Medical Billing Companies & Consultants in Salem, NH

Summit Billing Solutions, Inc. is a revenue cycle contractor headquartered in Salem, New Hampshire, only minutes from Haverhill, Massachusetts. Its clients include medical doctors, dental offices and a range of other care providers, and it can take on accounts located in any U.S. state. The premise is straightforward: a practice gives the firm responsibility for claims, insurer follow-up and collections, which frees in-house employees to concentrate on patients and day-to-day operations.

What the firm handles

Summit organizes its offerings into three phases: front-end work completed before an appointment, the coding and filing of claims, and the recovery of money owed. A client may engage the company for one task or turn over its entire revenue cycle, in which case a single group oversees every step from the initial benefits check through the last recorded deposit. The menu of services covers:

• Confirming patient coverage and securing payer approval ahead of care
• Credentialing clinicians and enrolling them with insurance plans
• Claim preparation and status monitoring, along with CPT, ICD-10 and modifier assignment
• Claims for out-of-network encounters and workers' compensation cases
• Recording remittances from electronic and paper explanations of benefits
• Handling denials through appeals and correction of underlying problems
• Collecting on older receivables and issuing bills to patients
• Billing audits, plus a no-cost review of a practice's accounts

Specialties served

According to the company, it supports upward of 40 clinical fields and tailors its workflow to the coding conventions and insurer requirements of each. A handful of core areas illustrate this depth. For chiropractors, it applies the active-treatment AT designation that Medicare expects. For primary care physicians, it manages annual wellness encounters and correct use of the 25 modifier. In children's medicine, it bills routine checkups and immunizations and submits to state Medicaid programs and the Children's Health Insurance Program. For urgent care centers, it keeps pace with large numbers of unscheduled patients and uses code S9083. It also covers eye care; behavioral health, including timed psychotherapy codes, virtual sessions and add-on codes for prescription oversight; and heart care, where it separates professional and technical components and verifies implanted-device billing. Further disciplines include cancer care, skin care, bone and joint surgery, digestive health, women's health and obstetrics, imaging, lung medicine, the urinary tract, foot care, brain and nerve disorders, pain treatment and remote virtual care.

Results and approach

To help prospective clients compare vendors, Summit shares several benchmarks: rejections averaging roughly 2 percent of claims, submission within one day of service, and receivables outstanding for about 28 days on average. The firm says it screens every claim for mistakes prior to sending it, chases open balances promptly, and resolves the reasons behind recurring denials rather than abandoning that income. Clients are kept informed about rule changes and about how their practice is performing financially. Reviews posted by customers praise the team's quick replies, openness and determination in securing payment, and one office noted an easy changeover after a long stretch of handling billing internally.

Standing and recognition

The company states that it follows HIPAA requirements and belongs to the American Academy of Revenue Cycle Consultants. It was also named a finalist for the Better Business Bureau's Torch Awards for Ethics, and its Google reviews average 4.9 stars out of 5. Practices unsure of their next step can request the complimentary account assessment, which identifies where income is slipping away before any engagement is decided.