Medical Billing Companies & Consultants in Canton, OH

Concept Billing Solutions LLC is a medical billing and revenue cycle firm with its US office in North Canton, Ohio. It mainly works with small healthcare practices, though it also takes on larger provider organizations and institutions. Clients come from across the country. The company's stated goal is to take the administrative side of reimbursement off providers so they can spend more time with patients.

Billing and Coding Expertise

The firm handles both professional and institutional claims. It also bills for emergency room and out-of-network services, which tend to need more careful handling. Its billing work covers the full path of a claim, from preparing and submitting it to processing payments, with the aim of reducing denials. A team of certified coders turns diagnoses, procedures and treatments into standard codes, so claims go out clean and the practice stays compliant.

Service Lineup

Beyond core billing, Concept Billing Solutions offers a set of related front-end and back-office services that buyers can combine as needed:

• Claim submission, payment processing and denial reduction
• Certified medical coding for accurate reimbursement
• Credentialing and enrollment with insurance payers, hospitals and networks, including CAQH and PECOS profile maintenance and timely renewals
• Negotiation of payer contracts to improve reimbursement rates
• Verification of benefits to confirm patient eligibility before services are billed
• Prior authorization handling for practices in all 50 states, with real-time case tracking
• Patient billing designed to be clear and easy for both patients and staff

The credentialing team says it can work with any specialty, including laboratories and durable medical equipment suppliers. It submits applications to insurers and follows up until each case is closed.

Specialties

The company has dedicated programs for specific medical fields. It runs complete urology billing for urology facilities, and its nephrology program focuses on kidney care practices, where getting coverage and authorizations approved can delay treatment. The firm also says it serves home health agencies and helps them streamline their billing.

How It Works With Clients

New clients usually start with a consultation, which can be booked by phone, by email or through the website. The firm reviews the practice's needs and then builds a billing setup to match. Each client gets a single point of contact, which simplifies communication for practices that don't want to deal with several representatives.

Besides the North Canton location, the company lists a second office in Islamabad, Pakistan. Buyers who want an Ohio-based partner for billing, coding, credentialing and authorizations in one package may want to add Concept Billing Solutions to their shortlist.

Health Align Solutions LLC, which operates online under the MDHealthBilling name, is a medical billing firm that presents itself as serving healthcare providers in the Canton, Ohio area. The company handles the financial back office for physician practices. Its stated purpose is to take on the claims and paperwork side of practice management so clinicians and their staff can spend their time on patients instead.

Core Services

The firm's main offering is full-service billing and coding, and several related revenue cycle services are built around it. According to its service pages, the work runs from the start of a patient encounter through final payment:

• Medical billing and coding for diagnoses and procedures, using current CPT and ICD-10 standards
• Revenue cycle management
• Insurance eligibility verification and prior authorization
• Claims submission with ongoing follow-up on pending claims
• Denial management and appeals
• Accounts receivable recovery
• Payment posting and patient statements
• Medical records management, reporting and performance analysis
• Virtual medical assistant support

Health Align also offers provider credentialing and enrollment. This covers initial credentialing, re-credentialing, verification of credentials and enrollment with payers, including commercial carriers. The company says this work follows NCQA standards. It also helps providers complete their CAQH profiles and gather the required documents, such as licenses, board certifications, malpractice coverage records, and NPI and DEA details. Along with these services, the company says it provides electronic health record software and technology-based tools for billing, transcription and managing healthcare services.

Specialties Served

The company says it bills for all specialties, and its site has dedicated pages for a long list of them. These include ambulatory surgery centers, allergy and immunology, anesthesia, cardiology, dermatology, gastroenterology, internal medicine, mental health and psychiatry, nephrology, neurology, OB/GYN, oncology, ophthalmology, orthopedics, pain management, pathology, pediatrics, podiatry, radiology, urgent care, urology and wound care. Client testimonials on the site come from physicians in internal medicine, family medicine and gastroenterology.

How It Works With Clients

Health Align offers customized arrangements for practices at any stage, from new startups to physicians preparing to retire. It targets practices whose revenue is falling or whose in-house billing has become inefficient. Each client is assigned a dedicated practice manager as its main point of contact. The company says it provides support both within normal business hours and after hours.

It also takes over staff training and keeps up with billing rule changes, so the practice does not have to. The firm describes all of its processes as HIPAA-compliant and its coders as certified.

Background

The company reports about ten years of experience in medical billing and more than 200 clients. Its website gives a Canton-area office on Market Avenue North and also lists an office in Orlando, Florida. On its home page, the firm cites a 98 percent first-pass claim acceptance rate.

It also says practices can lower their operating costs by up to 70 percent by outsourcing their billing to it. These figures are the company's own claims and have not been independently verified.