Medical Billing Companies & Consultants in Albuquerque, NM - Page 2

AllStar Billing Service is a medical billing and revenue cycle firm based in Albuquerque, New Mexico, that also serves practices in the Denver, Colorado area.

The company works with healthcare providers who would rather hand off the administrative side of getting paid, from submitting and tracking claims to chasing down payer denials, so their staff can spend more time on patient care.

Its stated goal is to give medical practices the resources they need to strengthen revenue, shorten the age of outstanding balances and keep cash coming in predictably.

Services for Medical Practices

The firm offers a broad set of back-office services. They span the whole revenue cycle, from front-end payer setup to collecting on old balances:

• Medical billing and medical claims processing
• Medical coding services
• Denial management and claim rejection appeals
• Accounts receivable management and payment follow-up
• Payment collection services and invoice processing
• Revenue cycle management
• Electronic health records (EHR) billing
• Provider credentialing and insurance enrollment
• Payer contract negotiation

Two parts of the offering go beyond routine claims work. First, AllStar helps providers contest rejected claims so that reimbursements are not left uncollected. Second, it assists with joining insurance networks, handling enrollment paperwork, credentialing and contract talks with insurers.

For newer practices or providers adding payers, this means one vendor can manage both network participation and the billing that follows. On the receivables side, the team monitors incoming payments, follows up on unpaid accounts and works to reduce overdue balances.

Specialties and Team Background

According to the company, its staff includes current and former professionals from several areas of healthcare, among them home health and hospice, dental, family practice and behavioral health. Team members are described as having years of formal training and hands-on experience in their fields. That mix suggests the firm is comfortable with the different coding and payer rules these specialties involve. Client payment pages on its site point to work with speech therapy, family healthcare and senior care organizations.

How They Work With Clients

AllStar emphasizes individual attention throughout each client relationship and says it keeps in contact with practices remotely, in person or both, depending on what the client prefers. It describes acting as an advocate for providers, learning each practice's needs before negotiating with insurance carriers on its behalf. The firm also publishes an annual holiday schedule, which gives clients clear expectations about when staff are available.

The company began as a small operation and grew by building and supporting other businesses in its region. It has more recently announced a strategic partnership with NextGen Healthcare, a healthcare technology vendor, which it says will expand the tools and support it can provide. Buyers looking for a locally staffed billing partner that pairs claims and receivables work with credentialing and payer contracting may find AllStar's combined approach worth evaluating, particularly practices in New Mexico or Colorado.

D & M Billing Services is a small, family-run billing company based in Albuquerque, New Mexico. It focuses on Medicaid reimbursement for home and community-based service agencies across the state. For about thirteen years it has handled claims for providers under the New Mexico Waiver programs, for applied behavior analysis (ABA) therapy practices, and for assisted living operators.

The firm calls itself a boutique operation, so it suits agencies that want a hands-on billing partner who knows the state's Medicaid system well, rather than a large national vendor.

Programs and Service Types Supported

The company's billing work covers the service categories that waiver and long-term care providers usually submit to Medicaid. Supported service lines include:

• Assisted living
• ABA therapy
• Customized community supports
• Day habilitation
• Nursing
• Respite care
• Supported living
• Customized in-home supports
• Community integrated employment
• Family living

Because of this focus, D & M is most relevant to developmental disability waiver agencies, behavioral health and autism therapy providers, and residential care operators. General physician practices or hospitals may find it less suited to their needs.

How the Firm Works With Clients

Agencies can pick a monthly, weekly or biweekly billing schedule. Each week the team sends a detailed report listing which claims were paid and which were denied, along with any follow-up already done or still needed to clear problem claims. At the end of each week, clients also get a projection of the payments they can expect.

This gives agency owners a steady view of their cash flow. The firm says clients can reach staff by phone, text or email outside normal business hours, including evenings and weekends, when urgent billing questions come up.

Team Background

The staff has long experience in Medicaid administration. The firm says its team includes former Medicaid case managers, former Conduent staff, people who used to work at managed care organizations, and service care coordinators. This mix gives the company experience from several sides of the reimbursement process: the claims processor, the health plan, and the care coordination level.

The company also says it keeps close working ties with contacts at the state level, which can help when claims stall or need clarification.

What Distinguishes D & M

The firm's main difference is its pricing. Clients pay either a fixed monthly fee or a modest share of the amounts actually collected. The company says it does not add administrative charges when an account needs extra work, so invoices stay the same from month to month.

It also presents its service as a cheaper alternative to hiring an in-house billing employee. Client testimonials on its site mention getting overdue claims paid quickly, knowledgeable staff, and long-term relationships, with one client reporting more than three years of service.

Buyers who want personal attention and specialist knowledge of New Mexico Medicaid waiver billing may find this firm a good fit.

DIVIT Medical Billing and Coding Service LLC, which also goes by Divit MBC, handles outsourced billing, coding and back-office work for healthcare providers. A primary care physician and an orthopedic surgeon started the company. Both had found that opening a practice was harder than it needed to be, because medical training teaches almost nothing about billing, revenue cycles or administration. They built Divit to make that path easier for doctors who want to open their own solo or group practice.

Services

The firm can take on the full revenue cycle or just parts of it. Its work starts before a patient arrives, by checking insurance coverage, and runs through claim submission and collections. Clients can buy each service on its own or as a package, including:

• Full revenue cycle management, with claims sent within 48 hours
• Standalone accounts receivable recovery and follow-up
• Denial management
• Insurance credentialing for providers
• Getting and renewing prior authorizations
• Checking patient insurance eligibility before visits
• Remote front desk staff for scheduling, patient management and telehealth
• Coding with ICD-10, CPT, HCPCS and PCS codes, including E&M and surgical coding

Divit says its AR recovery work brings pending receivables down from about 10 percent to about 3 percent. It also aims to keep days in AR under 35. Checking eligibility up front is meant to raise the share of claims accepted the first time and cut down on denials.

