Medical Billing Companies & Consultants in Springfield, OH

Overview

Medical Professional Resources, commonly abbreviated MPR, is a medical billing and coding company located in Springfield, Ohio. It positions itself as a full-service partner for physician practices that want to hand off the paperwork of reimbursement. The firm says its clients typically recover between 20 and 50 percent of the time they once devoted to billing, freeing clinicians to concentrate on their patients.

History and people

MPR was founded 29 years ago by a person trained in information technology, who spent several years working solely within the medical field. Having seen the difficulties physicians face, the founder collaborated with a number of doctors to shape an organization built to support working clinicians as fully as possible.

Today the company describes itself as known for efficiency, quality and professionalism. Its employees are described as seasoned and well trained, and many hold certification as coders. The team also follows shifting billing policies and practices so that client offices are spared that burden.

What the company handles

The service menu spans the whole life of a claim, from the first entry to the collection of money owed. Offerings include:

• Daily entry of claims
• Filing claims either electronically or on paper
• Dedicated follow-up on open items
• Correction and resubmission of claims
• Follow-up and resolution of denials
• Management of claim status
• Payment posting and adjustments
• Patient statements and responses to patient inquiries
• Management of collections
• Monthly reports tailored to the practice, plus meetings when needed

Quality measures and software

Every claim is scrubbed before it is submitted, a step intended to reduce rejections and denials. Other routine safeguards named by the company include compliance with HIPAA, up-to-date coding tools and software, work with CPT, ICD-10 and HCPCS codes, adherence to insurer and government requirements, and fast turnaround.

MPR operates on eClinicalWorks, which it calls a world-renowned platform for billing and electronic medical records. A practice can begin using that system with MPR or stay with the one it has now, leaving the decision to the client.

Specialties

The company lists a wide range of medical fields among its clients, including:

• Internal medicine and family practice
• Cardiology and endocrinology
• Urgent care
• Pulmonary care
• Interventional radiology
• Surgical, foot, kidney-related, joint-disease, cancer-treatment and mental health practices, among others

Fee structure

MPR carries no fixed costs. Its compensation comes solely as a percentage of the money it collects, which the firm says keeps its interests aligned with those of its customers and gives it reason to maximize collections. Together with its software flexibility and nearly three decades in business, this arrangement is among the main features that distinguish the company.

Practice-Pro, LLC is a medical billing and practice management firm based in Springfield, Ohio. It works directly with physicians and their offices. The company describes itself as a growing business, and its approach centers on hands-on, personal service rather than a high-volume, one-size-fits-all model. For practices comparing billing vendors, its main selling point is close individual attention to each client's billing and patient account records.

Specialty Focus

Pain Management is the firm's stated area of specialty. That focus matters to buyers in this field because pain practices often perform procedure-heavy work, where correct coding and payer approval have a direct effect on revenue. Practice-Pro offers to judge which procedures are likely to be approved and reimbursed.

The goal is to keep the practice from spending effort on services that will not be paid. Physicians in other specialties can still consider the firm, but its expertise is clearly built around pain medicine.

Billing and Revenue Cycle Services

On the day-to-day billing side, Practice-Pro runs a claims processing system that can send claims to payers every day. The company says this daily cadence helps speed up reimbursement from insurance carriers. Staff examine each explanation of benefits (EOB) in detail to confirm that procedures are paid at the highest appropriate level. The firm also pursues outstanding balances promptly. Its core billing offerings include:

• Prompt preparation and filing of insurance claims
• Accurate medical coding
• Fast follow-up on collections
• Careful review of EOBs to capture full payment
• Secure lockbox handling of deposits
• Management of patient accounts

Consulting and Practice Setup

Beyond claims work, Practice-Pro acts as a consultant to medical offices. It can assess an existing practice's billing and collection performance to find weak points. It also builds and applies fee schedules and designs superbills that make charge capture more reliable. The firm advises on how procedures are structured so that providers are properly compensated for the work they do.

It will even help plan the layout of specialized treatment rooms. Physicians opening a new office can turn to the company for help getting the operation established, which makes it an option for both start-ups and established groups.

What Distinguishes the Firm

Several traits set Practice-Pro apart for prospective clients. It combines clinical-operations consulting with billing execution, and it has a specific concentration in pain management. Its message is built around making billing simpler for the practice, so physicians can run a business that is more profitable and has fewer administrative headaches.

Clients can engage the firm for a single service or a full package. The company operates from an office on Derr Road in Springfield, Ohio, which suits practices that value a locally based billing partner.