Medical Billing Companies & Consultants in Ashland, NE

PHT Consulting & Billing, LLC handles revenue cycle and reimbursement work, mainly for nursing facilities and other long-term care providers. Three co-owners run the company, with offices in Ashland, Nebraska and Olathe, Kansas. A facility can hand its billing over to the firm completely, or bring the team in to fix specific problems in its business office. The owners say they have about two decades of experience in long-term care reimbursement.

Billing coverage

The firm bills the range of payers that skilled nursing and senior care settings usually deal with. Its billing work includes:

• Medicare and Medicaid claims plus Managed Care plans, including Medicaid programs in more than one state
• Veterans Affairs and private pay accounts
• Home and community-based services (HCBS) billing
• PACE program billing
• Full revenue cycle management, from admission through final payment
• Recovery of aged receivables and unpaid balances

PHT also offers consulting on the operational side of a facility's finances. This includes covering the business office while a facility is between Business Office Managers, training staff, and running sessions on revenue cycle strategy. Its clinical documentation integrity education shows nursing staff how their charting affects reimbursement. The company also builds custom cash flow projections so administrators can see payments coming and plan ahead.

Software specialization

Long-term care software is a major focus. The team works a lot with PointClickCare and MatrixCare. It helps facilities that are switching to a new system or cleaning up their current setup, and it audits configurations that may be causing billing errors or wrong financial reports. If a buyer's current platform isn't working well, this configuration work may matter as much as the billing service.

Team and approach

Owner Darsey Hamm has about 20 years in long-term care revenue cycle work. She focuses on software transitions, backend configuration problems, cash flow analysis and collecting old receivables, and she also helps with admissions, eligibility checks and MDS processes. Owner Cheryl Tomski knows Medicare, Managed Care and multi-state Medicaid reimbursement in depth.

She often steps in as a temporary Business Office Manager while keeping daily billing and claim follow-up on schedule. Owner Casey Anderson manages PHT's own finances. He also holds Triple Check meetings with client facilities and reviews each client's monthly aging report to check that billing is accurate and to clear unpaid balances.

The company describes itself as an extension of a facility's own staff. It stresses openness and integrity, and its goal is to let caregivers spend less time on administrative tasks. Pricing is flexible. Facilities can pay a flat monthly fee based on the billing and consulting duties they choose, or a percentage of collected revenue for each payer.

Hourly work is available in limited cases. Legacy receivables collection and PointClickCare cleanup projects cost extra. PHT is a better fit for skilled nursing and long-term care operators than for physician practices or hospitals.