Medical Billing Companies & Consultants in Bensalem, PA

Overview

Medical Revenue Associates, Inc., known as MRA, is a firm in Bensalem, Pennsylvania, that handles outsourced billing and reimbursement work for physician practices. Most of its clients are private practices and individual practitioners who would rather hand off claims administration than run an in-house billing department. The company is based in Bucks County, just outside Philadelphia, but says it can work with physicians anywhere in the United States. It reports clients in Pennsylvania as well as Ohio, New York, Texas, New Jersey, Georgia and California.

Background

Rob Levin started the company. He has worked in healthcare billing since 1984. Levin began on the provider side of healthcare, where he specialized in revenue cycle and credentialing work. He later formed MRA because he believed other practices would benefit from a team devoted only to billing on their behalf. The firm says integrity, steady communication and genuine care are at the center of its approach. It is a member of HBMA, a national trade association for billing companies. Through that membership it can use the association's lobbying presence in Washington and its links to CMS to keep track of federal rule changes.

Services

MRA covers the full billing cycle and several related functions:

• Physician and medical billing, including charge entry and electronic claim submission
• Payment posting and tracking of primary, secondary and patient payments
• Denial management and follow-up on open or unpaid claims
• Mailing patient statements and answering patient billing calls
• Accounts receivable management and outsourced A/R work
• Credentialing of providers with insurance carriers for all specialties
• Billing and collections consulting
• Revenue cycle management
• A free revenue audit with no obligation

How Engagements Work

In MRA's model, the practice's main job is to prepare its daily encounter and demographic information. Practices can send charge data by courier, by scanning or by encrypted email, which keeps the transfer HIPAA compliant. MRA staff can also log into a client's EMR to pull claims. The team then enters the charges, files claims electronically wherever possible, and handles questions from carriers and patients, passing any complaints back to the practice. Payments go into the practice's own bank account within a day of receipt, and the client is told about each deposit. Overdue patient balances go through a 90-day series of statements. Each client's billing setup follows a task list written into its agreement. The company says it charges no hidden fees and bills only after revenue comes in.

What Sets It Apart

MRA uses its own practice management software, which flags problem claims automatically. Unpaid items, or claims that need a call to the carrier, appear each morning so staff can work on them without searching. The software is updated to keep up with payer requirements such as 5010 and ICD-10. The firm also stresses checking claims for errors before submission and offers five-day-a-week coverage that continues when staff are sick or on vacation. It also holds regular review meetings, where the Chief Operating Officer or an account manager goes over reports with the client and may suggest changes to coding, modifiers and diagnosis codes. Practices thinking about switching can get the free revenue audit, and MRA says it will not follow up with sales pressure afterward.

Prime Well Med Solutions is a healthcare administration firm that serves physician practices billing Medicare and commercial payers. It is best known as a CMS-qualified MIPS registry, and it pairs that quality reporting work with revenue cycle management, medical billing support and practice operations consulting. Buyers comparing billing vendors will find it most relevant if they want one partner to handle both claims performance and federal quality program requirements.

Revenue cycle and billing

The firm's revenue cycle work covers the steps between a patient visit and a posted payment. On the front end, staff confirm patient details and registration. On the back end, they work remittances, adjustments and denials. The company says it looks for the root causes of claim rejections rather than simply resubmitting them. It also uses automation and an EHR-based platform to reduce manual errors. Patients can receive cost estimates before an appointment, which helps set expectations about out-of-pocket balances.

• Charge capture and validation using charge sheets and EHR data
• Coding and documentation compliance checks
• Reconciliation of charges against claims and payer contracts
• Timely payment posting and remittance processing
• Denial management, appeals and follow-up on underpayments
• Financial reporting that gives practices visibility into collections

MIPS and quality reporting

Quality reporting is the company's core specialty. It supports clinicians reporting as individuals, as groups, through MIPS Value Pathways or through the APM Performance Pathway. Its consultants plan measure selection, monitor data completeness throughout the year and submit results to CMS. The aim is to help practices reach the scoring threshold and avoid negative Medicare payment adjustments. The firm states that it works with any certified EHR, signs business associate agreements and operates in a HIPAA-compliant way. Each client is assigned a dedicated consultant. Clients also get access to a reporting dashboard and a quality performance analysis tool, and the website includes a free calculator for estimating payment adjustments.

Compliance and practice operations

Beyond billing and reporting, the firm offers compliance programs covering HIPAA privacy, OSHA, CMS and OIG requirements. This work includes risk assessments, policy writing, audit preparation and staff training. Its practice management services focus on improving workflows, training staff and integrating software. Patient engagement services cover scheduling, communication and feedback collection. The company also provides security risk analysis, which is a required element of the MIPS Promoting Interoperability category.

Specialties and background

The firm supports a broad range of specialties, including:

• Cardiology, pulmonology and nephrology
• Dermatology, podiatry and ophthalmology
• Anesthesiology and emergency medicine
• Diagnostic radiology and radiation oncology
• Gastroenterology, endocrinology and infectious disease
• Neurology, urology and otolaryngology

Prime Well Med Solutions operates from an office in Bensalem, Pennsylvania, in Bucks County just outside Philadelphia, and works with practices across the United States. Client reviews published on its site praise named consultants for being responsive and for handling specialty-specific measure requirements. The company also runs referral and partnership programs for organizations that want to work with it.