Medical Billing Companies & Consultants in Lincoln, NE

AWS Medical Solutions is a Lincoln, Nebraska firm that handles the financial back office for healthcare providers. Its central offering is complete revenue cycle management, meaning the company can take over the billing process for a practice from start to finish. The stated goal is to lift the burden of billing work off providers so that clinical staff can concentrate on patients rather than on claims, payers and paperwork.

Who they serve

The company works with a range of medical specialties rather than a single niche. Specialties it names include:

• Primary care practices
• Orthopedic surgery
• Physical therapy
• Medical clinics and hospitals (per its BBB listing)

Its Better Business Bureau profile describes the client base as mainly independent medical practices, which suggests a good fit for smaller and mid-sized groups that prefer to outsource billing rather than build an in-house department.

Billing and coding services

On the billing side, AWS Medical Solutions emphasizes platform flexibility. The team has worked across several revenue cycle management systems and partners directly with the Cerner Specialty Practice Management platform, among others, so providers are not necessarily forced to switch software to work with the firm.

Medical coding is performed by staff holding AAPC certification, and the account representatives who manage client relationships bring, on average, more than a decade of industry experience. For buyers, that combination of credentialed coders and seasoned account staff is a key point to weigh when comparing outsourced billing vendors.

Business services for practices

What distinguishes AWS Medical Solutions from many billing-only vendors is a second line of work aimed at the business side of running a practice. The firm offers customizable small business services designed to complement its billing work, including payroll processing, bookkeeping and monthly financial write-ups.

Rather than selling fixed bundles, the company asks clients to describe their needs and then assembles a tailored service package. A practice could therefore consolidate billing, coding, payroll and routine accounting tasks with a single outside partner.

Background

According to its BBB listing, the business was established in December 2002 and operates as a limited liability company under the name AWS Medical Solutions, LLC, giving it more than two decades in operation. Michele Arndt and Julie S. Wurster are listed as owners.

The firm is based in Lincoln and is categorized under medical billing, billing services, bookkeeping and payroll services. Providers evaluating partners in eastern Nebraska may find its local presence, long operating history, certified coding staff and ability to bundle financial support services with billing to be the main factors setting it apart from larger national billing companies.

JKK Medical Billing Services, LLC is a family-run billing and coding firm based in Lincoln, Nebraska. It works with physician offices and other healthcare providers who want to hand off their revenue cycle work to an outside team. The company is small on purpose. It gives each client individual attention instead of high-volume processing, and it adjusts its approach to the specialty of each practice it supports.

Background and Credentials

The team has more than three decades of billing experience between its members, built across many provider specialties. Its coders hold AAPC certification and follow AAPC and Medicare guidance when assigning codes and preparing claims. An administrator manages day-to-day operations from the Lincoln office. The firm says plainly that it does not sell client work to, outsource to, or partner with companies outside the United States. That point may matter to practices concerned about data handling and offshore processing.

Billing and Coding Services

The core offering is full-service claims management. JKK posts charges carefully to keep them compliant, checks claims for errors before they go out, and sends them to payers electronically. Once claims are submitted, staff follow up promptly and file appeals on denied or underpaid items. The goal is to bring reimbursements in quickly and completely. Practices that only need part of this work can engage the firm just for coding or for chasing aging receivables.

• Medical billing for a range of provider specialties
• Coding by AAPC-certified staff
• Accurate, compliant charge posting
• Pre-submission claim audits and electronic filing
• Claim follow-up and appeals with insurers
• Accounts receivable follow-up and management

Practice Management Consulting

Beyond processing claims, JKK offers advisory work focused on a practice's financial health. A consulting engagement can include a full assessment of financial performance and areas to improve, and an evaluation of how front-office staff handle their daily tasks. The team also helps providers and staff design forms that serve both administrative and clinical workflows. It reviews existing payer contracts and fee schedules too, and works through receivables problems with the practice.

