Medical Billing Companies & Consultants in Williamston, MI

Overview

Michigan Medical Billing Services, LLC is a Williamston, Michigan firm that handles insurance billing for behavioral and mental health providers. The business is led by Shannon M. Reed, a medical billing specialist with more than two decades in the field, and the company points to strong client references as part of its track record.

It does not try to serve every specialty. It concentrates on therapists, counselors and other mental health clinicians, including in-network practitioners and those who operate outside insurance networks.

The firm submits claims electronically, and each provider chooses whether submissions go out daily, weekly or monthly. Its stated aim is to take the administrative burden of reimbursement off clinicians so they can devote more of their schedule to clients. The company works directly with each practice on an individual basis. It describes data security and HIPAA compliance as core commitments and offers a Business Associate Agreement to cover protected health information.

Services

Its menu covers the full revenue cycle for a small practice:

• Electronic claim submission on a provider-selected schedule
• Insurance eligibility and benefit checks for new patients and for coverage changes, reporting copays, coinsurance, deductibles, visit caps, authorization rules and permitted CPT codes
• Prior authorization requests when payers allow them
• Monthly authorization reports listing approved visits and date ranges, alerts when sessions are running out, and help requesting extensions
• Monthly aging reviews and follow-up on unpaid or problem claims
• Posting of insurer payments, cash receipts and adjustments, with review of each explanation of benefits and forwarding to secondary payers
• Monthly patient statements, plus on-demand statements for purposes such as HSA reimbursement
• Collection letters and, with approval, referral of accounts to a collection agency
• Credentialing and re-credentialing help, along with ready-made basic office forms

Out-of-Network and Credentialing Support

A distinctive part of the offering is support for out-of-network clinicians. The company can file claims for patients so they avoid the frustration of seeking reimbursement themselves. It can also explain what a plan covers outside its network, advise on using referrals to stretch benefits, and identify payers that will send checks straight to the office.

That last point can mean patients do not have to front the full session fee. For new or expanding practices, the credentialing service enrolls providers with one or more insurers. Clinicians start by submitting an intake form. The team then follows up by email to confirm the work is underway and to gather any extra details the chosen payers require.

Additional enrollments can be requested later as a practice grows.

How the Firm Works With Clients

Payments are not routed through the billing company. Checks go directly to the practice, which then sends remittance vouchers by fax or email so staff can confirm amounts and pursue any errors promptly. Insurer applications and authorization request forms are pre-filled from information on file and returned to the provider for review and signature.

Patients may call with questions about balances or coverage, and both patients and providers have access to secure online portals. Cleanup of older overdue accounts, or of claims that predate the start of service, is handled under a separate arrangement from routine billing.

For buyers comparing billing partners, Michigan Medical Billing Services suits independent mental health practitioners who want a specialty-focused vendor built around a working relationship. Its experience covers authorizations, visit limits and out-of-network claims.