Who They Serve

Divit works with new and solo practices, dental offices, urgent care centers, long-term acute care hospitals, skilled nursing facilities, nursing homes, ambulatory surgery centers and hospitals. For hospitals, its coders work on DRG optimization and send queries to physicians to catch missed diagnoses, including comorbidities and complications (CC and MCC). It covers many specialties, including:

• Primary care, pediatrics and OBGYN
• Cardiology, oncology, radiation oncology and nephrology
• Orthopedics, podiatry, ENT and colorectal surgery
• Dermatology, gastroenterology, pulmonology and radiology
• Ophthalmology and optometry
• Psychiatry, clinical psychology and chiropractic
• Obesity clinics

How They Work

Divit can use whatever billing software a practice already has, including Kareo, EPIC, Cerner, NextGen, eClinicalWorks, AdvancedMD, RXNT and Office Ally. All the work is done remotely. Each client gets a dedicated account manager, daily, weekly and monthly reports, and regular check-ins from the founders. The company says it offers support around the clock, back-office training, and several rounds of quality audits on its work.

The team includes coders certified by AHIMA and AAPC and experienced billing staff, plus remote assistants trained in healthcare. The company says it is fully HIPAA compliant. For buyers, its main differences are that physicians founded it and that it offers a wide range of services. That suits both new practices that need credentialing and front desk help and larger facilities that need inpatient coding.

Duke City Medical Billing Services is a medical billing company based in Albuquerque, New Mexico. It works with physicians and other healthcare practitioners across the state. The firm takes over the revenue side of running a practice, including billing, coding and collections, so that providers and their staff can spend more of their time on patient care. Its office is in downtown Albuquerque, which puts it within reach of practices in Rio Rancho and the wider metro area.

Who They Serve

The company is aimed at independent practitioners who find it expensive or slow to handle billing in-house. It notes that a growing number of doctors hand this work to outside specialists to protect their margins and free up staff. For these clients, Duke City offers to take over the routine dealings with insurers, chase late-paying accounts and keep up with regulatory and payer changes that affect how claims are paid.

Services Offered

The firm is service-only and does not sell software or other products. Its main areas of work include:

• Filing claims with insurance carriers
• Billing and coding focused on accuracy and specificity
• Working denied claims through to resolution
• Collecting on overdue or delinquent patient and payer accounts
• Posting payments to keep account records current
• Fixing and reorganizing problem claims left over from before the engagement

One notable point is that the company will take on claims backlogs a practice built up before hiring it. It sorts and corrects older problem claims so that lost revenue can still be recovered, rather than only handling new claims from the start date.

How They Work With Clients

Duke City sets up each engagement around the needs of the individual practice instead of using a single standard package. Practices don't have to change systems: the team works in the billing software the practice already uses, which makes the transition easier for front-office staff. The company also says it has strong experience with electronic health records and aims to keep patient and billing records digital, current, secure and easy to retrieve.

The company also presents itself as an advisor, offering to help practices adopt better business habits and cut unnecessary spending. Its stated aim is steady, predictable income for the practice with fewer write-offs and less lost revenue. Interested practices can call the office to request a quote.

What Sets Them Apart

For buyers comparing billing vendors, the firm's main differences are that it is local to New Mexico, it tailors each engagement and it works in the client's existing software. It is a good fit for small and mid-sized practices that want a hands-on regional partner rather than a national outsourcing company. Its focus on denials and collections, including old accounts, may appeal especially to practices that are dealing with unpaid claims or cash-flow gaps.

Enchantment Medical Billing Specialists, often shortened to EMBS and now presenting itself online under the name Enchantment Healthcare Partners, is an Albuquerque, New Mexico company that takes over the administrative and financial side of running a medical practice. Its core offering is outsourced medical billing for physicians, clinics and other healthcare providers who would rather hand off claims work than keep it in-house.

What the company does

The firm describes its role as covering the full billing cycle on behalf of a practice. That includes preparing and submitting medical claims, checking that charges are billed correctly, and following insurance payments through to reimbursement. The stated goals for clients are higher collected revenue, fewer rejected or denied claims, and less time spent by clinical staff on paperwork, leaving doctors and nurses free to focus on treating patients.

Beyond billing itself, the company's social media page lists several related administrative functions. Buyers evaluating EMBS can expect the following areas of support:

• Medical claims processing and submission
• Charge review for billing accuracy
• Insurance reimbursement management and follow-up
• Claim denial reduction
• Provider credentialing with payers
• Authorization tracking
• Medical coding
• Medical transcription

Who it serves

EMBS says it works with medical practices of all types rather than limiting itself to a single specialty. This makes it a candidate for general practices as well as specialty offices that need a partner able to adapt to different payer mixes and coding requirements. The team emphasizes its familiarity with healthcare regulations and the rules that govern billing, which matters to practices worried about compliance as much as cash flow.

How engagements begin

Prospective clients are invited to request a quote at no charge before committing, which gives a practice the chance to discuss its volume, specialties and current pain points with the firm first. Because EMBS positions itself as handling the whole billing process instead of individual tasks, it is best suited to providers looking for a broad outsourcing arrangement rather than occasional help.

Background

The business operates as Enchantment Medical Billing Specialists LLC and is based in Albuquerque, with listings placing its office downtown. Business directory records name Jocelyn Allen as owner, and a company database lists its headcount in the 11 to 50 employee range. The company notes that its staff brings years of experience in the medical billing field.

For practices in New Mexico, the appeal is a locally based team that can combine billing, credentialing, authorization tracking, coding and transcription under one provider, reducing the number of outside vendors a clinic needs to manage.

EZE Medical Billing Services is an outsourced billing and revenue cycle management firm with its office in Albuquerque, New Mexico. Physicians, clinics and specialty groups hire it to take over the financial side of running a practice. Much of its work is with providers in New Mexico, but it also takes on clients in other states.

The idea behind the service is that clinicians can spend their time on patients while the billing team makes sure claims are submitted correctly and paid.

