend seminars regularly to keep up with changing insurer rules. The firm says it can find the reasons a practice's cash flow is falling and quickly set out a plan to recover lost revenue.

Practice Management Consulting

Beyond claims work, Medical Billing Management offers consulting to practices that want wider operational help. Its consulting covers:

• Training and development for office staff
• Compliance support
• Credentialing and contracting
• Accounting
• Networking and IT

Working Relationship

The company presents itself as a hands-on partner. It works closely with each office and gives in-house staff the information and tools they need at each stage of billing. It helps with the payments an office collects each day and answers patient questions about their accounts in a calm, friendly way.

Its staff can also work with many practice management software systems, so a practice may be able to keep the system it already uses. A practice can ask for a free quote by giving the number of providers in the office and its typical monthly billing volume.

The firm says it puts a priority on staying in regular contact with its clients.

For buyers comparing billing vendors, the main points that set Medical Billing Management apart are its long family-owned history and its mix of daily billing work with consulting in compliance, accounting and IT. It is likely to suit private practices and smaller groups that want a personal working relationship with their billing provider.

Medical Physician Services, also called MPS, is a medical billing firm in Chula Vista, California, in the South Bay area of San Diego County. It was founded in 2005 and is now led by Kyla Escobedo. The company calls itself a small family-run business. It handles billing and revenue work for physicians and practices in many different medical specialties.

Billing services

MPS handles each claim from the time a patient is registered until the balance is settled. Its billing work includes:

• Patient registration and entry of demographic data
• Electronic submission of insurance claims
• Checking ICD and CPT codes before claims go out
• Filing of primary and secondary insurance claims
• Payment posting
• Quick follow-up on unpaid and denied claims
• Monthly statements mailed to patients
• Tracking account activity by payer, financial class and IPA
• Credentialing and payer contracting

Beyond claims, MPS offers practice management support. It can handle bank deposits, help with staffing, and train front-office employees on correct procedures so they send accurate information into the claims process. The firm also prepares productivity and financial reports for each physician and each practice, so owners can see how the practice is performing.

Auditing is another area the firm highlights. Its staff reviews a practice's finances and builds fee schedule analyses. These help providers see whether their charges match what they are actually paid. The home page also lists collections, accounting, benefits and cost analysis among the firm's capabilities.

How they work with clients

MPS does all of its work in-house instead of sending it to outside vendors, and it keeps operations within the continental United States. The team uses current billing and auditing software. People who call reach a live staff member rather than a voicemail system. The company sees its small size as a strength.

Clients get personal attention and regular contact with both physicians and patients, instead of being one account among thousands at a large corporation. MPS says it has grown mostly through referrals.

Specialties and client experience

The testimonials on its site come from a San Diego sleep lab that has worked with the firm for more than eight years, an orthopaedic group in La Jolla with a relationship of nearly 13 years, and a nephrologist in Inglewood.

The orthopaedic client says the firm's experience covers office orthopedics, surgical billing, workers' compensation, Medicare, medical-legal claims and many health plans. It also reports average accounts receivable of about 60 to 75 days. Other clients mention timely billing, competitive rates and careful follow-up on denials.

For San Diego area practices that want a long-established, locally run billing partner with direct access to its leadership, MPS is a more personal option than large outsourcing firms.

San Diego Medical Billing is a revenue cycle management firm based in Chula Vista that handles billing and coding for physicians, medical practices and healthcare facilities. Its clients are mainly in California, but it also works with providers in other states. The company says it is veteran owned. Its founder spent more than 25 years as an administrator in private practices and ambulatory surgery centers, so the firm knows how both clinics and surgical facilities run day to day.

Services and Technology

The firm covers the whole revenue cycle, starting when a patient registers and ending when the final payment is collected. Its main services are:

• Professional medical billing for commercial and government payers
• CPT and ICD-10-CM coding done by AAPC-certified coders
• EHR/EMR integration with many different software vendors
• Accounts receivable management and follow-up on aged claims
• Contracting and provider credentialing
• Practice consulting on billing procedures
• Appeals for denied claims
• Patient billing and answering patients' questions

It also provides two technology tools. One is cloud-based practice management software, which client staff can log into to view patient information. The other is an online patient portal where patients can pay their balances, which can help practices collect more of what they are owed.

How They Work With Clients

The company connects directly to each client's existing practice management system. This lets protected health information move securely in real time and cuts down on duplicate work. New accounts can be set up in its cloud billing platform and claims can start going out within a few days, which is meant to keep cash flow steady during the switch.

The firm sees good communication as essential to outsourcing. Practice staff and patients can reach it by phone or email, and it treats itself as an extension of the client's own office. Because it knows that collecting accurate demographic and insurance details at the front desk affects everything that follows, it stays in regular contact with practice staff.

It also answers patients' billing questions directly.

Specialties and Approach to Denials

The firm says it has experience across several specialties. Client testimonials on its site come from a multi-physician general surgery group, a bariatric surgeon, an orthopedic surgeon and an office manager. Denial management is a major focus. The company points out that very few rejected claims are ever appealed, and that payers are doing more prepayment reviews.

It positions itself as a partner that has the staff and know-how to chase aged claims and overturn denials. In its view, EHR software alone cannot do this work.

What Sets Them Apart

For buyers comparing vendors, the main points are its certified coding staff, who follow American Academy of Professional Coders standards, its founder's long background in practice and surgery center administration, and its veteran ownership. It also offers to connect with a wide range of EHR systems instead of making clients change platforms.

The firm argues that outsourcing billing costs less than hiring in-house staff once benefits, payroll taxes and training are counted. It offers a free consultation to providers who are considering a move.