Medical Billing Companies & Consultants in West Des Moines, IA

L&C Medical Billing is a revenue cycle firm based in West Des Moines, Iowa, that works with physician offices and other medical practices. It has been in business for more than 25 years. The company handles three main areas: claims billing, clinical coding, and back-office support for practices. Its electronic health records work fits into all three.

For buyers, this means one outside partner can cover reimbursement, coding accuracy and day-to-day administrative tasks, so a practice doesn't need separate vendors for each.

Billing and Revenue Focus

The billing service aims to keep a practice's paperwork and cash flow moving so clinicians can spend their time on patients. The firm stresses HIPAA compliance, current billing technology and responsive customer service. It also pushes practices toward paperless records.

The results it says clients should expect are quicker payments, fewer claim denials and errors, steadier cash flow, lower administrative costs and less paper waste. It also aims to catch common revenue leaks such as underpricing, coding mistakes, missed charges and claims that never get paid. Taking these tasks off internal staff leaves them more time for patient-facing work.

Coding Expertise

All of the coding team hold either the CPC or the RHIT credential, and together they have more than six decades of experience. They have particular depth in these specialties:

• Emergency medicine
• Ear, nose and throat (ENT)
• Radiology
• OB/GYN
• Orthopedics
• Speech pathology
• General surgery
• Family practice

Practices can hire the coding team in several ways: as temporary cover, to clear a backlog, or for ongoing work done remotely or at the client's office. The team also audits coding and reviews reimbursement to find under-coding or compliance gaps. It offers on-site training to help physicians improve their documentation, which supports more accurate coding.

Practice Management Support

Beyond billing and coding, L&C provides administrative help for running a medical office:

• Fast IT, software and hardware support
• Compliance and coding training for staff
• Staffing and human resources assistance
• Document management
• Chart and reimbursement audits

This range suits small and mid-sized practices that don't have in-house IT, HR or compliance staff.

What Sets It Apart

Buyers comparing medical billing vendors in central Iowa may value the firm's long history, its local West Des Moines office, and a coding team that is fully credentialed and has clear specialty experience. Because billing, coding, audits, training and operational support all come from one provider, the firm suits practices that want a single partner focused on compliance and clean reimbursement. It is a less natural fit for practices that only need claims submission.

Oakville Billing Services is a medical billing firm based in West Des Moines, Iowa. It works with physician practices and other healthcare providers across many medical specialties. The company offers full revenue cycle support, so a practice can hand over the financial side of patient care.

That work starts when a patient first registers and runs until the practice has collected payment for the visit. The firm aims to help practices run more efficiently and cut administrative costs. It describes its services as tailored to each client and able to grow as a practice changes.

Core Billing and Coding Services

At the center of what Oakville offers is end-to-end revenue cycle management. This covers claim preparation, submission and payment, with the goal of quicker reimbursement, fewer rejected claims and steadier cash flow. Certified coders on staff assign diagnosis and procedure codes from the ICD-10, CPT and HCPCS code sets so that claims follow payer rules.

For practices that want an outside review, the company audits existing billing workflows. These audits look for mistakes, check compliance and find ways to improve reimbursement.

• Revenue cycle management from registration through final payment
• Medical coding with ICD-10, CPT and HCPCS
• Billing audits focused on accuracy and compliance
• Checking patient insurance eligibility and benefits before appointments
• Accounts receivable follow-up and aging report tracking
• Denial analysis, resolution and prevention
• Provider credentialing and payer enrollment
• Remote virtual front desk support

Front-End and Back-End Support

Oakville's work also extends to both ends of the billing process. Before a visit, staff confirm the patient's coverage so the practice can avoid surprise denials and bill more accurately. After claims go out, the accounts receivable team chases unpaid balances, tracks aging reports and works with insurers to get payments released sooner.

A separate denial management service looks into rejected claims, fixes them so the revenue can be recovered, and looks for patterns that cause repeat problems. The credentialing service manages provider verification and enrollment, which helps new clinicians start billing without long delays.

The company also runs a virtual front desk for practices that want to hand off office tasks. Remote staff take patient phone calls, book appointments, send reminders and answer general questions for the practice.