Why Practices Outsource to JKK

The company presents outsourcing as a way for providers to put their time into patient care, patient relationships, and attracting new patients rather than administrative tasks. It also points to cost savings. Handing billing to an outside firm removes in-house expenses such as wages, payroll taxes, paid leave, health coverage, and workers' compensation for billing employees. By keeping work moving smoothly from claim submission through collections, JKK aims to give clients steadier cash flow.

Buyers in the Lincoln area who want a local, U.S.-only billing partner with certified coders and a consulting option may find this firm a good fit, especially smaller practices that value direct contact with the people handling their accounts.

MacPractice Business Services is the managed billing arm of MacPractice, a Lincoln, Nebraska company best known for practice management software built for Apple computers. The billing service is aimed at medical and dental offices that already use the MacPractice platform and would prefer to hand off claim work, payment posting and insurer follow-up to an outside team.

Buyers comparing billing vendors will find a provider that also builds the system their claims run through, which makes it a fit mainly for practices committed to the Mac environment.

Managed Billing Services

The company presents its billing offering as a way for practices to step away from the regulatory burden and staffing demands of running billing internally. According to the company, its billing specialists bring more than two decades of experience to the work. Core tasks include:

• Preparation and electronic submission of insurance claims
• Posting of payments, usually on a daily basis, including electronic remittance advice (ERA) files
• Research into questionable payments and non-payments, with payer contact to correct problems
• Weekly reviews of outstanding claims by an assigned account representative
• Ongoing accounts receivable and revenue cycle management

Engagements are flexible. The billing team describes plans that range from short-term help, such as covering a billing staff member on medical leave or handling a billing crisis or staff shortage, to quick training and full ongoing management of a practice's revenue. Each client works with a designated representative who tracks unresolved claims until they are settled.

Software and Related Products

The service sits on top of the MacPractice software suite, a HIPAA-compliant practice management system for macOS designed for small and medium-sized practices across many specialties. Its built-in ledger records patient charges, open balances and insurance claims, handles refunds and payments, and offers reporting on receivables trends.

Practice data is kept on premises rather than in a hosted cloud, so offices retain direct control of clinical and financial records.

Other parts of the platform include scheduling, dental and periodontal charting with support for digital radiography devices, time clock and inventory tools, and an internal order system for assigning tasks to staff. iPad apps support paperless intake and electronic forms, and the MP.Go web portal lets providers view schedules and pass charges along to billing staff for checking, all from a browser.

The company also offers add-on integrations that tie into the billing workflow, among them eClaim submission, ePrescribe, faxing, the MacPractice Engage patient reminder and confirmation service, web-based appointment booking for patients, card payment processing, and a portal where patients can pay bills online.

What Sets Them Apart

The main difference from independent billing firms is that one company owns both the software and the outsourced billing service. A practice can move from handling billing in-house to fully managed billing without changing systems, and the billing staff work inside the same ledger and claim tools the office already uses. That close link is a strength for current MacPractice users, though practices running other software will probably find the service less suited to them.

NH Medical Billing is a revenue cycle firm based in downtown Lincoln, Nebraska. It supports independent physician practices with claims work, coding and the recovery of old receivables. The team works remotely, so it can serve offices across Nebraska and clients in other states. The company presents itself as an ally to private practices that want to stay independent instead of joining larger health systems.

Specialties and clients

The firm's experience is focused on a few outpatient specialties where its team has worked directly. Buyers in these fields will find the most relevant background:

• Family medicine
• Pediatrics
• Obstetrics and gynecology
• Mental health

The site also lists credentialing next to billing for these types of practices.

Services

Clients can hire NH Medical Billing for one function or combine several into a custom package. Services include:

• Account recovery for balances more than 90 days old. Each claim is corrected, appealed or resubmitted, and the client gets an honest view of which amounts can still be collected. Balances that can't be recovered are documented and returned, and the practice decides whether to write them off.
• Full revenue cycle management run inside the client's EHR. It covers coding, claim submission, follow-up, ERA and payment posting, denials, receivables, patient billing questions and reporting.
• Medical billing for everyday claim submission, posting, rejections, follow-up with payers and monthly reports
• Denial management for offices that keep up with everything except their denials
• Medical coding by certified coders, for groups that want to keep the rest of their billing in-house
• Consulting and training, on site or remote. The team coaches in-house billers on their actual workload and documents office workflows.

