Medical Billing Companies & Consultants in Westfield, IN

Express Billing Solutions, Inc. is an outsourced medical billing firm based in the Indianapolis area of Indiana. It mainly works with independent clinicians and small group practices in the mental health field. The company was founded in 2008 and mostly serves central Indiana, but it can also take on practices in other states. Because it handles records and claims remotely, a practice's location doesn't stop it from becoming a client.

Who They Serve

The firm focuses on behavioral health providers, such as counselors, therapists, social workers and similar solo or small-group clinicians. These practices usually don't have an in-house billing department. The company describes its approach as personal and responsive, and it works directly with each provider to understand that practice's needs. Clients can hand over their entire revenue cycle or pick only the tasks they want help with.

Billing and Revenue Cycle Services

Its core work covers the full claim process, from patient intake to final payment:

• Entering patient demographic data into the firm's practice management system
• Checking insurance benefits and eligibility before visits
• Recording charges, payments and adjustments, and processing card payments
• Sending electronic claims to most commercial payers and preparing and mailing paper claims
• Following up on denied, unpaid or underpaid claims, and filing appeals when needed
• Producing monthly reports and sending statements to patients with open balances
• Submitting pre-certification requests

Practice Management and Consulting

Beyond claims, the firm offers administrative help that is especially useful for new practices. It advises clinicians who are opening a private practice and drafts and implements office forms and policies. It also provides provider credentialing, annual reviews of fees and procedure codes, and QuickBooks setup. Other services include tracking patient referrals, marketing support, and guidance on HIPAA compliance and documentation standards. Prospective clients can book a consultation to discuss outsourcing or opening a practice.

Background and Approach

The team reports about 20 years of combined medical billing experience, and members have worked inside medical offices themselves. The company says it keeps up with changing payer rules and privacy regulations and uses current billing technology to keep claims moving quickly. It also says it has had a strong record of submitted claims being paid since it opened.

A client testimonial on the site praises the staff for their skill with coding, electronic filing, prior authorizations and payer-specific requirements. For buyers, the firm's main strengths are its focus on behavioral health, its à la carte service model and its added credentialing and start-up support.

Overview

Health Care Systems Corporation, known online as HCare1, is a billing and receivables firm based in Westfield, Indiana. Its origins date to 1975, when several long term care providers formed a partnership to run a shared service bureau.

Decades later, the organization still centers its expertise on skilled nursing and home health, though its clientele now stretches well past those roots. Its staff pairs experienced medical billers with technology specialists, so the firm can speak to both the reimbursement questions and the systems questions that arise in a provider's back office.

Clients may hand over the whole billing function or just part of it. Some engagements are short, for example when a business office manager is away on vacation, out sick, or buried in work. Others continue for years as a standing outsourced arrangement.

The firm also presents itself as a place where a lone in-house biller can get answers when no colleague is available to ask. One feature it emphasizes is that its people work within the software a client already owns, rather than moving data into the firm's own offices.

It describes this as a more open and flexible model than many competitors offer, and it supplements its own team with a network of outside billing consultants.

Billing and Receivables Services

The team has experience across many payer categories, among them Medicare Parts A and B, Medicare Advantage, commercial insurance, private pay, VA, hospice, and Medicaid. Follow-up and adjustments on those accounts are part of the work. Typical services include:

• Complete or partial billing support
• Analysis and management of accounts receivable
• Clean-up of old receivables
• Account audits
• Medicaid application assistance
• Help establishing electronic billing
• Consulting on Medicare and Medicaid billing

Wherever possible the firm bills electronically, aiming to speed up claim turnaround and lower the number of days money sits in receivables. It regularly submits through clearinghouses such as Office Ally, Availity, ClaimShuttle, e-Solutions, Zirmed, and Change Healthcare, which was previously Emdeon. Its staff also works in a variety of billing platforms, including PointClickCare, Kinnser, Axxess, CollaborateMD, eClinicalWorks, Kareo, AdvancedMD, NextGen, and DrChrono, along with several others used by smaller practices and specialty providers.

Specialties Served

Long term care and home health are the areas the company names as its specialties. Beyond them, it supports nursing homes, internal and family medicine, urgent care, emergency rooms, pediatrics, cardiology, mental health, infectious disease, dental, physical therapy, pain management, chiropractic, durable medical equipment, general surgery, infusion, gynecology, podiatry, telemedicine, hospitals, and workers' compensation.

Technology and Compliance Support

Since the company began as an information processing bureau, it offers help beyond claims. Additional services include HIPAA security consulting, custom software development, hardware and network consulting, and free online training. Its mission is to deliver superior service, value, and excellence in information processing for medical and long term care organizations. For providers considering outsourcing, it highlights several benefits: saving money, improving cash flow, supporting billing compliance, and reducing errors.

The company also warns the public that an unrelated software and collections business may use the HCare1 product name on credit card statements. Anyone who sees a charge labeled in that way is encouraged to notice that the name is being used by another party.