Scope of Services

The company can handle the whole revenue cycle. That starts with checking insurance eligibility and registering patients, and it ends with posting payments once reimbursement comes in. Practices can outsource the full cycle or pick from a set of specialized services:

• Full revenue cycle management, with progress reports sent weekly
• Denial management, which looks for the root cause of each rejection and tracks recurring patterns
• Workers' compensation billing, including NMSIF claims and lien paperwork
• Durable medical equipment billing, covering HCPCS coding, CMN documentation, prior authorizations and Medicare submissions
• Healthcare software consultation, including audits and setup changes for systems such as AdvancedMD, Kareo and Athenahealth
• Auto injury and physician billing
• Credentialing, plus state and medical licensing support
• Billing for intensive outpatient (IOP) and partial hospitalization (PHP) programs
• Document management

Specialties Served

The firm lists a wide range of clinical specialties. These include mental and behavioral health, ABA therapy, pediatrics, radiology, dental, hospital billing, neurology, dermatology, physical medicine and rehabilitation, and orthopedics. Behavioral health providers that run IOP or PHP programs, and DME suppliers dealing with Medicare documentation rules, may find the dedicated services in those areas especially useful.

How It Works With Clients

EZE says it keeps its team small on purpose. Each client works with the same group of staff, who get to know its payers, its account history and its business goals, so practices are not passed between rotating representatives.

When a new client signs on, the team connects to the practice's existing software rather than requiring a switch to a new system. The aim is for claims to keep moving from the first week without a gap in cash flow. Clients also do not have to sign long-term contracts for revenue cycle management.

Approach and Reported Results

The firm's process relies on certified coders who know the rules for each payer and specialty. Every claim is reviewed before it is sent, and any unpaid claim is followed up until it is settled. Claim status is checked every day so that delays can be dealt with quickly.

EZE reports a clean claim rate of about 98 percent and says roughly 95 percent of claims are accepted on first submission. It also says it recovers around 90 percent of the denied claims it works on. The company also says it offers billing that is HIPAA compliant.

When comparing vendors, buyers may want to weigh the firm's focus on New Mexico, including its experience with state workers' compensation rules, alongside its contract-free terms and its consistent, dedicated account staffing.

HealthRescue Partners LLC is a practice management firm headquartered in Albuquerque, New Mexico. It handles administrative and revenue-side work for independently owned medical practices throughout the United States. Its clients include physicians (MD and DO), nurse practitioners, physician assistants, and therapists and counselors.

They range from single-provider offices to larger groups with several specialties and locations, and they deliver care face to face or through telehealth. For buyers looking for a billing partner, the firm treats revenue cycle work as one part of a wider offering that also covers credentialing, remote staffing, marketing, websites and help launching new practices.

Medical billing and revenue cycle services

The billing division covers the full life of a claim. Each service can be bought on its own or combined in bundled packages such as its Precision Claim Management package. Core offerings include:

• End-to-end medical billing, with daily claim submission, same-day payment posting and follow-up on patient balances
• Medical coding with ICD-10, CPT and HCPCS assignment plus modifiers, aimed at documentation that will stand up to audits
• Denial management, including appeals and root-cause analysis to stop repeat denials
• Accounts receivable follow-up by phone and payer portal to reduce older balances
• Prior authorization handling for imaging, procedures, medications and therapy visits
• Insurance eligibility and benefits checks completed before appointments
• A complimentary billing audit that ranks recommended fixes by how much revenue each is expected to recover

Engagements usually start with a no-cost review of a sample of recent claims, denials and outstanding receivables to find where revenue is being lost. The team then connects to the client's EHR or practice management platform, its clearinghouse and payer portals. After that, claims, posting, denial work and follow-up are handled every business day to avoid backlogs. Each month, clients get a summary of total collections, the denial rate, days in accounts receivable and any process changes made.

Specialties and provider types

The company notes that coding rules, authorization requirements and credentialing differ by field, so it adjusts its process to each one. Highlighted specialties include primary care and family medicine, internal medicine, pediatrics, psychiatry and behavioral health, urgent care, OB/GYN and women's health, cardiology, dermatology, physical therapy, chiropractic, pain management, orthopedics, gastroenterology, endocrinology, telehealth and multi-specialty groups. It also reports working with podiatry, wound care, ENT, allergy, nephrology and ophthalmology practices.

Beyond billing, HealthRescue Partners provides insurance credentialing, CAQH management, re-credentialing, payer contract negotiation and ERA/EFT enrollment. It also offers remote billers, coders, AR specialists and prior authorization staff, all paid by the hour. Its startup services include EHR and billing software setup, HIPAA compliance support and licensing help for new clinics.

Background and differentiators

The firm uses offshore back-office teams working under HIPAA safeguards, which it says keeps its services affordable for smaller practices. It is a Yelp agency partner and has reviewed profiles on Google, Clutch, Trustpilot and Capterra. It also runs GoGen Care, a directory where patients can search for providers and practices can list themselves at no charge. Client testimonials on its site describe help with clinic launches as well as ongoing billing and marketing work.

HillCrest Medical Billing is a firm based in Albuquerque that runs the financial back office for healthcare providers. It handles claims, coding, insurance enrollment and follow-up on unpaid balances. Practices that would rather not keep billing in-house can hand this work to the company and let it manage their revenue cycle. The company says it has been in business since 2015, works with providers across the country, and follows HIPAA rules in how it operates.

Core Services

• Medical billing: checking eligibility and demographics, entering charges, scrubbing claims before they go out, submitting claims electronically or on paper, and posting payments and adjustments
• Medical coding: assigning ICD-10-CM, CPT and HCPCS codes, supporting E/M levels, reviewing modifiers, and checking codes before claims are sent
• Credentialing and enrollment: applications to commercial plans, Medicare and Medicaid, keeping CAQH profiles current, checking NPI and taxonomy details, and tracking recredentialing dates
• Aging AR recovery: working older unpaid accounts to collect money that is overdue
• Denial management: finding out why claims were denied, then correcting, resubmitting or appealing them
• Monthly billing audits: regular reviews that look for lost revenue, coding errors and compliance problems
• Verification of benefits: confirming coverage, deductibles, copays and authorization requirements before a patient is seen

Its clients include solo physicians, small and growing practices, primary care groups, specialty practices, behavioral and mental health providers, outpatient clinics and organizations with several locations. The credentialing service is also aimed at providers who are starting to practice in additional states. The website has separate pages on billing for mental health, pulmonology and family medicine.

