Medical Billing Companies & Consultants in Dearborn, MI

Envisage RCM Services is a medical billing and revenue cycle management company based in Dearborn, Michigan. It works with physicians and medical practices that want to hand off the administrative and financial side of patient care. The company says its service offering was built with input from physicians, so it reflects what practicing doctors actually need from a billing partner. It also operates under the name Envisage Revenue Management Services.

Full Revenue Cycle Coverage

The firm's main offering is a turn-key revenue cycle program. One outside team handles the whole billing process, from checking a patient's insurance eligibility before the visit to chasing unpaid accounts receivable after claims go out. Practices that would rather not split billing tasks across several vendors or in-house staff can deal with a single provider for everything.

• End-to-end revenue cycle management
• Insurance eligibility checks
• Accounts receivable follow-up
• Denial management and resolution of outstanding claims
• Provider credentialing in any U.S. state
• Coding reviews and staff education resources

Denials, Receivables and Coding

Envisage has a dedicated team for denied claims and aging receivables. Its goal is to recover money that might otherwise be lost, and it works through unresolved claims quickly while keeping costs down for the client. New clients get free coding reviews during their first 60 days.

In those reviews, Envisage looks for coding problems that may be hurting a practice's revenue. Where it helps, the company will also set up a coding knowledge base that the practice's own staff can use, so improvements continue after the review ends.

Credentialing Across States

Besides billing, Envisage helps providers get credentialed with payers. The company says it can handle credentialing in any state and names Michigan, Illinois, California and West Virginia as examples. This is useful for groups that are adding new providers, opening locations in other states, or joining new insurance networks. The firm's website also mentions a program called M-BAS, but it does not give details about what M-BAS includes.

What Sets Them Apart

Envisage describes its value in terms of results. It says it has raised client revenues by about 10 percent and cut costs by as much as 30 percent, and it puts a strong focus on the client experience. Its support line is available around the clock, and calls are answered by a live person instead of an automated system.

A testimonial on its site comes from a cardiologist in Ohio, whose cardiology practice was referred to the company by a colleague. That shows Envisage serves specialty practices outside Michigan as well. Buyers who want one outsourced partner for billing, collections, coding oversight and credentialing may want to consider Envisage, especially if responsive support matters to them.

Physician Billing Management, which often goes by PBMI, is a Dearborn, Michigan firm that handles the financial side of medical practices so doctors can concentrate on clinical work. Its client roster is made up entirely of healthcare organizations. The company has spent more than fifteen years supporting physicians, from independent solo providers to groups that work within hospitals.

Its leadership has prior experience in both kinds of settings. That background shapes how the firm approaches the administrative pressures that come with an evolving regulatory landscape.

At the center of the offering is end-to-end revenue cycle support. PBMI says most claims go out to payers within two days of the firm receiving them. Staff then pursue unpaid insurance reimbursements and outstanding patient amounts, using modern tools for payer communication.

The company also helps patients make sense of what they owe and runs a pre-collection approach for patient accounts. It sets up and oversees payment arrangements and works with third-party collection agencies when accounts need to move further. Billing materials such as statements, encounter forms and patient letters are tailored to each office.

Beyond claims processing

PBMI presents claim submission as a starting point rather than the full scope of its work. Additional services described on its site include:

• Credentialing and enrollment with all insurance plans, including help with lengthy applications for new or growing practices
• Diagnosis and CPT coding support from AAPC-certified coders on staff
• Chart audits twice a year focused on accuracy and compliance
• Routine and custom financial reports
• Office policies and procedures that improve workflow and the accuracy of patient data
• Guidance on whether new equipment or in-office tests and procedures are likely to be reimbursed
• Coordination of practice management software conversions, including cleanup of legacy balances
• Acting on a practice's behalf in dealings with insurance carriers
• On-site staff training covering the path from scheduling to payment

The firm says it adapts its services to the way each physician practices and each office operates, rather than applying one template. Clients are promised direct telephone access to members of the management team. In-person site visits are also part of the relationship. The company contrasts this with billing vendors whose staff clients rarely meet after signing. PBMI also keeps clients updated on changes in payer policies and industry standards.

PBMI emphasizes its familiarity with the operational and business requirements of hospital-based physician groups, so it may appeal especially to those practices. It also works with independent offices at different stages, including those just launching or expanding. The company notes that a number of its clients have stayed with it since it first opened.

It offers prospective clients a complimentary analysis of their current billing. Buyers in the Dearborn area who want one partner for billing, credentialing, coding and practice operations support may find its scope worth evaluating.

Resolution Medical Billing Services Inc is a medical billing firm in Dearborn, Michigan. It takes over the billing and reimbursement work for physician practices and other healthcare providers. The company was founded in 2006. Most of its clients are doctors in metro Detroit, but it also accepts clients outside Michigan. Practices hand off claims, payments and follow-up to the firm so their clinicians and front-office staff can spend more of the day on patients and less on paperwork.

Services offered

The firm sees itself as an extension of the client's own office. It handles the whole cycle, from sending claims to collecting payment. Its core services are:

• Patient payment processing: secure handling of patient balances, plus coverage discovery, cost estimates and reporting. The goal is smoother collections and a better experience for patients.
• Insurance payment posting: recording payments from insurers, logging denials under the correct codes, billing secondary insurers and checking Explanation of Benefits statements against bank deposits.
• Electronic claims submission: automated filing with edits and audits built in. Practices get faster status updates, less manual paperwork and fewer claims that need to be resubmitted.
• Rejection and denial work: investigating claims that come back because of wrong patient or insurer details, coding mistakes, duplicate charges or missing codes, and following them through until they are paid.

How they work with clients

Each engagement is set up to fit the size and needs of the practice, from a solo clinician to a larger group. The company says it works with organizations in any specialty. Besides processing claims, the team answers patients' billing questions and keeps physicians and their staff informed when billing rules change.

New clients can book a consultation through an online scheduling portal. One published testimonial comes from a counseling practice. It praises one-on-one meetings when needed and thorough reporting that keeps the provider involved. It also credits Carmen West's team with removing the stress of chasing problem claims and overdue balances.

Background and credentials

The staff have more than two decades of billing experience between them, and the firm is a member of the AAPC, an association for professional medical coders. Its stated mission is to get clients as much reimbursement as possible. It says it pursues payment firmly from insurance carriers while following government guidelines. The counseling practice testimonial shows it serves behavioral health providers as well as its general physician clients.

For buyers comparing billing partners, Resolution Medical Billing Services offers a Dearborn-based team with a long track record. It focuses on accounts receivable follow-up and fixing denied claims, and it tailors its service to each client. Detroit-area practices that want hands-on help with patient collections, payment posting and electronic claims may find it worth considering.