Medical Billing Companies & Consultants in Jenkintown, PA

Medical Billing & Consulting Group LLC is a revenue cycle management company headquartered in Jenkintown, Pennsylvania, a community just beyond Philadelphia's northern city line. Its clients are doctors and other healthcare organizations located throughout Eastern Pennsylvania, South Jersey and Delaware. The business opened in October 2003 as Medical Billing Group LLC and adopted its present name once advisory services became part of its offering alongside billing. With more than fifteen years in the regional market, the company describes its purpose as helping medical offices increase collections while lowering the overhead tied to running the business side of care.

Core Billing Services

At the center of the company's operations is management of insurance reimbursement on behalf of its clients. Its team records each provider's charges, reviews every claim for mistakes prior to submission, and transmits claims to the appropriate payers. If an insurer turns down a claim, staff identify what went wrong, fix the issue and send the claim back in, repeating the process until the practice is paid. The team also pursues outstanding balances so that revenue the office has earned is actually received. In addition to payer-side work, the company handles statements sent to patients and produces financial reports that show clients how their practices are doing.

Service arrangements are designed to grow with the client. A modest office might hand over nothing more than claim preparation and transmission, whereas a bigger organization can opt for a complete practice management system hosted in the cloud and administered by the company. This flexibility allows each client to decide how much work to outsource based on its scale and the staff it already has.

Specialties Served

The company's clients range from general practice offices to a wide variety of specialty fields. Its current billing roster covers:

• Chiropractors
• Endocrinologists
• Diagnostic imaging centers, including magnetic resonance facilities
• Skin care physicians
• Inpatient-based physicians who care for patients during hospital stays
• Doctors treating disorders of the brain and nervous system
• Physicians focused on chronic and acute pain treatment
• Cosmetic and reconstructive surgeons
• Family medicine and internal medicine doctors
• Physicians who interpret medical imaging studies
• Rheumatologists

PPO Consulting for Auto and Workers' Comp Practices

One distinctive area of the company's business is advisory work for offices whose caseloads lean heavily on car crash injuries and on-the-job injury claims. Reimbursement for these cases follows fee schedules established under state law. According to the company, certain PPO networks insert themselves between the treating provider and the insurance carrier and pocket the difference between what the law permits and what the provider ultimately receives. The company's advisors assist providers in exiting PPO arrangements that are unfavorable to them. They also help offices resist PPO entities that assert a contractual relationship that does not actually exist. For chiropractors, doctors who treat pain, and other clinicians handling many auto or occupational injury patients, this work can recapture income that an ordinary billing company may leave unclaimed.

For organizations evaluating outsourced billing options around Philadelphia, the company offers an extended history in the region, familiarity with numerous medical fields, service tiers that extend to fully hosted practice management, and focused expertise in no-fault and workers' compensation payment rules.