Medical Billing Companies & Consultants in Southwick, MA

Advanced Medical Consulting & Billing, Inc. (AMC&B) is a family-run, outsourced billing firm in Southwick, Massachusetts, near Springfield. It works mainly with small provider groups and solo fee-for-service practices. The company handles insurance, injury and patient billing for these offices. It focuses on how Massachusetts payers operate and has particular experience with Medicare and MassHealth rules. That makes it a fit for practices that want a nearby partner instead of a large national vendor.

Specialties and Clients

Mental health, primary care and chiropractic are the firm's core specialties. It has also billed for physical therapy, general surgery, plastic surgery and urology. AMC&B is now concentrating on chiropractic billing, especially personal injury cases, and is considering growing its physical therapy work. Injury billing covers PIP, MedPay and workers' compensation claims. Clients quoted on the site include chiropractors, a clinical social worker and a primary care office in towns across Massachusetts, among them Springfield, Westfield, Florence and Lee.

Services Offered

• Checking patient insurance eligibility
• Electronic claims and electronic remittance (EOB) processing
• Claim scrubbing by AAPC-certified coders
• Denial follow-up and appeals
• Revenue cycle management with quarterly one-on-one reviews
• Provider contracting and demographic updates
• Patient statements and courteous patient collections
• Front desk training and custom patient estimates

How Engagements Work

Each practice gets one dedicated biller as its regular contact. Client offices keep responsibility for scheduling, referrals, authorizations, records and initial coding. They send charges to AMC&B daily or weekly, either by mail or as scans through a secure shared folder. The billing team enters charges and payments every week and works rejections and denials on the same weekly cycle. Patient statements go out monthly, every two weeks or weekly, depending on practice size. The firm says typical claims are billed two to five days after it receives them. It estimates that full billing from encounter to payment usually takes 14 to 30 days. Lytec is its preferred practice management system, but it also works in MediTech, Allscripts, ChiroTouch, Acom, Tebra, SimplePractice and other EHR platforms. Pricing is quoted for each practice after an initial consultation.

Background and Team

Patricia (Perusse) Wood, CPC, founded the company in 2000, starting out of her family's home in Southwick. At its largest, AMC&B had six full-time employees. After her death in 2022, the business has been run by a three-person team that has worked together for close to ten years, and every member holds CPC certification. The firm reports that more than 80 percent of its clients have stayed with it for over a decade. It also says it helped clients get through the ICD-10 transition and the Change Healthcare cyberattack. Staff take patient phone calls directly, and the company aims to grow back to a six-person team.