Medical Billing Companies & Consultants in Glendale, CA

Certified Healthcare Network, often called CHN, is a medical billing and practice management firm based in Glendale, California, a short distance north of downtown Los Angeles. It works with physician practices that want an outside team to take over claims, collections and day-to-day administrative work. The company says it has been helping providers recover what they are owed since 1996. Its client testimonials come from physicians in obstetrics and gynecology and in neurology, which matches its focus on specialist practices.

Core billing and revenue services

CHN's main offering is full-service billing done by billers the firm trains in-house. Claims are filed electronically, the firm produces patient statements for the practice, and every submission passes through claim scrubbing and tracking tools meant to catch mistakes before a payer sees them.

The firm says new clients can expect claims to be paid within two weeks of joining, and that a practice can be working on its platform in about five business days. Older or hard-to-collect balances go to certified collectors with more than 15 years of experience in medical receivables.

• Medical billing and electronic claims filing
• Accounts receivable follow-up and collections
• Practice analysis and coding review
• Practice management and appointment scheduling
• Electronic eligibility checks before visits
• EHR and EMR setup, data conversion and implementation
• Online reputation management for practices

Technology and transparency

CHN runs its clients on ADP's cloud-based AdvancedMD platform, which links scheduling, eligibility checks, electronic health records and billing in one system. Office staff and CHN's billers work in the same system, so tasks, notes and messages move between them without paper superbills or lost files.

Practices can log in remotely at any time to see A/R, EDI activity, patient balances, appointments, financial totals and collection results. The company describes this as a fully transparent setup. The platform also has clinical tools, including prescription writing, refill requests, drug and allergy alerts, chart and medication management, and patient follow-up.

For data security, the firm points to biometric access controls and HIPAA compliance.

Consulting and client support

Besides handling claims, CHN offers a practice analysis service. Its team reviews front-office procedures, looks for duplicated steps and for coding or billing criteria that are wrong, misused or missing, fixes those problems, and then retrains staff on a revised workflow. Each engagement is tailored to the practice, with custom reports, software interfaces and data migration as needed.

Clients get unlimited in-person training plus phone and online support. CHN's staff know PPO, HMO and IPA arrangements as well as workers' compensation billing.

Specialties served

The company lists experience with neurosurgery, urology, gynecology, general surgery, colorectal surgery, vascular and thoracic surgery, oncology and multi-specialty groups. For buyers in the Los Angeles area, CHN offers a local office, a single integrated software platform, staff trained in-house and hands-on training. That makes it a reasonable option for specialty practices that want to outsource billing while still keeping close watch over their revenue data.

Overview

DoctorPapers, a subsidiary of TechMatter, provides medical billing and revenue cycle management. The business is based in Glendale, California, and supports doctors, clinics and hospitals throughout the country. It takes on the paperwork involved in collecting payment so that clinical staff can spend more of their day with patients. Its responsibilities include processing claims, keeping codes correct, improving reimbursement results and handling many other administrative chores.

Services

Rather than offering a single bundled package, DoctorPapers divides its revenue cycle offerings into distinct pieces. A practice may engage the firm for just one piece or pair several together. Its principal offerings are:

• Billing for medical practices, plus advisory work on billing
• Credentialing of providers with payers
• Verification of patient coverage
• Entry of charges and fees
• Recording patient demographic information
• Posting of payments
• Oversight of receivables and pursuit of outstanding balances
• Handling of denied claims
• Transcription of medical records
• Analytics and performance reports

In addition, DoctorPapers places remote personnel with clients, including billers, coders, scribes, insurance specialists, administrative helpers and support staff for pharmaceutical tasks. Its advisory group examines how a practice currently runs its revenue cycle and pinpoints gaps in processes, software and staff output. The group then suggests adjustments aimed at lowering the number of rejected claims and shortening the time it takes to collect.

How They Work With Clients

Instead of requiring a switch to different software, DoctorPapers has its billers operate within whatever electronic record system a practice already uses. The firm states that its staff has experience across a wide variety of these platforms, naming InSync Healthcare Solutions, e-MDs, WebPT, Varian and Visonex among them. Assignments are aligned with the client's field of medicine.

Certified billers manage each stage, from capturing charges and assigning codes to sending claims, correcting rejections and chasing payments that have not arrived. According to the company, its revenue cycle agreements do not lock clients into lengthy terms, and its capacity can grow as a practice adds sites or patient volume rises. HIPAA compliance is emphasized throughout its documentation.

Who They Serve

DoctorPapers reports a client base that spans individual and independent physicians, medical groups, organizations covering multiple specialties, and hospitals. Its reach also extends to outpatient operating facilities, providers of MRI and CT scanning, therapy and recovery programs, agencies delivering nursing care in patients' residences, urgent care clinics, emergency departments, nursing homes, laboratories and federally qualified health centers.

The firm advertises billing help for numerous specialties, among them psychiatry and behavioral health, oncology, radiology, cardiology, neurology, dermatology, podiatry, hepatology, gastroenterology, anesthesia, physical therapy, pediatrics, obstetrics and gynecology, pain management, pathology, wound care, traumatology and clinical labs.

Considerations for Buyers

Practices located in Santa Clarita or elsewhere in Los Angeles County will find that DoctorPapers is based nearby in Southern California, though it performs its services remotely for clients across the nation.

Since the company provides both outsourced billing and remote personnel, it could be a good match for a practice that needs assistance in a narrow area, such as confirming coverage or clearing a pile of overdue claims, while keeping the rest of its billing in-house.

Before committing, prospective clients can schedule a demonstration or consultation to discuss their specialty, their software and the particular services they require.