Medical Billing Companies & Consultants in Missoula, MT

Overview

Monida Healthcare Billing Solutions is a firm based in Missoula. It handles coding, claims and back-office administration for healthcare organizations in Montana. Its clients include independent clinics, specialty practices and rural facilities that want an outside team to handle reimbursement work. The website shows testimonials from a physical therapy clinic in Frenchtown, a surgical group in Missoula and a health center in Townsend. These give buyers a sense of the types of organizations it supports.

The company works as a partner across the whole revenue cycle, from entering a charge to the last collection attempt. Its billing work covers checking and editing claims, sending claims, setting up clearinghouses, posting payments and electronic remittances, following up with insurers, patient statements and patient communication. When claims are rejected, staff work the denials and prepare appeals.

They also review aging receivables, clean up neglected accounts and audit for underpayments. Before a balance goes to an outside agency, Monida can run its own pre-collection effort. It will also review existing collection agency contracts and recommend changes.

Coding and auditing

Coding is a central part of the service. The team assigns CPT, HCPCS Level II and ICD-10 diagnosis codes. It provides professional coding for physician, physical therapy and mental health services. On the facility side, it codes for Critical Access Hospitals, Federally Qualified Health Centers and Rural Health Clinics.

That focus suits the many small and rural providers in the state. Clients can bring in coders for short or long engagements. Chart audits help catch missed revenue, flag compliance risks and support quality improvement.

Specialties listed on the site include:

• Allergy and asthma
• Cardiology
• Family practice, including obstetrics
• General surgery
• Physical therapy
• Mental health

Practice management and reporting

Beyond claims, Monida offers consulting for practices that need help running the business side of care. This includes strategic planning, reviews of operations and workflow, staff training, help writing and putting new policies and procedures in place, and start-up support for new practices. It can also provide temporary staffing or a longer-term partnership.

Its accounting team handles accounts payable, payroll and inventory management. Monthly reports follow benchmarks from the Medical Group Management Association. The firm also checks key performance indicators against MGMA best practices so clients can see how they compare with peers.

Team and credentials

Manager Jennifer Monaco leads the staff and holds both CPC and CPB credentials. The team also includes a billing specialist supervisor, several billing specialists and a patient account representative. Several team members hold AAPC certifications, and the company stresses ongoing education to keep skills current.

Together the staff has more than 120 years of healthcare billing experience, including over 45 years in management. Monida combines billing with coding, auditing, accounting support and operational consulting. That makes it a locally based option for Montana buyers who want one vendor for these functions.