Medical Billing Companies & Consultants in Westminster, CA

Orange County Medical Billing, Inc. (known by its initials, OCMB) is a Westminster, California, firm that handles medical coding and billing for doctors. It opened in 1985 and has served physicians continuously since then. Its clients range from long-running group practices to offices that are just getting started. The firm takes over insurance claims administration for these practices so in-house employees can focus on other duties and cash flow stays steadier, even as insurer requirements become harder to navigate.

Managing Claims and Collections

OCMB transmits claims to payers in electronic form and tailors its submission process to fit each practice. This includes claims for ambulance and other EMS providers. Before anything is sent, staff examine each claim for errors, which reduces the number of rejections and denials.

Once claims are filed, the team pursues outstanding balances, prepares appeals, and handles calls from patients who have questions about their statements. Account representatives look closely at any claim that was denied or paid at a lower code level, with the goal of recovering every dollar the insurer is obligated to pay.

• Electronic filing of claims, EMS included
• Pre-submission error checks
• Payer follow-up and formal appeals
• Recovery of denied and down-coded claims
• Phone support for patients with billing questions
• Tailored data analysis and reports

Coding Expertise, Compliance and Team

All coding is performed by CPC-certified staff working in the United States, and OCMB states that it does not outsource any portion of client billing overseas. Its office staff includes certified coders, collectors, and billers assigned according to medical specialty. A key focus is spotting CPT codes that physicians frequently overlook and leave unbilled.

The firm also guides practices through Medicare's Merit-based Incentive Payment System (MIPS) to help them avoid reductions in Medicare reimbursement. Doctors additionally receive one-on-one feedback and instruction aimed at improving their clinical documentation.

Reports Provided

Using the SQL Practice Expert system, OCMB supplies clients with a package of standard reports. Among them are daily activity summaries and day sheets, aging reports in both detailed and annual form, a month-by-month history of receivables, and summaries of insurance follow-up and reimbursement. Clients can also review diagnosis and procedure breakdowns, encounter and utilization data, referral tracking, and marketing reports. Beyond these, the firm can prepare custom analyses touching nearly any area of a practice's operations.

Fields of Medicine Supported

OCMB bills for over thirty specialties. On the primary care side, it serves internal medicine as well as family practice and pediatrics. Surgical and procedural clients include neurosurgery, general surgery, vascular surgery, urology, and gastroenterology. It handles heart care, skin care, hormone and endocrine practices, and clinics treating allergies and immune disorders.

Hospital-based work covers ER physicians, pathology, diagnostic radiology, nuclear medicine, and radiation oncology. Other areas include neurology, neuropsychology, psychiatry, OB/GYN, ophthalmology and retina care, kidney care (nephrology), lung care (pulmonology), rheumatology, and sleep medicine. The firm also bills for suppliers of DME, infusion therapy services, and clinical research.

To support clients and patients from day to day, OCMB operates a telephone help desk where doctors, hospital administrators, and patients can speak with a staff member and receive personal assistance. The company is guided by a written ethics code centered on honesty, continual improvement in quality, accepting only assignments within its competence, close oversight of its work, and rigorous protection of patient and client confidentiality. The office is open on weekdays, Monday through Friday.