Medical Billing Companies & Consultants in Denver, CO

Clinic Service Corporation is a Denver-based medical billing firm that has worked with physician practices since 1974. Its work centers on one goal: helping doctors and private medical groups earn more from the care they already provide. Over five decades the company says it has supported more than 1,000 physicians, and it markets itself to established practices as well as to clinicians launching a new office.

Services

The firm groups its offerings into three areas: revenue cycle optimization, billing and coding support, and consulting on how a practice is run. Within those areas, buyers can expect:

• A side-by-side cost comparison of in-house billing against outsourcing, completed before any contract
• Full ownership of the revenue cycle, with monthly reports and quarterly reviews
• Claim submission with daily follow-up, plus denial handling and appeals
• Statements sent to patients, balance-forward accounts and collection work
• Coding support that keeps pace with CPT, ICD-10 and payer rule changes
• Provider credentialing and enrollment with insurers
• Financial and operational benchmarking, workflow design and EHR/PM integration
• Setup help for new practices, compliance reviews and policy writing

Specialties served

Although the company handles many specialties, each client is assigned coders familiar with that field.

Its listed focus areas include family and internal medicine, adult and pediatric primary care, pediatrics, dermatology (including MOHS, cosmetic and pathology work), neurology with neurosurgery and pain management, podiatry and foot and ankle surgery, bariatric and metabolic medicine, and medical weight loss programs that use balance-forward billing.

Higher-complexity subspecialties are priced on tiered rates written into its standard contracts, and the firm invites practices in other fields to ask whether it has billed for them.

How it works with clients

Engagements begin with a numbers review. If outsourcing would not save the practice money, Clinic Service says it will tell the prospect so. Once a practice signs on, it is paired with a named bookkeeper, and two backup staff members also know the account.

Claims are checked three times before submission, and the team monitors HIPAA, Medicare and payer-specific requirements for its clients. The company stresses that calls are answered by a live person and that its staff become part of each practice's daily routine.

Track record and team

The company reports averages from its client base: roughly a 30 percent revenue gain after onboarding, receivables collected in about 22 days on average, a 15 percent drop in denials during the first year, and a 97.6 percent satisfaction score gathered through independent surveys. Some clients have stayed for over 30 years. Staff stability is a major selling point.

Employees average 8.5 years with the firm, supervisors about ten, and close to 30 percent have been there longer than a decade. Each employee completes 40 or more training hours every year, and internal processes are reviewed twice annually. The headquarters is in the Denver metro area.

Codex Medical Billing is a privately held revenue cycle firm with its corporate office in Denver, Colorado. It works with physicians and medical practices that want an outside partner to handle the financial side of patient care, from turning clinical documentation into codes and claims through collecting on older balances. Its approach was built by a physician together with other professionals. Codex also describes its team as having a background in finance and compliance.

Core Services

The company offers a set of related services that practices can use together or individually:

• Medical billing, with claims handled every business day around the clock, five days per week
• Medical coding by certified coders who check incoming charts
• EMS billing for ambulance and emergency transport organizations
• Denial management aimed at lowering the cost of rejected claims
• Aging accounts receivable recovery handled by a dedicated team
• Credentialing and contracting with insurance payers
• Revenue cycle consulting, including reviews and recommendations

How Coding Supports Clean Claims

Coding sits at the center of the Codex process. Certified coders go through each chart a practice sends over and either approve the codes the provider chose or propose changes so the claim reflects the highest allowable reimbursement.

Accurate ICD-10 coding is treated as a key step in the firm's goal of sending payers a larger share of clean claims and reducing the number that come back denied. When denials do happen, a separate denial management service works on them, and older unpaid balances can be passed to the A/R recovery team.

Specialties Served

Codex reports having certified coders experienced in a wide range of fields. These include cardiology, dermatology, endocrinology, neurology, rheumatology, pathology, psychiatry and mental health, family practice, internal medicine, geriatrics, orthopedics, osteopathic medicine, and pain management. Surgical areas include general surgery, bariatric surgery, and plastic and cosmetic surgery.

The firm also covers emergency medicine, ambulance billing, non-emergency medical transportation, telemedicine, chiropractic, acupuncture, physical therapy and physiotherapy. Its dedicated EMS billing offering makes it a fit for transport providers as well as office-based practices.

Working With Clients

For credentialing, Codex assigns each client one dedicated contact who stays with them for the whole process. The firm gathers provider information in a consolidated way and tracks progress so that errors are reduced and providers become credentialed sooner. It draws on its familiarity with both payers and providers to keep enrollment moving.

More broadly, the company positions itself as working side by side with a practice's own staff across the full revenue cycle, and it notes that its credentialing help is meant to be affordable.

Practices considering Codex can request a no-cost initial assessment before committing. The website also provides a login area for client practices and a separate portal for patients. Buyers in Colorado and beyond who want one vendor for coding, billing, credentialing, and collections, particularly across multiple specialties or in EMS, may find its combined service menu worth evaluating.

VedaMed RCM is a revenue cycle management firm based in Lakewood, Colorado, in the Denver metro area. It handles billing and coding for physician practices, provider groups, surgery centers and hospitals. Its senior leadership has worked in healthcare billing and consulting since the mid-1980s.

The company says its managers and account staff together bring more than 150 years of experience in the field. Although its office is in Colorado, VedaMed reports that it processes claims for clients in all 50 states.

Billing and Coding Services

VedaMed works under a single agreement that covers the whole revenue cycle. That scope runs from the moment a patient is registered through deposits into a lockbox account and the reports that follow. On the front end, its team captures and enters charges and scrubs claims before submission.

Certified professional coders assign codes, and the firm then sends claims through clearing. After payers respond, staff post electronic and paper payments and send statements to patients. They also pursue denied claims with both commercial insurers and government programs.

• Medical billing and certified professional coding
• Claim scrubbing, clearing and electronic submission
• Denial management and appeals
• Electronic and manual payment posting
• Patient statements and patient financing
• Accounts receivable follow-up, lockbox deposits and reconciliation
• Data analytics, reporting and practice consulting

Software and Technology

The firm has decades of experience with AdvancedMD and Medisoft, along with a range of other practice management and EMR platforms. It can tailor these systems with interfaces to laboratory and pharmacy networks. It can also connect them with hospital systems and standalone EMR products.

Standard reports come built in, and custom reporting can be added when a practice needs it. Hosting includes off-site facilities and redundant infrastructure. Front-office functions such as demographics, scheduling and eligibility checks are part of the package. VedaMed also provides a document management platform that encrypts scanned documents, x-rays and patient records inside password-protected user environments.

Archived files stay retrievable at any hour for as long as ten years.

Quality Controls and Patient Tools

VedaMed reports a claim accuracy rate above 98 percent. It also says it reviews one in every ten claims through internal audits. Clients can check claim status, correct claims online and pull analytics for their own reporting. Eligibility verification and electronic remittance advice are handled electronically as well.

On the patient side, the company offers online card payments, financing options, patient portals and telemedicine tools, and it also builds websites for practices. Prospective clients can request a review of a sample of their claims, which is meant to show where their current revenue cycle process is working and where it falls short.

The testimonials VedaMed publishes point to long client relationships. One provider has worked with the firm since 1994, and one medical group since 2009. Clients mention its guidance on regulatory changes as well as its billing results. All of its systems are described as compliant with HIPAA and HITECH requirements. For practices that want billing, coding, software and records management from one vendor, VedaMed offers an established option in the Denver area.