Medical Billing Companies & Consultants in East Rutherford, NJ

Overview

Practice With Ease is a revenue cycle firm based in East Rutherford, New Jersey, that handles claims for physician groups and independent providers. It works on claims with payers the practice has contracts with (in-network) and on claims with payers it does not (out-of-network). The firm also has particular depth in federal No Surprises Act matters, including the Independent Dispute Resolution (IDR) process. The company sees persistent claim pursuit as its main specialty, not as a task that comes after submission.

Background

The business began in 2006 by building and selling practice management software to doctors. After about two years, its founders decided that software alone could not stop revenue leakage. In 2008 they expanded into fully outsourced billing. The team found that its structured method of chasing unpaid claims gave noticeably better outcomes, and that finding shaped where the company went next. Its own tools and internal workflows were developed side by side. The goal is to get each claim settled at its full value while keeping physicians firmly in charge of their own operations.

Services

Buyers can hire the firm for routine revenue cycle work or for harder escalation cases. Core offerings include:

• End-to-end handling of contracted payer claims, with steady payer follow-up
• Handling of denials and preparation of appeals
• Coding help from certified coders, plus revenue integrity checks
• Checks of patient insurance eligibility and benefits
• Strategy for non-participating claims, plus negotiation and escalation with payers
• Reviews of whether the No Surprises Act applies, dispute evaluation and IDR assistance
• Recovery of underpayments by comparing reimbursements against industry norms
• Telehealth billing and help with GAP exception authorizations

How They Work With Clients

The firm connects to a practice's current systems instead of requiring a switch. It names Epic, Cerner and Kareo among the many EHR and practice software tools it supports. Its technical staff runs the integration, and onboarding includes training for the client's employees. Clients can see every stage of a claim, including the notes the team logs on it, from coding through final payment. Reporting metrics are built around each practice, and contracted-payer claims come with a follow-up guarantee. New clients go through a qualification process. To help judge fit, the company offers a complimentary review of accounts receivable, a billing analysis call and a no-cost consultation.

Specialties Served

Practice With Ease works with many kinds of practices: procedural and non-procedural specialties, groups with several providers, and solo independents. Its intake form lists fields from family medicine, pediatrics and OB/GYN to cardiology, orthopedic spine surgery, plastic surgery, anesthesiology, pain management, radiology, behavioral health, physical, occupational and speech therapy, chiropractic and urgent care. The company says it judges its fit less by specialty and more by how complicated a practice's payer and reimbursement situation is. That makes it a likely choice for out-of-network surgeons and for practices dealing with difficult insurers. It also publishes guides on telehealth coding, billing for chronic care management and HIPAA business associate agreements.