Work with a new client follows four stages. HillCrest first studies the practice's current billing workflow and reimbursement patterns. Next it builds a billing and credentialing plan for that practice. It then takes over daily claim handling, payment follow-up and denial work. After that it keeps monitoring results and sends regular reports. Each service has its own steps.

In billing, patient data is checked before claims move forward and clearinghouse rejection reports are watched. In coding, the team reads clinical notes and flags anything missing or unclear before the codes go to billing.

In credentialing, the firm looks at the practice's providers, locations and preferred networks, prepares the applications, and keeps contacting the plans until each one makes a decision.

The office is on Mountain Road Place NE in northeast Albuquerque. The website also has location pages for Michigan, including Wayne and Washtenaw counties, Detroit and Ann Arbor. It has similar pages for northern Virginia, covering Loudoun, Fairfax and Arlington counties and towns such as Ashburn, Leesburg, Reston, Herndon, McLean and Tysons.

The company says more than 400 providers use its services. It offers a free consultation and a free revenue cycle audit to prospective clients, and it advertises billing support around the clock. Client testimonials on the site come from a family practice owner, a behavioral health provider, a group administrator and a private practice physician.

For buyers comparing vendors, HillCrest's main strength is that it offers a wide range of services from one provider. A practice can outsource its whole revenue cycle or buy only certain pieces, such as credentialing, a backlog cleanup or a coding review. The company stresses account management, steady reporting and clear visibility into claims and receivables as central to how it works with clients.

Kia Cure, LLC is a medical billing and revenue cycle management firm. Its website says it is a New Mexico company, and public listings put its office on Mountain Road Place NE in Albuquerque. It works with clinics, hospitals and private medical practices that want to hand off back-office financial work.

The firm highlights home health billing in particular, and its marketing points to a high rate of claims accepted on first submission. Its goal is to help providers collect more of what they are owed, see fewer rejected claims and keep cash coming in steadily so clinical staff can stay focused on patients.

Core Services

The company covers the full revenue cycle, from patient intake and registration through final collection of balances. Practices can use it for the whole process or for separate parts of it:

• Medical billing and coding, adapted to each practice's specialty and workflow
• Revenue cycle management that covers billing, payment posting and collections
• Provider credentialing, so practices can enroll with as many insurance plans as possible
• Denial management to rework rejected claims quickly and recover lost income
• Billing audits to find missed revenue and compliance gaps
• Custom financial reports that show how the practice is performing

Technology and Approach

Kia Cure says it uses artificial intelligence and machine learning to help with coding, to flag claims likely to be denied and to track payments, which it says cuts down a lot of manual work. Claims are run through NCCI and OIG edits and checked against each payer's rules before they go out, so errors and underpayments are caught early.

Clients can configure modules such as billing rules and patient communications to fit their own payer mix and the places where they lose revenue. Automated workflows link coding to collections, with the aim of shortening the time between a visit and payment.

Reporting is a large part of the service. Clients get dashboards and reports they can adjust to show revenue gaps for their specialty and how staff are performing, which can help managers decide on staffing, payer contracts and process changes. The company says its support is hands-on and handles denials, underpayments and technical problems directly, without sending clients through a long ticket queue.

Compliance and Positioning

Compliance is a major part of the firm's pitch. It says its workflows meet HIPAA and SOC 2 standards and are monitored continuously so practices stay ready for audits. Its audit service looks at both missed revenue and regulatory risk, which may appeal to organizations that have had payer reviews or rising denial rates.

Kia Cure describes itself as a strategic partner rather than just an outside vendor. Buyers comparing billing companies will see that it bundles credentialing, coding, denial work and audits under one provider. That can suit home health agencies and small or mid-sized practices that want a single point of contact for most of their revenue cycle work.

Med-Ease Billing Associates, LLC is a small medical billing company with offices in two states. One office is in Albuquerque, New Mexico, and the other is in Great Falls, Montana. It handles the billing side of a medical practice so that clinicians and their staff can spend less time on paperwork and payer follow-up. Its website dates from 2018. For providers in and around Bernalillo, the Albuquerque office is the closest place to deal with the company in person.

Core Services

The company presents its work in three linked areas. Together they cover most of the revenue cycle after a patient visit:

• Medical billing: preparing and handling the billing records that come out of patient care
• Claim reimbursement: following claims through to payment so the practice is paid for the services it delivered
• Claim management and reports: keeping track of open claims and giving clients reports on where their billing stands

A practice that wants to try the service first can book a free demo and consultation through the company's online scheduling page. This gives buyers a chance to see how the process works before they sign up.

Flexible Working Arrangements

For buyers, the most notable feature is that clients can choose which software is used. A practice that already has a billing or practice-management system can give the Med-Ease team access to it, and the billing work is done inside the tools the practice already uses.

A practice without a suitable system, or one that wants to change, can have the work done on the company's own software. The company says it fits its process to each client's setup and builds the billing service around that practice's medical needs. This can matter for offices that don't want to move their data or retrain staff.

Team and Background

The company is run by a small team. Its website has individual pages for two team members, Clarissa Zamora and Jocelyn Quintana. A business listing describes Quintana as a co-owner. Because the firm is small, clients are likely to work directly with the same few people rather than being passed around a large call center.

The company says customer satisfaction comes first, and it describes its service as quick, approachable and fully operational. It also says its fees are modest compared with the range of work it covers.

Client Feedback

The homepage includes a client testimonial that praises the staff's professionalism and communication skills and the overall quality of service. The reviewer says they would not switch to another billing provider. Buyers comparing local billing firms can treat this as one client's view, not an independent rating.

