Medical Billing Companies & Consultants in Honeoye Falls, NY

Founded in 1999, Priority Medical Billing is an independently owned company that codes and bills medical claims for healthcare providers. Its home base is Honeoye Falls, a community located a short drive south of Rochester, New York. The firm's clients include physician practices, therapists and a range of other care providers that prefer to hand off insurance claims and reimbursement work to an outside expert. Describing itself as a reimbursement consultancy as well as a billing provider, the company aims to raise the amount its clients collect while holding down the expense of running the back office.

Services

Priority Medical Billing processes claims in both digital and paper form, and it manages each claim's full life span, from the initial filing to the moment payment arrives. Core services include:

• Medical claim coding and billing
• Submission of claims electronically
• Billing to both primary and secondary payers when a patient carries multiple insurance plans
• Management of receivables and preparation of patient statements
• Pursuit of claims that are overdue, unpaid or denied
• Financial analysis reports delivered every month
• Transcription of medical records
• Handling of excess claim volume and temporary help during staff absences

Specialties

Because the company has submitted claims across a wide variety of disciplines, it is equipped to support allied health professionals as well as medical practices. Specialties it lists include pulmonology, durable medical equipment for respiratory patients, podiatry, physical therapy, optical services, psychotherapy, general medicine, internal medicine, orthopedics, chiropractic care and acupuncture. The firm further highlights a concentration on psychology, orthopedic surgery, and providers of orthotics, prosthetics and pedorthics.

How It Works With Clients

Rather than requiring a particular software package, Priority Medical Billing adapts to each practice. It is able to operate within whatever billing platform a client already uses, or it can help transition the practice onto different software. Clients may choose to have the firm manage that platform on their behalf or keep management in their own hands. Internally, the company relies on NDC Lytec, and its staff has experience with Meditech, Medent, Jane, Epic, eClinicalWorks (ECW) and Instamed. Each practice communicates with the same individual who handles its account instead of being routed through a changing help line, and meetings are arranged to fit the client's schedule. According to the firm, it presses insurers persistently so that claims do not stall.

The company's fees depend entirely on collections, meaning it earns money only when its clients do. Prospective clients can request a consultation and price estimate at no charge, whether they need help with a one-time project or continuing support. The firm notes that its agreements are open to negotiation and pledges that clients will not face unexpected price increases or periodic contract reassessments. It also reports compliance with HIPAA rules.

Background and Credentials

The business was started by Annette Spanganberg, whose experience spans patient care and coding. She is registered with New York State as a respiratory therapist and currently works as a registered nurse, with a career covering hospital settings and home care. Her academic path began at Erie Community College, where she completed a two-year associate program in the respiratory therapy field, graduating in 1990. She went on to finish an associate degree in nursing at Alfred State College in 2010, followed by a BSN from Roberts Wesleyan College in 2019. The AAPC has certified her as a Certified Professional Coder, and she additionally holds a credential in medical transcription. For practices evaluating billing partners, the company's distinguishing features are its founder's combination of direct clinical experience and recognized coding certification, plus a track record exceeding twenty years.