Medical Billing Companies & Consultants in Baltimore, MD

Medical Claims Solutions is a Baltimore, Maryland firm that handles billing and credentialing work for healthcare providers. Its clients are spread across the United States. The company traces its start to 1995, which gives it close to three decades in revenue work for physicians, therapists and other clinical practices. Its staff of more than twenty billing and credentialing specialists takes over the administrative side of getting paid, so that providers and their teams can spend more of their day with patients.

Core Services

The firm's main offering is outsourced insurance billing. The goal is faster reimbursement from payers, fewer rejected claims and a larger share of rendered services actually collected. Around that core, the company offers credentialing support and help with broader practice management. It also provides receivables and collections work designed to settle overdue balances without damaging the trust between clinicians and the people they treat. Its services include:

• Insurance claim submission and medical billing
• Provider credentialing with insurance plans
• Medical collections and receivable management
• Denial reduction and follow-up on unpaid services
• Patient payment strategies for high deductibles and co-insurance
• Online reporting and a dashboard for tracking billing performance
• Staff training and advice on billing best practices

The company has also worked with practices that had payment problems with Carelon, the benefits manager. It says it has helped such practices recover money they were owed.

Specialties and Software

The firm reports billing experience across a wide range of clinical fields. These include applied behavior analysis (ABA) therapy, ambulatory surgery centers, cardiology, dermatology, gastroenterology, internal medicine, ophthalmology, pediatrics, podiatry and rheumatology. It also lists mental health, physician visits to nursing homes, and the therapy disciplines of physical, occupational and speech-language therapy. On the technology side, its staff can work inside many electronic medical record and practice management systems. These include AdvancedMD, eClinicalWorks, Kareo/Tebra, Practice Fusion, WebPT, TheraNotes, Office Practicum, Rethink, ClinicSource, Prognosis, Hello Note, Fusion, Chorus, Medical Mastermind, Therabill and Protomed/Cyfluent. As a result, practices can usually keep their existing system when they hand off billing.

Working Relationship

New clients start with a free consultation. The practice describes its type, the number of providers on staff and its current needs, and the firm then designs a billing arrangement to suit. Client testimonials on the site stress direct access to the person managing each account, along with timely and knowledgeable service. One owner said that being able to reach the responsible staff member by phone gave him a clear sense of accountability. Beyond doing the billing itself, the team coaches in-house staff on workflows so that revenue arrives more reliably.

For buyers comparing billing vendors, the firm's main strengths are its long operating history since 1995 and its broad experience across specialties, especially therapy and behavioral health practices. It also combines billing, credentialing and collections under one provider and gives clients reporting on the financial health of their accounts.