Overall, Med-Ease Billing Associates may suit independent practices and smaller medical offices in central New Mexico or north-central Montana. It is a good fit for those who want billing, reimbursement follow-up and claim reporting from a local team, and who want to decide whether the work runs on their own software or the vendor's.

Medical Management Billing & Consulting is an independent medical billing and revenue consulting firm based in Albuquerque, New Mexico. Owner Rebecca Ellis founded it in 1994, and she still leads the company. Over three decades in business it has built its own methods for handling claims and reimbursement for healthcare providers. The office is in the city's northeast quadrant, and the firm says it takes on clients from across the country as well as from New Mexico.

Who They Serve

The firm works with practices and organizations of very different sizes, from small independent offices to larger groups. According to its business listing, its billing experience covers several clinical and operational settings:

• Private practices
• Hospitals
• Durable medical equipment (DME) suppliers
• Pathology providers
• Orthopedic practices
• Behavioral health providers

That range may suit buyers whose claim types and payer rules don't fit a generic billing workflow. Specialties like DME and behavioral health, for example, come with their own documentation and authorization demands.

What They Do

The company's main work is outsourced billing: getting claims out the door, following up with payers, and bringing revenue in. It aims to be fast, economical and dependable. The second part of its offering is consulting.

The firm highlights its history of stepping into practices whose revenue cycle has broken down, finding where it fails, and putting fixes in place that raise collections. It describes the results it aims for as steadier cash flow, less staff time spent on billing tasks and lower administrative overhead.

Its website also has a section on reports, which suggests clients get regular updates on how their accounts and billing are performing.

How They Work With Clients

The firm puts weight on personal service. Its owner invites prospective clients to meet her face to face so she can explain how the approach would apply to their practice before they sign on. That hands-on style is typical of an owner-run shop and may appeal to providers who want a named contact rather than a large call-center operation.

The company presents itself as a HIPAA-compliant billing operation, which matters for any practice handing protected health information to an outside vendor.

Background and Distinguishing Points

The firm has stayed under the same founder for its whole history. The Better Business Bureau lists it as an LLC with Ms. Ellis as owner and principal contact, though it is not BBB accredited.

For buyers comparing medical billing vendors in central New Mexico, its main selling points are its long track record, specialty coverage from DME to behavioral health, and a focus on rescuing troubled billing operations. It also combines day-to-day claims work with advisory services.

Practices in Los Lunas and the wider Albuquerque area can easily reach its local office for in-person meetings.

Overview

Medical Practice Billing, Inc. (MPB) is a firm based in Albuquerque that handles the business side of medicine for physician groups across New Mexico. It was founded in 2003 and provides complete revenue cycle support along with practice management consulting. Its clients include independent physicians in private practice, urgent care operators, hospitalist groups, and physician groups employed by hospitals.

MPB says it works with many different specialties and is open to adding more. It supports established practices that want to improve collections as well as new practices that are just opening.

Services

MPB covers almost every step from the moment a patient is seen to the moment the final payment arrives:

• Daily charge entry with verification checks so that no visit gets missed
• Coding by Certified Professional Coders, plus consultants for specific coding problems
• Claims are reviewed before electronic submission to raise first-pass acceptance
• Payment posting from electronic remittance files and paper remittance notices
• Accounts receivable follow-up and denial management
• Monthly patient statements, reminder calls and a patient help line
• Online payment portals for patients, with optional recurring payments
• Credentialing with commercial plans, Medicare and Medicaid
• Contracting with third-party payers and IPA development
• EOB review against contracted rates, with daily or monthly reporting

How MPB Works With Clients

Instead of one fixed package, the firm offers several ways to work together. In one setup, the practice keeps its own records and receives the payer checks, then sends the explanations of benefits to MPB for posting and follow-up.

Practices that would rather not buy their own software and hardware can use MPB's web-based practice management system for a monthly fee. Larger groups, usually those with ten or more physicians, can choose per-claim pricing. For doctors who work in hospitals, MPB gets patient demographics directly from the hospital portals.

Each client is assigned a team of billers instead of a single person, which the company says cuts down on errors. MPB representatives also answer patient questions about their statements, which takes that work off the practice's front office.

Performance Targets

MPB aims to keep accounts receivable under 21 days and reports that its current clients average about 10 to 17 days. The team runs aging reports every two weeks and calls insurers about claims more than 30 days old.

Its specialists look for denial patterns that keep coming back and share what they find with practice staff so the same problems are avoided later. The company also reports that it has raised practice revenue by 10 to 20 percent while reducing receivable days by ten or more.

For contracting work, MPB guarantees higher reimbursement, and it has announced a New Mexico IPA for the state's independent physicians.

Background and Leadership

The company was founded by Eric Lester, MBA, CPC, who grew up in New Mexico. He has an MBA in healthcare administration and finance from Northeastern University and a bachelor's degree in financial management from the University of New Mexico.

He is a member of the AAPC, the Medical Group Management Association, and professional societies in ophthalmic administration, maternal-fetal medicine, reproductive medicine and healthcare finance. MPB describes its staff as certified billers and collectors who are experienced with CPT-4 and ICD-10 coding, modifiers and multiple procedures on the same day.

The firm offers new clients a free consultation and practice analysis.

Mednet is a revenue cycle and claims management firm with an office in Albuquerque. It works with physicians, clinics and facilities that want an outside team to handle their claims.

A typical client is a doctor, practitioner or office manager whose practice has lost its dedicated biller, or whose in-house staff can no longer keep up with claim volume and follow-up. The company presents its work as a way to make practices more profitable and says it can raise client revenue by 20 to 30 percent.

Services

Practices can hand Mednet their entire billing function or bring the firm in for narrower projects. Its main offerings are:

• Receivables and billing management: Mednet takes over a practice's full billing operation and reports a 98 percent success rate on that work.
• Coding analysis: in-depth reviews of how procedures are coded, so providers are paid in full for the care they deliver.
• Electronic health record consulting and rollout: the firm's practice management software connects with more than 50 different EHR systems, which helps clients keep their existing clinical tools.
• Provider credentialing: handling the detailed enrollment paperwork so it is done correctly on the first try and revenue isn't lost to delays.

