Medical Billing Companies & Consultants in Parsippany, NJ

Overview

C&M Medical Billing, LLC is an outsourced billing firm based in Parsippany, New Jersey, where it has operated since its founding in 2004. The company handles the money side of healthcare practices. It takes on the repetitive office work that tends to pull physicians and their staff away from patient care. Its goal is to help practices recover as much as possible on their insurance claims, and it works with providers of every size, from a lone clinician to multi-provider facilities.

Services

The firm covers the whole life of a medical claim, from first filing to final resolution. Practices that hand their billing to C&M get support in areas such as:

• Preparing and submitting claims to payers
• Following up on unpaid or delayed claims
• Working denied claims
• Posting payments received
• Overseeing accounts receivable
• Streamlining a practice's office and financial workflows

Billing runs on a web-based practice management platform that the company says suits solo practitioners as well as larger facilities. C&M also offers flexibility: it adjusts the scope of each engagement to what the client needs instead of selling one fixed package. All work is done by its own staff in the United States, with nothing sent offshore. That may matter to buyers who care about data handling and easy communication.

Specialties Served

Over the years the company has expanded to support a wide mix of clinical fields. Specialties named on its website include:

• Allergy
• Chiropractic
• Dermatology
• Ophthalmology
• Nutrition
• Obstetrics and gynecology
• Physical therapy
• Orthopedics
• Neurology
• Internal medicine
• Speech pathology
• Clinical social work and licensed clinical psychology

The company presents this list as a sample rather than a complete list, so practices in other fields may also be served.

Background and Leadership

C&M was co-founded by Caren Chiriaco and Marie Ferguson-Russo, who still own it. Chiriaco is a William Paterson University graduate, and Ferguson-Russo earned her degree at Montclair State University. Before starting the firm, both women had run physician offices, a hospital physician billing department and a large multi-specialty physician group. Together they have more than thirty years of revenue cycle experience. Both are active in industry groups, including the Healthcare Business Management Association (HBMA) and the New Jersey chapter of the Medical Group Management Association (NJMGMA).

The owners are closely involved in day-to-day operations. They have built set ways of working for billing management, staffing, receivables and client service. They stress open communication across the team and a readiness to adapt as healthcare rules and payer requirements change. For buyers comparing vendors, C&M stands out for its two decades in northern New Jersey, owners who take part in daily work, an all-domestic in-house staff and experience across many outpatient and therapy specialties.

Overview

Metropolitan Practice Management, also known as Metro PM or MPM, is a Northern New Jersey company based in Parsippany. It offers outsourced medical billing and also sells and supports practice management and EHR software. Its clients are physician practices and billing services. The service suits offices that would rather hand off billing staff, systems and regulatory upkeep than run their own billing department. The company says it has been in the billing business for more than four decades.

Billing and Revenue Cycle Services

Under its MPM Financial Suite name, the firm provides revenue cycle management and full-service billing. Its team handles each claim from start to finish, including the phone work with payers and patients. MPM can work in the billing system a practice already uses or enter claims into its own software. Its workflow includes:

• Entering charges and checking them for accuracy before submission
• Scrubbing claims and sending them electronically through a clearinghouse
• Posting insurer and patient payments
• Following up quickly on denied claims and resubmitting them
• Running monthly reports to chase unpaid claims
• Sending patients statements for balances their insurers did not cover
• Working with collection agencies on accounts it cannot collect

The company also offers workers' compensation billing and lists specialty-specific billing among its services. It is paid on commission, so its earnings depend on what the practice actually collects. MPM reports that its clients see about a 15 percent drop in denial rates on average, around 30 days in accounts receivable and 97.6 percent satisfaction. It also cites a case study at Northeast Texas Women's Health, where days in AR fell 29 percent and payments rose 8 percent.

How They Work With Practices

Each client gets a dedicated account executive plus two backup executives. All three know coding and the client's operations. MPM presents its staff as an extension of the practice's own team that provides training and support. It also employs medical coders who keep up with payer rules. The firm says its supervisors have been with the company for about 12 years on average, and its staff for 8.5 years. Practices keep full control of their data, and MPM uses rules set for each payer and provider to reduce denials. Practices can book a free consultation.

Software and Support

On the technology side, MPM is a Platinum-level certified Medisoft dealer. It resells Medisoft, Medisoft Clinical, add-ons and hosted Medisoft. It also sells NextGen Office, the cloud EHR and billing platform formerly called MediTouch. NextGen Office combines scheduling, billing, a claims clearinghouse, the YourHealthFile patient portal, MACRA/MIPS dashboards and iPad charting. MPM also offers Lytec. Its remote support plans help physician offices and billing services with day-to-day Medisoft use, and it gives software demos.

Credentials

MPM says it is certified with the New Jersey state banking and insurance department and that its team has won industry awards every year since 2005. Buyers comparing firms near Newark should note that the office is in Parsippany, not in Newark itself.