Medical Billing Companies & Consultants in Bridgeville, PA

Located in Bridgeville, Pennsylvania, just southwest of Pittsburgh, Triple B Billing & Consulting, Inc. offers medical billing services alongside advisory support for health care practices. Its clients are offices looking to strengthen their financial performance and their adherence to regulations, so that clinicians and front-desk teams can devote their attention to patient care. Every member of the staff holds a coding certification, and the company regards precise code assignment as the cornerstone of reimbursement as well as audit preparedness.

Revenue Cycle and Billing Support

Triple B takes over the everyday tasks that move a claim from submission to settlement. Its services follow each charge from the moment it is recorded until the account is paid in full:

• Submitting claims both electronically and on paper
• Processing 837, 835, 277 and 997 EDI transactions
• Examining fee tickets and the records behind them
• Assigning diagnosis and procedure codes
• Confirming patient coverage and obtaining pre-authorizations
• Pursuing aged accounts receivable
• Working rejected claims and filing appeals with insurers
• Enrolling both group practices and individual clinicians with payers

Advisory Services for Compliance and Operations

The company also serves as a guide on regulatory and operational matters. It performs compliance reviews and examines patient records, helps practices maintain HIPAA safeguards, and briefs clients on evolving expectations for clinical documentation, legally sound record keeping, medical necessity, insurer policy updates and revisions to coding guidelines. Its advisory work extends into practice management as well. Triple B assists with opening a new practice or expanding to additional locations, implementing electronic health record platforms, and providing human resources help such as personnel audits and supervision of staffing. It also recruits and trains employees, develops strategies for retaining existing patients and drawing in new ones, and prepares statistical reports along with interpretation of the data.

Leadership and Background

Kristyn M. Billings, the firm's owner and chief executive, holds the CPC, CPB, CHP, HCA and MHRM designations. She entered the health care field in 1997. Her undergraduate studies centered on running health care organizations, and she went on to earn a graduate degree focused on managing people in the workplace. Over the years she has worked in small practices, in large multi-provider groups employing ten or more clinicians, for insurance companies, and in the classroom. During her time at Blue Cross Blue Shield, she served in specialized units handling benefits and claims. With a second large commercial carrier, she investigated denied claims within its provider-facing departments.

For practices weighing one billing company against another, this experience inside insurance companies may be the most meaningful distinction. Having observed claim adjudication from the payer perspective, Billings can lead the firm through insurer roadblocks using methods that remain lawful and compliant. She has managed multiple significant audits by commercial carriers and Medicare, as well as record review cases with substantial dollar amounts at stake. Her expertise spans ICD-9, ICD-10, CPT and HCPCS coding, national and local coverage determinations, and the rules governing reimbursement. In addition, she instructs students in medical coding and health care administration through a nursing program at a nearby college. Practices seeking a single partner to manage billing, provider enrollment, compliance and growth strategy will find all of those capabilities brought together at Triple B, a locally owned company.