Technology and Working Style

Oakville says its billing platform meets HIPAA requirements and connects with widely used electronic medical record and practice management systems. Named examples include WebPT, AdvancedMD and ChiroTouch. This range suggests the firm is a good fit for physical therapy, chiropractic and general medical practices that already use these tools.

The company puts strong weight on responsive customer support and presents itself as a partner in helping each client practice grow. It is a small team operating from a single office in West Des Moines. Buyers who want a local provider that pairs certified coding with denial and receivables work, credentialing and front-office help may find it worth evaluating.

PractiSynergy is a revenue cycle firm based in West Des Moines, Iowa. It handles billing and related administrative work for medical practices across many specialties. The company says it has served clients for more than 35 years. Over that time it has grown from a local billing operation into a provider that works with practices in several states. It aims to help providers get paid faster, keep administrative costs down and spend more of their time on patients.

Services for Medical Practices

The company's main service is outsourced medical billing. Its staff prepare and send insurance claims with the goal of cutting down on errors and shortening the time between a visit and payment. Coding, credentialing and broader operational support are offered alongside billing, so a practice can hand over one piece of its revenue cycle or most of it. The main offerings are:

• Medical billing and claims submission
• Medical coding by certified coders, with a focus on accuracy and compliance
• Provider credentialing to meet the requirements of insurance payers and hospitals
• Practice management consulting, covering everything from strategic planning to daily operations
• Wound care billing designed around CMS rules
• Marketing and virtual front desk support
• RevShield, a named offering listed among the company's services

Specialties and Industries Served

PractiSynergy works with a wide range of practice types. Wound care is a particular strength. The firm promotes itself as a billing resource for manufacturers and distributors of skin substitutes, as well as for clinics that bill for grafts.

Its wound care team handles credentialing and claims and keeps an eye on CMS requirements to help clients avoid audits and penalties. Other specialties it lists include podiatry, internal medicine and geriatrics, surgical specialties, physical therapy and mental health.

Client testimonials show that its customers range from solo practitioners and small mental health practices to a rheumatology group and a county health department.

How They Work with Clients

The firm says it tailors its services to each practice and can scale them up or down as a practice grows or its needs change. Clients mention fast responses to questions, regular reports when they ask for them, and staff who look into billing issues they can't answer right away.

One small-practice client said she can photograph her weekly billing and send it to the firm through a secure channel, which shows how flexible the intake process can be for less tech-focused offices. Some clients were referred by their EHR vendors.

Leadership and Background

Katie Fergus is President and CEO. She is a CPA and holds the FACMPE credential from the medical practice management field. Kevin Babb, an RN, is Chief Technology Officer, and Katie Frost is Chief Operating Officer. Their team includes practice management staff, certified coders, billers and credentialing specialists.

The company says its work is guided by integrity, customer focus, transparency, innovation and growth. For buyers who want one partner to handle billing, coding and credentialing, and especially for those with complex wound care claims, PractiSynergy offers that combined service from its office in the Des Moines area.

Overview

Based in West Des Moines, Iowa, Professional Medical Management (often shortened to PMM) takes the business burden of running a physician practice off the shoulders of clinicians. Claims processing is only one piece of what the firm offers.

PMM also provides finance, data analytics, human resources, IT, marketing and revenue cycle services, all built around one idea: physicians should be free to focus on patient care while PMM manages the operational side. Practices evaluating outsourced billing should see PMM as a broad operational partner rather than a narrowly focused claims processor.

Billing and Revenue Cycle Services

Rather than having a few generalists handle everything, PMM assigns specific billing tasks to specific people, with some employees concentrating solely on posting payments, others on patient accounts, and still others on refunds. This structure lets the firm oversee every stage of a claim's life, from charge entry through the closing of any remaining patient balance. The billing offering includes:

• Collecting patient demographic details and charges through HL-7 interfaces
• Sending claims electronically to insurers
• Recording payments received from both payers and patients
• Overseeing accounts receivable
• Pursuing claims that have been denied
• Producing and sending patient bills and statements
• Handling collections
• Issuing refunds

Medical Coding

PMM's coders carry RHIT, RCC and CPC credentials. Working from provider documentation, they apply ICD-10 and CPT/HCPCS codes plus any needed modifiers. When a denial traces back to a coding issue, such as an incorrect modifier, a medical necessity dispute or a CCI edit, the coding staff resolves it.