Who They Serve

Mednet works across many care settings, including:

• Urgent care clinics
• Surgery centers
• Emergency rooms and emergency departments
• Private practices
• Individual physicians

It also supports many other medical specialties. The firm describes itself as serving practices across the country, not just in New Mexico.

Background and Locations

Scott Wood founded the company in 1985 after spending ten years in billing work for Medicare. Wood paired his detailed knowledge of Medicare rules with an early interest in the personal computer, then a new tool, which made Mednet an early adopter of technology in the billing field. The current team still stresses innovation and dependable service. Besides the Albuquerque office, Mednet lists offices in Fresno, California; Austin, Texas; and Phoenix, Arizona.

Working With Mednet

Practices can ask for an estimate before signing on. Testimonials on the company site describe providers who moved billing out of house after losing money to weak internal processes and high collection costs. One physician says Mednet improved his practice's results within its first three months and has run its billing and collections for about a decade.

Another client, a small business owner, credits the team's efficiency and helpfulness with keeping her practice going during a hard period. Mednet also publishes articles on revenue cycle management, cutting down on denied insurance claims, and front-office customer service, which gives prospective clients a sense of how the firm approaches practice operations.

Overview

Headquartered in Albuquerque, Prestige Billing Co. handles insurance billing and provider credentialing, primarily for professionals in the mental and behavioral health field, with a secondary base of primary care offices. Chae McCahon launched the business in 2019 with a simple aim: absorb the administrative burden of insurance claims so that practitioners can devote their energy to patient care.

Its client list spans everything from individual therapists who see patients only a few days a week to multi-provider clinics, and the company maintains that each account receives the same level of care regardless of caseload size.

Services

Prestige structures its billing work into two levels and supplements them with credentialing support and recovery of unpaid balances. The standard package assigns each practice its own account manager, sends claims to both private and public insurers, and pursues every denied claim until it reaches a resolution.

The premium package builds on that foundation with no-cost access to the company's in-house clearinghouse, a custom monthly spreadsheet assembled manually, and staff who respond directly to patients with questions about their bills or coverage. The scope of work covers:

• Sending claims to private and public insurers and monitoring their progress
• Confirming coverage and plan benefits ahead of a new patient's initial appointment
• Filing requests for prior authorization and keeping watch on their status
• Examining electronic batch reports to correct mistakes and rejected submissions
• Recording payments received from insurers and from patients
• Chasing denials and outstanding receivables on a weekly cycle
• Producing monthly remittance summaries and sending statements to patients
• Enrolling groups and individual providers with insurers, adding clinicians to rosters, and maintaining enrollment status
• Cleaning up aging receivables to collect insurance money that is past due
• Overseeing the full revenue cycle and advising practices on billing matters

How They Work With Clients

Open, steady dialogue drives the way Prestige operates. Prior to taking on any new account, staff hold a meeting to understand what the practice needs and anticipates, then configure their services accordingly.

At the start of each week, on Monday, the practice receives an email outlining where its account stands, addressing any pending questions, and laying out the work scheduled for the days ahead. Clients may continue with the software and clearinghouse they already rely on or move to the platform Prestige supplies.

Instead of requiring practices to overhaul their routines, the firm shapes its own procedures around how each office already functions.

Team and Background

McCahon's path to ownership began with several years overseeing both operations and billing at a practice in Albuquerque. In that role she dealt regularly with Medicare, Medicaid and private carriers, handling denials, coverage verification, authorizations, corrected claims and payment entry. Academically, she is a UNM graduate twice over at the bachelor's level, having majored in psychology as well as advertising.

Steven Moya, who manages billing, entered the medical billing profession in 2017. He studied billing and coding at Carrington College and holds the CBCS credential awarded by the National Healthcare Association. Although behavioral health is his specialty, he has also worked with primary care and urgent care offices.

Morgan Dougherty, the company's credentialing specialist, received her training at San Juan College and is a Certified Coding Specialist. The remaining billing staff come from coding programs or from provider relations roles within behavioral health organizations.

The company points to its regular updates, tailored setup process and openness to a practice's existing systems as the qualities that set it apart. One licensed counselor, in a client testimonial, says the owner built her billing workflow from the ground up and that she has not had a single claim denied since Prestige took over. The firm operates out of Albuquerque and describes supporting therapists throughout New Mexico.

RevenueCare Core RCM, LLC is a revenue cycle management firm based in Albuquerque, New Mexico. It takes on outsourced billing work for healthcare providers. The office is in Albuquerque, but the company says it works with practices across the country. It presents itself as a partner for providers who want to hand off the administrative side of getting paid so their staff can concentrate on patient care.

The company describes its approach as analytical rather than purely transactional. Its team does more than send claims out. It reviews how a practice's billing cycle is performing and looks for the weak points that cause rejections or slow payments. It then changes workflows to improve collections and cash flow.

Its work runs from checking a patient's coverage before a visit through claim submission and pursuit of unpaid receivables. The company says it handles patient and financial data under HIPAA-aligned safeguards.

Services

• Medical billing and coding: applying established coding standards to produce clean claims, reduce rejections and keep billing consistent with payer rules and regulations.
• Provider credentialing: enrolling clinicians with insurance networks, confirming licenses and certifications, and managing renewals and re-credentialing so network participation is not interrupted.
• Denial management: tracing denied claims to their root causes, correcting and resubmitting them, and watching trends to lower future denial rates.
• Insurance eligibility verification: confirming coverage, co-pays, deductibles and plan limits ahead of appointments to support smoother patient intake.
• Advanced claims coordination: filing secondary and tertiary claims once the primary payer has processed them, and tracking those payments through coordination of benefits.
• Patient billing and account follow-up: preparing patient statements, reconciling balances, sending reminders and communicating with patients about what they owe.

