Medical Billing Companies & Consultants in Tustin, CA

ACP Billing Services Inc is a California-based healthcare business management firm that has handled billing, coding and administrative work for medical providers since 2015. It is based in Orange County and says it can serve clients in all 50 states. It works with healthcare providers and organizations of many specialties and care settings, from growing practices to established ones. Founder and owner Maria Dominguez G. leads the company as its operating partner, and clients deal with her directly.

Core Medical Billing Capabilities

Billing is the center of the firm's work, and its service list covers the full revenue cycle. Before a claim goes out, staff check eligibility and benefits, keep patient demographics up to date, coordinate primary, secondary and tertiary coverage, and request and track authorizations. Charge entry and claim submission are handled electronically or on paper, using CMS-1500 and UB-04 forms. The team also clears clearinghouse rejections and follows up on claim status. After claims are paid, the work includes:

• Posting ERAs and EOBs, plus checking for underpayments and overpayments
• Finding and fixing denied claims, then filing appeals, reconsiderations and provider disputes
• Following up on aging AR, collecting from both insurers and patients, and reporting on receivables
• Reviewing credit balances, processing refunds and watching timely filing deadlines
• Handling corrected, voided and replacement claims
• Reviewing payer contracts and fee schedules, and checking claims for bundling and medical necessity

The firm bills Medicare, Medicaid, commercial insurers, HMO and PPO plans, and government health programs. It also takes on workers' compensation, auto accident and lien cases, telehealth claims, and capitation arrangements. It handles both institutional and professional billing. Compliance work covers Medicare and Medicaid billing rules and HIPAA requirements.

Related Practice Support

Beyond billing, ACP offers medical coding focused on accurate documentation and compliant processes, which helps cut down on avoidable claim problems. Its business management service helps with administrative tasks, workflow organization and daily operations. A patient services team answers billing questions and helps patients with payments.

The firm also handles provider credentialing and enrollment, and includes it at no charge when a practice uses ACP as its main partner for billing, coding and business management. Existing clients can join a referral program that gives them a service credit for referring new providers.

How It Works With Clients

New clients start with a free consultation that looks at how their revenue cycle and operations work today. ACP describes its process in three steps: learn the practice's workflow, find the areas that need attention, then put practical fixes in place. It works within the client's existing systems and software instead of requiring one standard platform.

Consultations can be held at its Southern or Northern California offices, at an office in the client's own state, or over Zoom. The firm also lists round-the-clock availability, its own billing and EHR software, and integration between forms and software among its features.

Buyers comparing medical billing companies may find ACP a good fit if they want hands-on attention from the owner, deep knowledge of the California market, and billing, coding, credentialing and management from a single partner.