Medical Billing Companies & Consultants in Norwood, MA

Comprehensive Billing Services, Inc. is a Massachusetts company based in Norwood. It handles medical and dental claims, credentialing and other back-office work for healthcare practices. It mainly serves solo practitioners and smaller groups that would rather hand off patient and insurance billing than do it in-house. The firm says outsourcing lets clinicians focus on patient care while improving cash flow and cutting overhead.

Billing, coding and collections

The company's main work is processing insurance claims and supporting practice management for medical and dental offices. It also offers a coding service called CodeMAXX, which puts certified professional coders to work reviewing encounter notes. They assign diagnosis codes, CPT and HCPCS procedure codes, and modifiers that the client enters into its own billing system. The goal is fewer denials and underpayments caused by outdated or wrong codes. Practices thinking about switching can ask for a free review of their CPT use and billing costs, which comes as a report showing where revenue may be lost.

Some claims stay unpaid even after tracers and follow-up calls. For these, the firm runs a collection program it calls Creative Collection Solutions. Debtors pay the practice directly instead of an agency. The practice decides when collection starts and stops, and whether each account is handled gently or more firmly. The company presents this as an alternative to traditional agencies, which keep a large share of what they recover and can damage patient relationships.

Credentialing and enrollment

Credentialing is the company's second main service. Its staff prepare applications, follow up with payers and track their requirements. This covers new clinicians, providers joining or being added to a group, and practices that want to join more insurance networks. The work includes commercial insurers and government programs such as Medicare, Medicaid and state health plans. Prospective clients can request a free credentialing review.

Technology and support services

Beyond billing, the company offers several support services and tools:

• EMR/EHR software and practice management software, including an offer of free practice management software
• Electronic funds transfer (EFT) setup
• MD Audit Shield, for preparing for RAC audits
• Scanning, archiving and document management for medical records
• Remote backup, which compresses and encrypts practice data and sends it to a secure offsite server overnight or whenever requested
• Transcription services
• Well care services, a custom wellness program and the Patient Assessment (P.A.S.) tool
• HIPAA resources and discounted office products

Specialties served

Physicians and dentists are its traditional clients, but the firm also works with many other fields. These include mental and behavioral health, substance abuse counseling and social work. It also serves occupational, physical and speech-language therapy, chiropractic and home healthcare. Medical specialties include dermatology, ear, nose and throat, family medicine, internal medicine and sports medicine. Because billing, coding, collections and credentialing all come from one vendor, the firm may suit smaller practices that want a single outsourcing partner. The website does not say how many staff it has, when it was founded or what it charges.

Medical Billing Specialists, Inc., which does business as MBS Select, is a revenue cycle firm based in Norwood, Massachusetts, in the Boston metro area. It takes over the financial side of healthcare work for its clients. The company says it serves medical groups, solo physicians, hospitals and other RCM companies in many specialties. Its main pitch is simple: when MBS handles billing, a practice's own staff can spend more of their time on patients and less on claims and paperwork.

Core Services

MBS offers full outsourcing of the billing function, plus separate services for practices that only need help in one area. Its main offerings are:

• Outsourced medical billing and full revenue cycle management
• RCM consulting to review a practice's workflow and suggest improvements
• Coding review to keep charges accurate
• Credentialing, practice setup with insurers, and ongoing CAQH profile upkeep
• Clean-up and recovery of aging accounts receivable
• Custom HL7 interfaces that connect clinical and billing systems

How the Process Works

The company describes its RCM work as a set of steps that runs from first patient contact to the final payment. It starts with registration, where staff check demographics, insurance eligibility, coverage and prior authorizations. Next comes charge capture: services are logged, codes assigned and encounters entered and locked. Claims are then created, run through clearinghouse edits and filed on time. Payments are posted and reconciled against deposits. Denied claims are found, fixed and appealed, and denial trends are tracked to see what keeps going wrong. Staff follow up on unpaid balances, check claim status and handle patient collections. Clients get month-end reports, KPI analysis, business intelligence and custom reports when they ask for them.

MBS argues that outsourcing gives practices lower overhead, fewer billing mix-ups, fewer denials and a smoother experience for patients. It says its team works to catch the usual reasons insurers reject claims, such as coding mistakes, missing documentation and eligibility problems. Each client is assigned a dedicated, experienced team rather than a rotating pool of staff.

Scale and Track Record

MBS publishes several figures about its work. It says it processes about 70,000 claims a month, has managed more than one billion dollars in client revenue across the country, and gets 98 percent of claims resolved on the first pass. The firm says it measures its results against industry benchmarks and that clients typically see revenue rise by 8 to 15 percent in their first year. Its website includes testimonials from physicians at a urology group and a cardiology practice in Massachusetts.

Besides the Norwood headquarters, MBS has a second office in San Jose, California, in the San Francisco Bay Area. For buyers comparing billing vendors, MBS may suit practices that want one partner to handle billing, coding, credentialing, A/R recovery and system integration together. It also takes on narrower projects, such as clearing old receivables or getting a new practice enrolled with payers.