Medical Billing Companies & Consultants in Charlotte, NC

MedBill123, LLC is an outsourced revenue cycle management firm based in Charlotte, North Carolina. It takes over the billing side of a practice so that clinicians and their staff can spend less time on claims, denials and paperwork. Behavioral healthcare is its main focus, especially mental health and substance abuse treatment providers. It also works with practices in a number of other specialties.

Who They Serve

The firm works with medical offices of all sizes, from small independent practices to larger organizations. Client types named on its site include:

• Mental health, behavioral health and substance abuse treatment providers
• Small, mid-sized and large medical provider offices
• Physician practices owned by hospitals
• Dental offices
• Chiropractic offices

Client testimonials on the site come from practices in Oregon, Ohio, Arizona, New York, Connecticut and North Carolina. This suggests the company serves clients well beyond its home state.

Billing and Revenue Cycle Services

MedBill123 can run the full revenue cycle or step in on particular tasks. Claims are submitted every day, and the company aims to send both primary and secondary claims within a day of receiving them, coded correctly, so payments reach the practice faster. Its billing work covers:

• Coding and claim submission
• Handling denials and filing appeals
• Following up on unpaid or underpaid accounts receivable
• Checking patient eligibility and benefits
• Getting prior authorizations
• Posting insurance payments
• Setting up ERA, EFT and EDI
• Preparing patient statements and managing balances
• Weekly reporting and billing audits
• Negotiating with payers

Credentialing and Enrollment

The company also handles credentialing and enrollment, an area it ties closely to its mental health clients. It can enroll and credential providers with Medicare and Medicaid and handle their revalidations. It also manages CAQH registration, enrollment with commercial and government insurers, PECOS reimbursement problems, and NPI registration for both individual and organizational providers. Its credentialing work further includes hospital privileging and resolving managed care contracting issues.

How They Work With Clients

For work that falls outside ongoing billing, MedBill123 takes on special projects billed by the hour, whether short or long term, with a minimum number of hours per engagement. Practices that are interested can fill out a quote form on the website, and the firm says it replies within one business day. Its fees for ongoing billing are a percentage of what it collects, so its pay depends on how much it brings in for the practice.

Team and Approach

The company says its team is made up of certified coders and billers who keep up with changing payer rules and regulations. Its stated aims are to improve clients' cash flow, reduce claim denials, and save practices the cost of hiring and training their own billing staff. Customer service is presented as a core part of how it works. Clients quoted on the site credit the firm with restructuring their fee schedules, resolving their claims and reducing their denials.