Medical Billing Companies & Consultants in Madera, CA

Docs Medical Billing, LLC, which goes by the name DocsMed, is an outsourced billing and coding firm based in Madera, California. It works with physician groups, solo practitioners, hospitals and dental offices across the United States. Clients can hand over some or all of the paperwork that comes between treating a patient and getting paid for that visit. The company says it serves clients in all 50 states and supports more than 50 medical specialties.

Services

DocsMed covers the whole revenue cycle, starting with checks before a visit and ending when patient balances are settled. A practice can hire the firm for everything or choose only the parts it needs. Listed services include:

• Full revenue cycle management, from checking coverage at scheduling through to final payment
• ICD-10, CPT and HCPCS coding, plus claim submission and follow-up with payers
• Insurance eligibility checks, including Medicare/Medicaid dual eligibility and out-of-state plans
• Prior authorization handled with AI and natural language processing connected to the provider's EHR
• Provider credentialing and payer enrollment, including keeping CAQH records current and PECOS registration
• Recovery of claims unpaid for 30, 60 and 90+ days, with denial management and appeals
• Dental billing using CDT codes, electronic attachments and coordination of dual coverage
• Out-of-network reimbursement support, MIPS reporting, healthcare business intelligence, IT support and digital marketing for practices

Payment posting is automated. Patients get digital statements that push them toward paying online, which the firm says reduces paper and the staff time spent chasing balances. Clients also get reporting and analytics tools that show how their practice is doing financially.

How the firm works with clients

Before any contract is signed, DocsMed offers a free audit of up to a year of a practice's past claims. The audit looks for lost revenue, repeat denial patterns and coding problems.

During onboarding, the firm says it runs the old and new workflows side by side and takes care of clearinghouse setup and claims migration, so claim submissions don't stop. Clients don't need new software, because the firm's billers log into the system the practice already uses. The company names Epic, Athenahealth, eClinicalWorks and Tebra/Kareo among the platforms its staff know.

Plans are built around each practice rather than sold as fixed bundles.

The firm combines automation with human checking. Its own AI assistant, called Alesia, scrubs claims, and AAPC-certified coders and billers review the work. The company says a person looks at every claim, and separate internal teams handle each stage of the cycle. DocsMed publishes targets including a clean claim rate of up to 98 percent, a denial rate below 2 percent and fewer than 30 days in A/R. These are the company's own numbers.

Specialties and credentials

Besides general medicine, the company points to experience with harder fields such as cardiology, oncology, orthopedics and durable medical equipment billing, and it runs a separate dental division. It describes its operations as HIPAA compliant, with business associate agreements, 256-bit encryption, access limited by role and regular compliance audits.

DocsMed says more than 200 practices use its services, and it names Fa'Aghna as its IT partner. For buyers in the Fresno area, the Madera office is a local point of contact, and because the firm works remotely it can also serve practices nationwide.