Medical Billing Companies & Consultants in East Elmhurst, NY

Overview

Pulse Billing, which also refers to itself as Pulse Billing Solutions, is an outsourced medical billing and practice support firm with its office in East Elmhurst, New York. The company reports more than eight years of experience in the field.

It pairs claims work with project management and IT support, so a provider can hand off both the financial and the administrative sides of a practice to one partner. Its published office hours run Monday through Friday on Central time.

Buyers in the Cuyahoga Falls area should note that the firm is based in New York and should confirm coverage for their state.

The firm tailors its work to the specialty involved. Its site names several kinds of providers it supports:

• Chiropractors
• Physical therapists
• Mental health professionals
• Other independent healthcare practices

Services

Pulse Billing positions itself as a full-service vendor that combines billing with turn-key setup of a practice. Its main offerings include:

• Claims submission, coding and follow-up on unpaid or denied claims
• Provider credentialing, payer contracting, fee-schedule negotiation and contract review
• Selection and setup of EHR, practice management and clearinghouse systems
• Configuration of electronic data interchange, electronic remittance advice and electronic funds transfer
• Revenue cycle assessments and gap remediation
• Insurance verification and medical transcription

How They Work With Clients

New clients can keep the billing software they already use. Practices without a system can pick their preferred EHR, practice management tool and clearinghouse, and Pulse Billing completes the enrollment paperwork. During onboarding the team sets up electronic claims, remittances and deposits so the office can work largely without paper. Revenue cycle engagements begin with a review of the practice.

The team then writes a short report on where money is being lost and works through each issue in turn. Collections staff chase outstanding balances with the stated goal of clearing insurance receivables older than 90 days.

Terms and Commitments

Pricing is offered under three structures: a flat monthly fee, a charge per claim, or a percentage of collections. The firm says it requires no long-term contract and lets clients cancel when they choose. It also advertises a guarantee under which clients do not pay if their expectations are not met. A free first consultation is available to prospective clients. All work is described as following HIPAA privacy and security rules.

Background and Differentiators

The company credits its results to a team led by managers with practical, hands-on billing experience. According to its own figures, it achieves a 95 percent first-pass claim acceptance rate, and clients typically see practice income rise by 10 to 20 percent.

It also presents its service as a hedge against staff turnover, since it can absorb billing, credentialing and payer paperwork that would otherwise fall on office employees. For practices that want billing, enrollment and system setup handled by a single vendor on flexible terms, Pulse Billing offers a broad, integrated package.