Who they serve

The firm says its staff has experience with a range of medical specialties, a variety of EMR platforms and many payer networks. That suggests it can work within a practice's existing software rather than requiring a switch. The website has a separate specialties section, but the main page does not list specific specialties. Buyers with niche billing needs should ask directly about relevant experience.

Working with the company

RevenueCare Core RCM emphasizes easy onboarding. It advertises a fast signup, plain contract terms and transparent pricing without hidden fees. It also offers a no-cost first consultation for practices considering outsourcing. Clients have access to a support team that answers questions. The company names accuracy, openness and accountability as the standards it applies at each step of the billing process.

For buyers comparing medical billing vendors, the company stands out in a few ways. It combines credentialing with core billing and coding work. It pays attention to secondary and tertiary claims, which smaller practices sometimes leave uncollected.

It also pairs a New Mexico office with a nationwide client base, so practices in Bernalillo and the greater Albuquerque area have a provider nearby. The pages reviewed do not give a founding date, team size or staff certifications. Prospective clients may want to ask about credentials, reporting and performance metrics during the consultation.

Overview

Sundance Medical Solutions is a medical billing company based in Albuquerque, New Mexico. It handles patient and insurance billing for medical practices, so providers can hand off billing and collections. Its services are built for solo physicians and smaller group practices rather than large health systems. The company says it deliberately limits the size of its client list so that each account gets its team's full attention.

For buyers deciding whether to outsource, the company's pitch focuses on cash flow and overhead. Sundance argues that physicians who run a practice should not also have to keep track of changing Medicare rules. It presents its service as a way to protect revenue and cut the paperwork that claims create. Its stated goals are to process claims faster and more efficiently for the best possible reimbursement, and to lower the practice's day-to-day operating costs.

Billing and practice management services

The firm offers end-to-end billing along with practice management support. Its published services cover the core revenue cycle tasks a small practice would otherwise do in-house:

• Submitting claims to primary, secondary and tertiary payers
• Following up with primary and secondary insurers on open claims
• Posting payments from insurers and patients to the correct accounts
• Tracking unpaid claims and preparing letters of medical necessity when needed
• Telling the practice about incomplete claims or carrier requests for more documentation
• Producing patient statements and following up on patient balances
• Monthly and annual financial analysis, including a review of medical coding
• Handling workers' compensation, rehabilitation and durable medical equipment claims, including required attachments

Reporting and transparency

Reporting is a major part of the offering. Sundance says it can produce hundreds of different reports, with detailed charts and graphics that track the status of each claim and show how productive the practice is. Practice owners often worry about losing visibility once billing moves outside the office. These reports are meant to show them where their revenue stands at any time.

How they work with clients

The company says each engagement starts with learning what the client needs. After that, it stresses honest communication and full transparency for the whole relationship. It says it listens to client feedback and plays an active part in suggesting ways to improve the practice's business. The firm describes its staff as a committed group of professionals focused on steady, reliable results. It also says it understands that busy providers can use help with the daily demands of running a practice.

Compared with other medical billing options, Sundance stands out for its size and focus. It is a New Mexico firm aimed at smaller practices, it limits its client load to keep attention on each account, and it combines claims work with practice management and detailed reporting. The website does not list medical specialties, certifications, software platforms or company history, so buyers should confirm those details directly with the firm.

True Billing Tech, LLC is a medical billing and revenue cycle management firm headquartered in Albuquerque, New Mexico. It works with independent healthcare providers who want to hand off the administrative side of getting paid. Its team includes certified coders, billers and revenue cycle strategists, and the company works only with healthcare organizations. Its stated aim is to give smaller practices the kind of billing operation usually found at large health systems.

Who They Serve

The firm's clients are mainly outpatient and independent practices. Its site lists the following provider types:

• Family practice and internal medicine
• Dental clinics
• Mental and behavioral health practices, including solo clinicians
• Physical therapy
• Occupational therapy
• Speech therapy

The company says its coders have specialty-specific knowledge across more than ten specialties. That matters to buyers because rules and payer requirements differ a lot between, for example, dental and behavioral health billing.

Services Offered

True Billing Tech describes its offering as a full-service revenue cycle package that covers each stage from the first coverage check to the final collected payment. Key services include confirming patient insurance before visits, CPT and ICD-10 coding support, electronic claim filing, and payment posting reconciled against remittances. It also follows up on aging accounts receivable.

Its denial management work includes root-cause analysis, and appeal letters are part of the package. The firm also handles provider credentialing, payer enrollment, re-credentialing and CAQH profile upkeep. Practices can buy individual functions or outsource the whole revenue cycle.

How They Work With Clients

New clients go through a five-stage onboarding process. It begins with a no-cost consultation that looks at current billing results and systems. Next comes an audit of past claims to find denial patterns and lost revenue. The team then connects to the practice's EHR or practice management software and sets up workflows suited to the specialty.

After go-live, the firm verifies, codes and submits claims for the practice, followed by ongoing monthly reviews aimed at improving collections. Each client gets a dedicated account manager, plus weekly and monthly performance reports and dashboards that show where claims and payments stand.

What Sets Them Apart

The firm stresses HIPAA-compliant processes for its staff, systems and workflows, and says its pricing avoids long-term lock-in contracts. It reports a clean claim rate of around 98 percent, average days in AR in the high twenties, and a denial rate of roughly 3 percent.

It also claims more than 250 practices served, over $180 million in claims processed each year, claim turnaround of 24 to 48 hours, and more than 15 years of combined team experience. These figures come from the company itself and have not been independently verified.

Buyers comparing medical billing partners may want to ask for supporting data during the free consultation.

Firm overview

Ultimate Billing Solutions LLC, launched in September 2024 and headquartered in Albuquerque, provides reimbursement support exclusively to New Mexico providers in the mental and behavioral health field. The firm works with three main groups: independent therapists running their own offices, group practices with several clinicians on staff, and professionals in the early stages of launching a practice.

