Medical Billing Companies & Consultants in Mandan, ND

Based in Mandan, North Dakota, on the opposite bank of the Missouri River from Bismarck, Healthcare Management Solutions, LLC handles medical billing and revenue cycle work for independent healthcare practices. Its clients are providers who would rather delegate claims administration and related financial tasks so their clinicians can devote more attention to patient care. The firm offers outsourced billing, collection of overdue accounts, operational advisory work, and reviews of billing practices.

Billing and Claims Management

At the core of the business is complete billing outsourcing covering all payer categories. Practices satisfied with their current billing system do not need to abandon it, since the firm's staff can operate within whatever platform is already in place. Offices still submitting paper claims, or those looking for a new system, may adopt the firm's proprietary software instead. Submissions go out electronically, and the aim is to bring turnaround under 30 days. Other components of this service include:

• Managing denials and appeals through to resolution
• Recording incoming payments and outstanding balances
• Support with billing software questions

Receivables Recovery, Consulting and Audits

Practices carrying older unpaid balances can turn to the firm's A/R recovery work, which examines open accounts in search of income that may have slipped through. Staff also communicate with insurers to investigate and resolve payment issues, and each client receives reporting built around its own needs. On the advisory side, clients decide which areas of their operation get examined.

Options include selecting and rolling out software, charting, documentation, the movement of patients through a visit, assessment of payor contracts, receivables processes, and in-house policies. According to the company, its team is comfortable with a wide range of software, Office Ally among them.

The audit offering examines a practice's existing billing, receivables and operational routines, then delivers an in-depth report on vulnerabilities. It also identifies mistakes that might expose a practice to Medicare or Medicaid penalties.

Practices Served

Clients come from many corners of independent healthcare, such as:

• Medical doctors and advanced practice nurses
• Spinal and chiropractic care offices
• Rehabilitation practices focused on physical therapy
• Mental health clinics
• Counseling professionals
• Eye care practices run by optometrists

Background and Engagement Process

Laura Meckle serves as President and shares ownership of the company. She oversees day-to-day activity and strategic projects, and she works with clients to develop revenue cycle strategies. Her education includes undergraduate studies centered on running organizations, and she holds a professional credential in managing projects.

She brings 22 years of experience in the insurance field along with prior revenue cycle work. Her fellow owner, Beverly Unrath, has led Dakota Home Care as its chief executive and an owner since 2013. Unrath and her sister launched that agency, and no organization in North Dakota had offered dedicated in-home nursing of that kind before it.

Her long tenure delivering care showed her that local providers lacked reliable billing help, and she partnered with Dakota Home Care's director of operations to create this firm.

Prospective clients begin with a complimentary consultation that carries no commitment. A follow-up meeting, held either face to face or virtually, explores what the practice requires. The firm then drafts a tailored proposal and contract, which incorporates business association agreements and provisions for HIPAA compliance. Practices evaluating billing vendors may appreciate the firm's presence in the Bismarck-Mandan region and its flexibility in using the software a client already has.