Medical Billing Companies & Consultants in Rowley, MA

Reliable Medical Billing Services, LLC is a Massachusetts billing firm that takes over the claims and reimbursement work for healthcare practices. That lets clinicians and office staff spend less time on paperwork and more on patients. The company has more than two decades of experience in the field. It describes itself as a HIPAA-compliant operation that does medical billing only, rather than offering it alongside unrelated business services. Its main audience is independent physician offices and therapy practices that want an outside partner to run their revenue cycle.

What the firm does

The firm's main goal is to raise the total amount a practice collects for the care it provides. To do that, it takes charge of the billing process and keeps refining the administrative side of the practice. Its staff stay up to date on the rules and procedures of the major payers, including Medicare, Medicaid, Blue Shield, HMO plans and commercial insurers. The team also has working knowledge of the ICD-10 diagnosis and CPT-4 procedure code sets, which matters for getting claims accepted and paid correctly.

Besides submitting claims, the company reviews receivables. It looks at aged balances and advises clients on what to do about overdue accounts, such as sending them to a collection agency or taking legal action. Practices with a lot of old, unpaid claims may find this review useful in deciding which balances are worth pursuing. The company's free-quote invitation mentions help with both billing and accounts receivable.

Specialties served

The firm lists experience with a range of outpatient and physician specialties, including:

• Internal medicine and hospitalist services
• Gastroenterology
• Behavioral health
• General and family practice
• Orthopedics
• Physical and occupational therapy
• Dermatology
• Endocrinology

This mix covers primary care, surgical and procedural specialties, and therapy and mental health practices. Each has its own coding details and payer requirements. A practice in one of these fields can expect the team to already know the claim types it sends most often.

Working relationship and approach

The company stresses service quality and availability. It tells clients they can reach the team when questions come up rather than waiting on a slow ticket queue. New practices start by requesting a free quote, which the firm uses to explain how it would handle a given office's billing and receivables. Because it is a small regional firm, buyers will likely deal directly with the people doing the work instead of going through layers of account managers.

Compared with larger national revenue cycle companies, Reliable Medical Billing Services offers a narrower, more personal option. Its strengths are long experience, familiarity with Massachusetts-area payers, coding knowledge and attention to old receivables. The firm does not advertise its own billing software or hardware. Prospective clients should ask during the quote process which practice management systems it works with and how it reports results.