Medical Billing Companies & Consultants in Andover, MA

Medical Healthcare Solutions, Inc. (MHS) is a family-owned revenue cycle firm headquartered in Andover, Massachusetts, north of Boston. Now run by its second generation, the company has spent more than 35 years handling the business side of medicine for physician practices, surgery centers and health systems, and it takes on clients across the United States rather than only in New England. Its pages also highlight work for clinics in Boston, Woburn, Beverly, Lawrence and Salem.

Core services

MHS positions itself as an outsourced back office covering billing, coding, credentialing and practice operations. Its main offerings include:

• Full-service medical billing and revenue cycle management, including electronic claim submission and customized financial reporting
• Medical coding performed by certified coders, of whom the firm cites more than 30 on staff
• Revenue recovery work, plus prior authorization, denial and appeal handling
• Provider credentialing, including upkeep of CAQH (now DataSpring) profiles
• Payer enrollment and re-enrollment with commercial and government plans
• Revalidation with Medicare, Medicaid, Blue Shield and other carriers
• Practice management consulting and healthcare revenue analytics
• Billing setup for newly opened practices, with optional bookkeeping, charge capture, online scheduling and electronic records support

Specialties and client types

The company lists a wide range of specialties, among them allergy, anesthesiology, gastroenterology, general surgery, internal medicine, pain management, podiatry and urology. Orthopedics and ambulatory surgery centers are a particular emphasis: MHS reports two decades of ASC billing and over 35 surgery centers served, with coders familiar with joint replacement and arthroscopy cases, implant and device reimbursement, and the modifiers and 90-day global periods typical of orthopedic surgery. It also bills for student health services at colleges and universities nationwide, and its credentialing team supports urgent care centers, academic medical centers and gastroenterology groups in addition to individual physicians.

How it works with clients

For credentialing, clients send in their qualifications, certifications and affiliations; MHS staff verify the information and then pursue approval with each plan, following CMS and Joint Commission expectations. On revalidation and enrollment, the team monitors expiration dates, assembles paperwork, files applications, answers payer requests for more information and sends periodic status reports, with an analytics dashboard available to track enrollment metrics. The firm says it knows the rules of hundreds of payers and has completed thousands of enrollments. Prospective clients can ask for a free analysis, a pricing review or a personalized demo before signing on.

Technology and what sets it apart

MHS concentrates heavily on the Veradigm product family but also works in athenahealth, Cerner, eClinical, Epic and other EMR and practice management systems, so practices are generally not asked to switch software. Buyers weighing the company may note its long operating history, its family ownership and its client retention, as it reports an average client relationship of about 14.5 years. Having billing and credentialing under one roof may appeal to groups that want a single vendor for both claims and payer enrollment.