Medical Billing Companies & Consultants in Towson, MD

Practice Management Specialists, Inc., the firm behind the Medical Claims Billing website, is based in Towson, Maryland. It has handled revenue cycle and administrative work for physician groups since 1995. Its clients include physicians, surgeons, practice managers and hospitals across Maryland, Delaware, the District of Columbia, southern Pennsylvania and northern Virginia. Within Maryland, the company covers the Baltimore metro region, Baltimore County and City, Anne Arundel, Harford and Prince George's counties, the Eastern Shore and Western Maryland.

Claims Billing Approach

The firm's central offering is outsourced claims processing. Its work goes beyond moving codes and patient demographics onto a form. The team checks each practice's coding so that procedures are reported with appropriate CPT codes. It also confirms coverage on every claim so that submissions reach the correct payer.

Staff follow evolving requirements from regulators, insurers and professional organizations and apply them when filing. On the technology side, the company can work inside a client's existing EHR or practice management platform, since its personnel know the leading systems. It can also move the practice onto its own cloud-hosted billing system.

Each client is paired with a dedicated account manager, and a trained backup provides coverage. The company presents outsourcing as an alternative to the frequent turnover of in-house billing clerks. It also points to several ways it can trim overhead:

• Lower payroll and benefit costs
• Less office space devoted to billing
• Reduced hardware spending and no separate billing software
• Fewer patient calls about statements
• Smaller supply and postage budgets

Consulting and Management

Beyond billing, the firm offers a financial and operational review of a practice's business. It can also serve as an outsourced chief executive for the practice. In that role it oversees financial results, billing and collections, and employee performance. It also trains staff and prepares monthly management reports. Additional services include help launching new practices and medical practice audits.

Prospective clients can request a no-cost practice analysis led by the owner. That analysis examines the billing workflow, software, accounts receivable and collection ratios.

The company lists experience across these specialties:

• Pediatrics and internal medicine
• Surgery and hospitalist services
• Infectious diseases and gastroenterology
• Otolaryngology and ophthalmology
• Rheumatology and dermatology
• Wound care and hyperbaric oxygen therapy (HBOT)

Leadership and Team

The owner is Peter LaPaglia Jr., a certified public accountant with more than 35 years in business. His background includes billing, consulting, a role at CareFirst Blue Cross and corporate finance. He started the company after working at another billing firm, believing physicians deserved more attentive support.

His staff includes registered nurses, certified professional coders and seasoned account managers, with over a century of combined industry experience. The firm reports that it currently manages billing and consulting for more than 40 physicians across multiple specialties.

Precise Billing Services LLC, often called PBS, is a revenue cycle management firm based in Towson, Maryland. Its main focus today is behavioral health. The company works as a billing and consulting partner for mental health providers, and it also supports a wider range of medical organizations. PBS may suit buyers who want an outsourced billing team with long experience in community health and outpatient behavioral care.

Background

The firm started in 1999, billing workers' compensation claims and attorney liability matters. In 2005 it moved into healthcare billing through work with FQHCs. That work became the base for its later growth into private practices and other specialties. PBS dates its founding to 2005 and has more than twenty years of experience across the full revenue cycle.

Services

PBS handles full billing operations and also takes on standalone projects. Its core offerings include:

• Preparing and submitting claims to commercial and government payers
• Posting insurer and patient payments to practice accounts
• Working denials, finding their causes and filing appeals
• Ongoing receivables management and collection of patient balances
• Cleanup projects to recover aged, unpaid or unresolved receivables
• Coding by certified coders using CPT, HCPCS and ICD-10, checked by periodic coding audits
• Custom financial reports that track revenue, acceptance rates and other indicators
• Payer credentialing and enrollment of providers in insurance networks
• Revenue cycle assessments and consulting

Who They Serve

Behavioral health is the firm's main specialty. PBS works with mental health and behavioral health practices, substance use disorder treatment providers, intensive outpatient programs, psychiatric rehabilitation programs, psychiatry and medication management practices, psychotherapy and counseling groups, and community behavioral health organizations.

Outside that field, it lists FQHCs and rural community health centers, physician groups, private and multi-provider practices, clinics, hospitals, home health and transitional care providers, non-emergency medical transportation companies, freestanding emergency and urgent care centers, and DME suppliers. It also mentions work in primary care and in specialties such as cardiology, dermatology, gastroenterology and orthopedics.

How They Work

PBS works inside the client's current EHR or practice management software, so clients don't have to switch systems. The platforms it lists include AdvancedMD, Allscripts, Cerner, CollaborateMD, eClinicalWorks, Epic, gMed, ICANotes, InSync (Qualifacts), Kareo, MEDITECH, Practice Fusion, PracticeQ, SimplePractice and TherapyNotes. The firm says it adapts its approach to each organization, keeps communication open and builds reports that help leaders spot trends. New clients can start with a consultation or a revenue cycle assessment.

On compliance, PBS says it uses secure processes and technology to protect patient information, reviews its practices regularly and trains staff on HIPAA requirements. Its coders keep up with code and regulatory changes. For Maryland organizations, especially behavioral health programs and community health centers, its main strengths are a local office, long FQHC experience and familiarity with many EHR systems.