Rather than spreading itself across every branch of medicine, the company concentrates on therapy services alone. That narrow scope may make it a good match for organizations seeking a vendor already familiar with the codes, payer policies, and claim requirements specific to counseling and psychotherapy.

Scope of services

Nearly every stage of the reimbursement process falls within the firm's responsibilities, beginning with confirming a client's insurance before a session and ending with logging what payers remit. The company aims for accurately coded submissions that clear payer review the first time, a lower rate of rejected claims, and a dependable flow of income for each practice. Its offerings include:

• Pre-appointment verification of coverage and benefits, such as copay amounts, deductibles, coinsurance, and whether a referral or prior authorization is needed
• Building and transmitting insurance claims
• Recording incoming payments, applying adjustments, and reconciling remittances against EOBs and ERAs
• Investigating rejected claims and pursuing resolution
• Oversight of outstanding receivables
• Issuing client statements and handling collections from people paying out of pocket
• Support in working with Medicare, Medicaid, and private insurance carriers, including matters related to provider relations
• Guidance on regulatory compliance and clinical record-keeping

Working with the firm

Each relationship opens with an initial consultation, after which the company designs an approach tailored to the practice's scale and requirements. Offerings are arranged in levels. At the entry point is a stand-alone coverage verification service. A separate, single-engagement project audits a practice's accounts and establishes a payment posting process.

A middle-tier package covers claims, posting, and denial management for offices that want assistance while keeping some billing functions in-house. According to the company, its fees are transparent and adaptable, and every client deals directly with the owner instead of a shifting group of staff members.

Leadership and qualifications

Founder Tammy Saavedra leads the business and brings over thirteen years spent assigning codes and processing healthcare claims. The American Academy of Professional Coders has certified her as a Certified Professional Coder (CPC). In 2011 she graduated with honors from Colorado Technical University, earning an associate of applied science credential centered on healthcare coding and reimbursement.

Between 2022 and 2024, she served Magellan Health Services as a provider relations liaison, educating clinicians, settling claim disputes and appeals, and clarifying the rules of Medicaid, Medicare, and private insurance plans.

Earlier, she held a contract coding position with the 377th Medical Group at Kirtland Air Force Base, where her duties within the military health system included CPT and ICD-10 code assignment, compliance tasks, and training personnel.

A key distinction for this company is that its owner has experience on both sides of the reimbursement relationship, working for providers as well as for a payer, and she personally performs the work for clients.

Organizations evaluating billing vendors should understand that this is a small business led by its owner and devoted to behavioral health, rather than a sizable outsourcing operation serving many specialties. Solo therapists and expanding group practices that value direct access and a partner versed in New Mexico insurers may find that arrangement attractive.

VOSKPO LLC provides revenue cycle management to independent medical practices throughout the United States, taking on billing and the administrative tasks connected to it. According to the company, it began operating in 2015, and clients communicate with staff located in the US. Its listed office sits in the center of Albuquerque, New Mexico.

The firm is a natural fit for physician-owned clinics and specialty groups that prefer to give the money side of their operations to an external partner instead of developing those skills internally.

Core service lines

VOSKPO organizes its offerings into six categories. A practice may purchase any single category or bundle several together for complete outsourcing:

• Medical billing: auditing charges before release, transmitting 837P claims, correcting rejections returned by the clearinghouse, recording electronic payment files and pursuing unpaid claims
• Denial management: grouping denied claims by CARC/RARC code, insurer and filing deadline, resubmitting corrected claims, drafting formal appeals, and tracing underlying problems back to eligibility, prior authorization, coding or charge entry
• A/R follow-up: pursuing outstanding balances through each conventional aging category, reaching out to insurers and patients, and comparing payments with negotiated rates to spot shortfalls
• Medical coding support: confirming that CPT, HCPCS and ICD-10-CM selections match the clinical record, examining modifier use including 25 and 59, and routing queries back to clinicians
• Credentialing and payer enrollment: assembling CAQH ProView, PECOS, NPI and insurer applications, processing updates to provider rosters and practice sites, and monitoring every file until Medicare, Medicaid and commercial plans activate coverage
• Payer contracting: building an inventory of current agreements, evaluating contract language and fee schedules, and mapping out the implementation of each agreement ahead of the first claim

Beyond these categories, the firm produces revenue cycle reports covering collections, unpaid receivables broken out by age and insurer, and the leading causes of denials. It also runs a Practice Incubator for doctors launching a new clinic, which handles credentialing, enrollment, EFT and ERA configuration, and billing preparation so everything is in place before the opening day of appointments.

Products and technology

Under the OneDocRix brand, VOSKPO markets a group of software tools. VOSDOC handles the exchange of documents, while VOSONE assists with staffing and human resources tasks. VOSRIX, an analytics dashboard focused on revenue, is described by the company as not yet finished. A single protected portal gives clients access to both VOSDOC and VOSRIX.

How engagements work

Prospective clients typically begin with a no-cost assessment of their revenue. The practice supplies the data available to it, and VOSKPO returns findings on denial patterns, insurer behavior, receivables aging, and weaknesses in coding, documentation, enrollment or contracts, along with unresolved questions and suggested actions ranked by importance.

Both parties rely on this assessment to settle the scope of work before signing on. Day-to-day service emphasizes clear ownership: each preventive task, outstanding balance and enrollment milestone is tied to a specific individual, a dated note and a stated follow-up action.

Deliverables include denial inventories, ranked task lists, notes at the account level, records of submissions and status tracking by insurer. Client testimonials on its website cite weekly billing updates and end-of-month projections that landed near the final figures.

VOSKPO states that it meets HIPAA requirements and concentrates on independent practices. Its intake form lets prospects choose from roughly a dozen specialty categories, among them primary care, behavioral health, radiology, emergency medicine and multi-specialty groups, as well as a range of additional medical and surgical fields. The company also posts articles on a recurring basis about Medicare appeals, interest owed on overpayments and MIPS reporting, which prospective buyers can use to gauge its grasp of regulatory matters.