Medical Billing Companies & Consultants in Dunedin, FL

Overview

Quantum Practice Management, Inc. is an outsourced billing and practice management firm that has worked with physician groups and healthcare facilities since its founding in 2001. Its headquarters is in Dunedin, Florida, and the company says it also has satellite locations in Ohio and Maryland. It serves both medical and mental healthcare centers.

The firm describes its role as taking over the administrative work behind patient care, including claim coding, claim submission, reimbursement follow-up and receivables management, so that clinicians can spend more of their time with patients.

Billing and Revenue Services

The core offering is customized medical billing. Quantum's staff check claims carefully when they are entered, which is meant to cut down on later follow-up and steady a practice's cash flow. The firm puts particular weight on sorting out stubborn or long-unresolved claim problems by finding the underlying cause rather than resubmitting over and over.

It says it targets a clean claim rate of at least 97 percent. Its receivables specialists review unpaid claims and actively chase outstanding balances. For some patients, staff also look for outside help, such as charitable foundations that can cover out-of-pocket costs, or drug replacement through pharmaceutical support programs when oncology treatments are not covered by insurance.

• Specialty-specific medical billing and coding
• Practice assessments, offered under the company's own name of "Review of Systems"
• Revenue cycle management
• Credentialing, plus analysis and negotiation of managed care contracts
• Collections projects and reconciliation of accounts receivable
• Support with EHR implementation

Specialties Served

Quantum assigns billing experts by specialty. The specialties it lists are behavioral and mental healthcare, gastroenterology, neurology, oncology, pediatrics, primary care, sleep medicine, urgent care and wound care clinics. It also works with long-term care facilities and with skilled nursing and rehabilitation facilities. According to the company, its coders each concentrate on a set of specialties, and that focus helps practices get paid correctly for new therapies and drugs.

How They Work With Clients

New accounts are handled by a dedicated transition team, which follows set onboarding and implementation plans to keep disruption low while a practice moves its billing to Quantum. On compliance, billers use CMS and other recognized coding tools, the company says it follows HIPAA rules in its transactions, and staff get regular coding education.

Administrators can use service packages that include daily and monthly audit reports for spotting billing errors, updates on payer requirements, and pre-service benefits verification tied to each patient's treatment plan. Billing and credentialing clients may also get updates from the team by text message.

Background and Differentiators

The firm says it combines clinical medicine knowledge with administrative experience and technology tools. Its consulting work for practices around the country has included helping new practices get started, training billing and clinical staff on coding policies, and running accounts receivable reconciliation and collection projects.

The Review of Systems assessment looks at every part of a client's revenue cycle and gives practical feedback. Practices that want a full-service billing partner with specialty focus and the option of consulting projects may find Quantum worth considering.