Medical Billing Companies & Consultants in Halethorpe, MD

MedHelp, Inc. is a Baltimore, Maryland company focused on revenue cycle management and specialty physician billing. It has worked in the field for more than two decades. Its clients range from private specialty practices to hospitals, where it typically works with patient account directors and finance leaders. The firm describes itself as a revenue recovery specialist with experience across the country. It positions itself as an outsourced partner that can handle a provider's billing work from start to finish.

Who They Serve

MedHelp has built separate service lines for several types of healthcare organizations, including:

• Physician practices and hospital facilities
• Urgent care centers
• Federally qualified health centers and community health centers
• Behavioral health and addiction treatment providers, including substance abuse centers and hospitals
• Hospital emergency departments with Medicaid managed care underpayments

Billing and Revenue Recovery

The core offering is complete billing management for practices and facilities. The firm deals with commercial and government payers to help raise reimbursement. For urgent care operators, it combines billing and coding with credentialing, practice management and EMR systems. Health centers can get revenue cycle support built around how they operate. MedHelp also handles professional fee billing.

Its Medicaid and MCO appeals work targets emergency department claims that were underpaid. A hospital testimonial on its site says the firm helped qualify patients for Medicaid who would otherwise have stayed self-pay. MedHelp also offers to work a provider's largest outstanding receivables as a trial of its services.

For hospitals, the inpatient denial service tries to stop the causes of rejected claims early in the revenue cycle. Its stated goals are higher clean claim rates, fewer denials and fewer days in accounts receivable. In utilization review, the firm's in-house nurse clinicians check care for medical necessity, level of care, place of service and length of stay.

They also hold concurrent reviews with payers to get authorization for substance abuse treatment, and they prepare appeals when authorizations are denied. Benefit verification, claims processing and denial follow-up are part of this service.

Credentialing

MedHelp's credentialing service covers first-time enrollment with the payers a provider chooses and keeps CAQH and NPI records up to date. It submits re-credentialing applications when they come due. The team sends reminders 60, 30 and 15 days before a medical license or DEA registration expires.

It also handles enrollment with new payers, adds new office locations and processes hospital appointments and reappointments. Initial credentialing is sold under a one-year agreement, and staff follow up with each payer until it makes a decision.

Approach and Background

The company says its team has more than 100 years of healthcare experience combined. Before taking on a client, it reviews the client's revenue cycle and front-office workflows to suggest the right setup, then works as an extension of the client's own staff.

Prospective clients can ask for a free billing consultation with no obligation, and hospitals and practices can send third-party billing RFPs directly. For buyers in Maryland and the Mid-Atlantic, MedHelp combines facility billing, denial appeals, clinical utilization review and credentialing under one vendor.