Medical Billing Companies & Consultants in Paterson, NJ

ApexMedEx is a healthcare outsourcing firm in Paterson, New Jersey. It takes on the revenue cycle and health information management work of medical providers so they can spend less time on administration. Its office is on West Broadway in Paterson and is open on weekdays. The company says it works with healthcare organizations across the United States. Its clients include physician practices, hospitals and other billing companies.

Billing and Revenue Cycle Services

The company's main offer is full-cycle medical billing. Its staff handle each claim from the moment it is created through to payment posting and reporting. For buyers who want a full handoff, ApexMedEx manages the front, middle and back stages of the revenue cycle. It says the goal is to lower collection costs and make cash flow steadier. Before claims go out, the team scrubs them and runs an audit to catch errors early. It also takes over routine tasks that tend to pile up in a practice, such as working denials, posting payments and sending patient statements.

• Claim creation, submission and pre-submission audits
• Patient demographic entry and insurance verification
• Medical coding using ICD-10, HCPCS, E/M and DME code sets
• Accounts receivable cleanup and ongoing follow-up
• Denial management and payment posting
• Patient billing and statements
• Practice billing audits that identify weak spots and propose fixes
• Consulting on revenue cycle processes and compliance

Credentialing and Enrollment

A separate credentialing team helps providers with payer enrollment and physician credentialing. This matters because late enrollment can hold up claims or cause them to miss filing deadlines. The team handles first-time credentialing and re-credentialing. It also registers providers on payer portals, follows up with payers, sorts out contracting problems and keeps provider data accurate. Several client reviews on outside platforms mention credentialing as a strong point.

How the Company Works With Clients

ApexMedEx says it adapts its billing to each medical specialty and lets clients set up the service for the whole practice or for individual physicians. The company reports that it runs seven specialized RCM teams. It also gives performance figures for its clients: a first-pass claim acceptance rate of about 98 percent and an average one-third drop in days in A/R. Buyers should check these numbers during their own review. The firm also says it has built HIPAA and compliance programs from the ground up and helps practices move toward value-based care.

Background

The company describes itself as both a healthcare IT provider and a business process outsourcing firm. Besides billing, it lists clinical, practice management, transcription and data management services. Its website also mentions digital marketing for practices, and it runs a blog on topics such as common billing errors. One client testimonial says the reviewer has used its billing services since 2017. For practices in northern New Jersey, the Paterson office offers a local contact point, while the firm also serves providers in other states.