Medical Billing Companies & Consultants in Springfield, OR

Twin Oaks Medical Management is an Oregon-based firm that handles the business side of running a medical practice for independent providers and clinics. Its main focus is billing and revenue support. The aim is to take paperwork and administrative work off clinicians so they can spend more of their day with patients.

The firm wants to raise revenue and make operations run more smoothly for its clients. It describes itself as working like part of each client's own team rather than as a distant vendor.

Specialties and Clients Served

The company began by billing for mental health providers across Oregon. It has since grown to cover a much wider range of specialties, including:

• Mental health
• Physical and occupational therapy
• Family practice
• Massage therapy and acupuncture
• Podiatry
• Rural health clinics
• Women's health

The office is in Springfield, but the firm says it takes clients anywhere in the country and will travel for meetings.

Billing and Revenue Cycle Services

Billing service levels are set to match what each practice needs. Clients can buy a full package or pick only the services they want. The coders hold AAPC certification and review claims for accuracy, check that documentation supports the codes billed, and work to cut denials. All coding follows CPT, ICD-10 and CMS rules.

Consulting work covers billing audits, revenue cycle improvements, reviews of EMR/EHR efficiency, help choosing an EMR, and one-time cleanup of aging accounts receivable. On the contracting side, the team analyzes a practice's most-used services, sets up reimbursement approaches suited to its specialty, and negotiates new or renewed agreements with commercial and government payers.

It works with fee-for-service, capitation, ACO/CCO and other payment models.

Credentialing, Compliance and Practice Support

For credentialing, the firm sets up CAQH and Optum profiles, gets NPI numbers and Medicare PTANs, fills out state credentialing packets, and sends all required paperwork to insurers. Compliance help includes codes of conduct, policies, corrective action plans, investigations, monitoring and audits.

Practice management support covers scheduling, referrals, prior authorizations, insurance eligibility checks, HR manuals, staff training, onboarding new providers and improving workflows. It also has a step-by-step program for providers opening their own clinic. Training topics include HIPAA, fraud, waste and abuse, provider-specific coding and documentation, and using One Health Port.

Leadership and Credentials

Owner Tracy Nelson, MCS-P, founded the business and runs all of its operations. She has 35 years of experience in the field. Account manager Debbie Smith holds the CPC, CPC-P, CPMA and MCS-P credentials and leads coding, compliance, auditing and training.

Her experience covers both provider and insurance work, and she has taught coding and reimbursement courses at a community college since 2012. Both are active in the AAPC and MCT organizations. The firm says its team has more than fifty years of combined experience. It commits to open communication, honesty and goodwill with its clients.