Medical Billing Companies & Consultants in Bismarck, ND

Advanced Billing Services is a medical billing firm in Bismarck, North Dakota. It takes on outsourced billing for healthcare providers who would rather spend their working hours on patient care than on insurance paperwork. The company presents itself as an alternative to keeping a billing specialist on staff, and it handles the whole claims cycle, from entering patient intake data to collecting the final balances.

April Schmitt and Brooke Seidel run the business. Between them they have more than three and a half decades of experience in billing and insurance. They say they know payer requirements, coding rules and many different billing workflows, and they use that knowledge to get claims processed quickly and paid at the best reimbursement levels available. The firm says it complies with HIPAA, the federal health privacy law passed in 1996.

Revenue cycle services

Clients can hand off nearly every billing task. The firm's work includes:

• Checking patient eligibility and benefits before visits, so copays and deductibles are collected correctly and coverage denials are avoided
• Entering patient demographic details and charges promptly
• Submitting electronic or paper claims to any insurer, whether the plan is primary, secondary or tertiary
• Reviewing charges to make sure the coding is accurate
• Tracking and recording authorizations, and completing EAP benefit paperwork
• Posting payments, then looking into denials and fixing them through corrections, reprocessing or appeals
• Following up on outstanding claims at 30, 60 and 90 days, with appeals filed as a routine step
• Sending patients statements for whatever they owe after insurance pays
• Researching back billing and older unpaid claims
• Helping providers enroll with payers

Advanced Billing Services also answers insurance questions from both patients and insurers, so the practice's front office doesn't have to. Each client chooses how often charges are submitted: daily, weekly, every other week or monthly.

How the firm works with clients

The company stresses flexible arrangements with little commitment. Practices don't have to sign a contract, and the firm says it charges no setup fees or hidden fees. It calls its pricing competitive and pitches outsourcing as a way to avoid the costs of hiring an in-house biller, such as retirement contributions, benefits and paid leave.

The team says quick data entry, timely follow-up and fast turnaround help providers get paid sooner. The firm describes its service as tailored to each client and says it takes accounts of any size, from small solo offices to larger billing volumes. It also has a referral program for clients who recommend the service to others.

For buyers comparing vendors, Advanced Billing Services is a small, owner-led team with an office in Bismarck. Its services cover eligibility checks, claim filing, denial management, patient statements and help with enrollment. Because it doesn't require a contract, it may suit practices that want to try outsourced billing before making a long-term commitment.

CDBilling LLC is an outsourced medical billing firm that takes over the revenue cycle work of physicians and other healthcare practices, so that clinical staff can spend their time with patients rather than with insurers. The company says it has been in the field for more than two decades and has worked with upwards of 100 providers in that period.

Business listings place an office on Burnt Boat Drive in Bismarck, North Dakota, while the company website shows a San Mateo, California address, and the firm also offers a courier option for moving paperwork between its staff and client offices.

Billing and revenue cycle services

The firm describes its offering as complete but adjustable, meaning a practice can hand over the whole billing function or only the parts it struggles with. Typical work includes:

• Charge entry and medical coding
• Electronic claims sent in a HIPAA-compliant format, with paper claims for payers that still require them
• Posting of insurer remittances (EOBs) and patient payments
• Monthly patient statements with either standard or tailored balance messages
• Verification of insurance benefits before the billing cycle begins
• Follow-up and formal appeals on unpaid, underpaid or wrongly processed claims
• Bank deposits, practice accounting and appointment scheduling support
• Secure off-site storage of practice records

Beyond routine claims work, CDBilling helps providers with Medicare enrollment and with arranging contracts with insurance carriers. It handles commercial plans, Medicare, Medicaid and workers' compensation, and its staff stay in regular contact with payers with the aim of getting claims paid on the first submission. When a payer does not honor the terms of a provider's contract, the team files appeals rather than writing off the difference.

How the firm works with practices

Transparency between the practice and its patients is a stated priority, which is why benefit checks happen up front and why the company runs a bilingual collections team that takes patient billing questions by phone. Clients receive standard and customized reports every month, and more often on request, covering charges, payments and month-end and year-end accounting figures, giving physicians a clear picture of how their practice is performing financially.

Pricing is normally tied to a percentage of net collections, so the firm's income depends on what the practice actually receives, although it is willing to design an alternative fee arrangement to suit a particular practice. Prospective clients can request a free consultation, and the website names Troy and Denise as the people to ask for. A physician testimonial on the site credits the outsourcing arrangement with higher income and reduced overhead.

For buyers comparing medical billing vendors, CDBilling's main draws are its long track record, its willingness to take on administrative chores well beyond claim submission, such as deposits, scheduling and record storage, and a fee model that ties its earnings to client collections. Practices with workers' compensation volume or a need for help with payer enrollment and contracting may find its range of services especially relevant.

Metro Billing Services, LLP is a billing agency in the Bismarck-Mandan area of North Dakota that works only on claims for ambulance providers. Rather than spreading its attention across physician practices, hospitals or other healthcare segments, the firm has built its whole operation around emergency medical transport.

That makes it a candidate mainly for ambulance services, both emergency and non-emergency, that want to hand off reimbursement work to an outside partner familiar with the particular coding and payer rules that apply to transport claims.

Background and Credentials

The company says it has handled ambulance claims for more than three decades. Its operations director, Neil Frame, holds the NREMT-P paramedic credential, so the team has field experience alongside its billing knowledge.

According to the firm, each of its billing specialists has either earned or is currently pursuing the Certified Ambulance Coder designation offered by the National Academy of Ambulance Coding. Staff deal with commercial insurers as well as Medicare and Medicaid every day, and the company keeps track of leading healthcare information sources so it can respond when payer requirements change.

Services Offered

Metro Billing describes its program as full service, covering the revenue cycle from the documentation crews produce in the field through to final collection. Its listed services include:

• Training and orientation for crews on trip tickets and patient care documentation
• Support in meeting HIPAA administrative policy obligations
• Submission of primary claims and follow-up secondary claims
• Patient statements, with up to four billing statements per account
• Appeals of denied claims where warranted
• Receivables management, including accounts on installment plans
• A range of statistical and financial reports
• Secure storage of documents
• Phone and fax customer service for questions from clients and patients

Technology and Approach

Claims are prepared and sent through Sweetsoft Amazon, an ambulance billing software package that the company identifies as HIPAA compliant. Instead of imposing one standard workflow, the firm adapts its procedures to fit the policies each ambulance service already follows, and it works with clients to simplify how billing moves from the run report to payment.

The stated aim is to make sure clients recover the full amount they are owed, which matters more as training, continuing education and operating costs climb while reimbursement rates shrink.

What Sets It Apart

For buyers comparing medical billing vendors, Metro Billing's main distinction is its single focus. Ambulance billing is the only work it does, and its coders hold or are earning a credential specific to that field.

The firm also places weight on personal contact: it invites clients and prospects to call, email or visit in person, and it handles patient billing questions on behalf of client services. Smaller and community-based ambulance providers in the region looking for a specialist partner with long experience in transport claims may find the company a good fit to evaluate.