Coders regularly attend seminars and continuing education, and they share recommendations with providers on how to strengthen documentation. That feedback loop serves two goals: keeping practices compliant and making sure they are paid fully for the care delivered.

Technology Support

PMM's in-house IT group sets up, configures and maintains specialized clinical systems, among them PACS, radiology information systems and PowerScribe voice dictation. Clients can also reach a rapid-response support line when technical problems arise. Given this depth in imaging technology and the leadership team's connection to a radiology group, PMM appears especially well matched to radiology and imaging practices.

Leadership and Background

Kent Lehr serves as PMM's CEO and holds the same title at Iowa Radiology, with upward of 15 years spent leading healthcare organizations. Trina Howard directs the coding function, drawing on more than 25 years of experience across coding, compliance and revenue cycle management. She is credentialed as an RHIT through AHIMA and as an RCC through RCCB.

Her professional memberships span IaHIMA, AHIMA, the ACR, SIR, AHRA and RBMA. Howard's priorities center on accurate code assignment, the use of AI-driven and computer-assisted coding technology, fewer denials and better clinical documentation.

The wider leadership group includes Mendy Christensen, RT(R)(M), who previously worked as a mammographer, now runs clinic operations and played a part in opening two imaging clinics; Chad Feeney, the Chief Information Officer; and Kali Cook Kellogg, Chief Human Resources Officer, whose qualifications include a Drake University MPA and the SHRM-SCP and CEBS designations.

PMM stands out by combining credentialed coders and specialized billing personnel with internal IT, HR and finance resources in a single organization, guided by executives with extensive imaging experience. For Des Moines-area practices that want a partner fluent in both radiology operations and insurer requirements, that mix may prove valuable.

Timberline Billing Service LLC is a Medicaid claiming firm based in West Des Moines, Iowa, with a second office in Illinois. Instead of serving clinics or hospitals, it works with public education. Its clients are school districts and regional education agencies that can recover Medicaid funds for covered services they provide to students.

The firm notes that the Medicaid claim structure is hard for many districts to manage themselves, which is why they look to an outside vendor. Timberline has now been acquired by Relay, a company that offers a Medicaid workflow platform for school districts in Iowa and Illinois.

Background and Leadership

The company was founded in August 2007 with a narrow goal: helping Iowa school districts with Medicaid reimbursement claims. Over time it has become a major vendor in that field within Iowa, and it later added clients in Illinois. The leadership team listed on its site includes Dann Stevens as Chairman and Jon Neas as CEO.

Bryan Pullen, CPA, is Vice President of Illinois Operations. He joined in 2011 after serving as Director of the Peoria Medicaid Consortium, brings about ten years of experience with Medicaid in Illinois education, and has spoken on the topic at state and national conferences.

Services for School Districts

Timberline describes itself as a full-service provider. Its base contract covers training, use of its in-house documentation software, access to staff who know state Medicaid policy, and its quality assurance program, with no separate fees for these. Key services include:

• Processing Medicaid reimbursement claims for covered school-based services
• Training delivered on site by traveling Coordinator staff and tailored to each district
• Documentation reviews at client sites every quarter
• Updates and answers on Medicaid policy changes
• Paper-based or electronic options for capturing service records
• Student counts for the Illinois MAC program
• Connecting district IEP software with its own platform

T-TRAK and Flexible Workflows

The firm's own software, T-TRAK, lets district staff log services electronically. In Iowa, districts can keep using paper logs or switch to T-TRAK, and Timberline accepts records in several formats so it can process claims either way. All Illinois clients use T-TRAK, which is built around Illinois Medicaid policy and updated when the rules change. Timberline also works with IEP software vendors to connect those systems to T-TRAK.

What Distinguishes the Firm

Timberline puts a strong focus on helping districts hold on to the Medicaid funds they receive. Its staff visit each client every three months to confirm that documentation is in order.

The company stays in contact with Iowa Medicaid, the Iowa Department of Education and Illinois Medicaid officials, so it can keep up with policy changes and pass them on to clients. It also points out that much of its staff lives in the states it serves.

Since 2011, it has run a scholarship program that awards five $2,000 scholarships each year to graduating students from client districts.