Medical Billing Companies & Consultants in Middletown, OH

Proclaim Billing Services is a small medical billing company in Middletown, Ohio. It works for one narrow group of healthcare providers: suppliers of durable medical equipment (DME) and clinics that offer prosthetic and orthotic (O&P) care. The firm does not try to handle every medical specialty.

Instead, it has chosen to focus on these three closely related fields, so the billing team can learn the coding, documentation and payer rules that apply to them in depth. Its main promise to clients is simple: providers stay focused on their patients while Proclaim works to get their claims paid.

Background and Team

Kelly Gies founded the company. She has said that limiting the work to DME, prosthetics and orthotics is a deliberate strategy for building specialist knowledge. Proclaim also has a working relationship with Cornerstone Prosthetics and Orthotics, which gives the billing staff daily exposure to how an O&P clinic actually runs.

Because of this, the team sees reimbursement problems from the provider's side as well as from the billing desk. Its LinkedIn profile lists it as a privately held firm with between two and ten employees. Buyers who want a small team and direct contact with senior staff may find that size appealing.

Services Offered

Proclaim provides outsourced billing and revenue cycle support built around the needs of equipment suppliers and O&P practices. Across business listings and its company profile, its services include:

• Full medical billing for DME, prosthetic and orthotic providers
• Accounts receivable follow-up and collection management
• Preparing and submitting clean claims to reduce denials
• Compliance support for billing practices
• Electronic clearinghouse setup and management
• Posting payments into the client's EMR system
• Billing training for practice staff
• Consulting on business and billing processes
• Payer correspondence and appeals work

How They Work With Clients

The company offers new clients a free initial consultation. This suits practices that want to change billing vendors or simplify their internal processes to improve their finances. Proclaim says it meets with each provider in person, designs a billing setup that fits that practice, and looks for ways to make the client's operations run more smoothly. It describes itself as a financial partner for managing the whole revenue cycle, not just a claims processing service.

What Sets Them Apart

The firm's specialist focus and its practical experience inside a working O&P clinic are the main things that set it apart from general billing companies. One client review on a public directory came from Master's O&P, a practice in Washington State. The reviewer said that previous billing vendors had missed appeal deadlines and cost the practice money.

According to the review, Proclaim pursued appeals firmly, won some cases the client had expected to lose, and Kelly Gies's leadership was a key reason. The company's phone listings also suggest it serves providers outside Ohio. For DME suppliers and prosthetic or orthotic clinics comparing billing partners, Proclaim offers a small, specialized option with close attention to appeals and receivables.