Medical Billing Companies & Consultants in Queensbury, NY

Adirondack Billing & Credentialing is a revenue cycle support firm for healthcare practices, handling claims, enrollment and reimbursement work for providers in both medical and behavioral health settings. The company is based in the Queensbury area of upstate New York and describes its client base as practitioners throughout New York State as well as in other states. It is a fit for buyers who want to hand off administrative billing and payer enrollment tasks to an outside team rather than staff them internally.

Services Offered

The firm presents its offering as a full-service package that can cover a practice's entire billing cycle or individual pieces of it. Its published service lineup includes:

• End-to-end revenue cycle management
• Medical billing with coding, claim submission and follow-up on unpaid claims
• Mental health billing
• Provider credentialing and enrollment with insurance panels
• Checking patient coverage before appointments
• Insurance claims processing and tracking
• Electronic claim submission to cut down on errors and speed up payment
• Medicare and Medicaid billing for federal and state programs

Specialties and Experience

Government payers are a particular area of focus. The company says it has more than three decades of experience in the industry, with a strong emphasis on Medicare and Medicaid claims, and that the last ten years have been devoted mainly to outpatient billing. Mental health is a recurring theme throughout its materials, so counseling, therapy and psychiatric practices may find its experience especially relevant. General medical practices are also served.

How They Work With Clients

Adirondack Billing & Credentialing uses a single integrated software platform for billing and credentialing, which it says keeps both workflows coordinated. The company stresses confidentiality and compliance with HIPAA, and it highlights accuracy, efficiency and openness with clients as core working values. One detail buyers may notice is its pricing structure: fees are calculated as a percentage of collections rather than charged per claim. This aligns the firm's compensation with what the practice actually receives. Prospective clients can request an appointment through the website to discuss their needs. The office is open on weekdays and for limited hours on Saturdays.

Background

The business was started by a founder who survived cancer, and the company credits that experience with shaping its persistence and its focus on getting the work right. The founder leads a team of experienced billing professionals. The firm's stated goal is to take the burden of insurance rules, coding requirements and claim procedures off providers so they can spend their time treating patients. For practices comparing outsourced billing vendors, the main distinguishing points are its long Medicare and Medicaid track record, its pairing of credentialing with billing under one provider, and its percentage-based fee model.