How they work

A new engagement starts with a free 30-minute review of the practice's current billing numbers. The prospect then gets a tailored assessment and picks a level of service. Clients on full revenue cycle plans get both weekly and monthly reports for leadership.

This fits the company's stated focus on keeping clients informed as things happen, rather than waiting for month-end summaries. The firm appeals and follows up on every denial. It also says that low denial rates depend on good front-office habits, documentation and prior authorization processes. According to its site, a typical receivables clean-up takes about 90 to 120 days.

Background

The founder spent close to two decades in administrative and medical support jobs in healthcare. While running billing for a single practice, the founder found a passion for revenue cycle work after seeing receivable days drop and denials get resolved. That led to starting NH Medical Billing, with the goal of being an engaged partner rather than just another vendor.

The company says its team brings more than 20 years of combined experience in billing and practice administration. Its mission is careful, personalized and accurate service for private practice physicians, and its vision stresses transparency and long-term relationships.

For buyers in southeastern Nebraska, its main strengths are the Lincoln base, its experience in specific specialties and its focus on recovering old claims.

Swagpro Medical Billing Services is run by Swagpro LLC. It is an outsourced revenue cycle company with its head office in Lincoln, Nebraska. Its clients are physician practices, clinics and other healthcare organizations that would rather hand off claims, coding and collections work than do all of it with their own staff.

The company also lists offices in Cary, North Carolina, and Rancho Cucamonga, California. It says it serves clients in Nebraska, including Lincoln and Omaha, in North Carolina, and in several Southern California communities such as Ontario, Riverside, Chino and Upland.

Services

Practices can outsource the full revenue cycle or pick out single parts of it. The services the company lists are:

• End-to-end revenue cycle management
• Medical billing and claims submission
• ICD, CPT and HCPCS coding done by certified coders
• Checking patients' insurance eligibility
• Prior authorization support
• Provider credentialing
• Denial analysis
• Recovery of aging accounts receivable
• Payment posting
• MACRA/MIPS reporting

Swagpro also offers billing for dental offices. For aging receivables, it puts a dedicated group of specialists on older unpaid claims, which it presents as help for in-house teams that have fallen behind. In payment posting, staff enter and review explanation of benefits data such as service dates, procedure codes, deductibles and co-insurance.

They look for patterns in payments and denials, send follow-up tasks to the right billing staff, tell patients about remaining balances, and track incoming cash and open receivables as they change.

Specialties Served

The company says it supports many specialties. The ones it names include cardiology, gastroenterology, otolaryngology, orthopedics, neurology, infectious disease, emergency department care, nephrology, pediatrics, rheumatology and dermatology. Its sign-up form lists many more practice types, including anesthesiology, mental health, chiropractic, physical therapy, durable medical equipment, laboratory, ambulance, home health, telemedicine, urgent care and workers' compensation. This shows the wide range of providers it accepts.

How It Works With Clients

The site repeatedly stresses that clients keep the technology they already use. The team works inside each practice's current EHR or EMR system instead of requiring a move to a new platform, and it says it can work with most billing software.

The company presents this as a way to avoid retraining, large upfront costs and gaps in cash flow while the switch happens. It says onboarding is simple and that its staff follow each office's own procedures and policies. Support comes from a mix of onshore and offshore team members and is available around the clock.

Background

Swagpro says it has more than twenty years of experience in healthcare revenue cycle management. Its stated goal is to pair technology with trained staff so providers spend less time on paperwork, get paid faster, improve their receivables and lower their overall billing costs, leaving physicians more time for patients.

The company also notes that claims are checked for coding accuracy to reduce processing problems. For Lincoln-area buyers, the local head office together with offices in other states may suit practices that want a nearby contact backed by a larger operations team.