Medical Billing Companies & Consultants in Springfield, PA

Based in Springfield, Pennsylvania, a Delaware County community, MARCO Medical Management, LLC provides medical billing and consulting. Its core clientele is small and mid-sized physician groups seeking stronger financial performance without staffing a sizable billing office of their own. The company serves multiple specialties. Rather than requiring a practice to overhaul its routines, it shapes its processes around the way each office already operates, and it plans to scale its assistance as a client's practice grows.

Revenue Cycle Services

MARCO handles every stage of the revenue cycle, from the moment a charge is recorded until the balance is collected. Clients may select only the components they want, and every engagement receives a customized plan. Its principal offerings include:

• Charge entry: reviewing each line of provider-submitted codes, demographic data and patient information, confirming insurance eligibility, and preparing and transmitting electronic claims
• Payment posting: balancing remittances received from carriers and patients, linking payment files to the corresponding charges, and resolving denials or problematic files by contacting the provider, the patient or the insurer
• Accounts receivable: pursuing unresolved claims, submitting appeals and corrected claims, phoning insurers, addressing the underlying reasons for recurring denials, and evaluating claims past 90 days to determine which merit further effort
• Patient collections: billing patients for copays, deductibles and coinsurance on a schedule the provider sets, delivered by text message, email or regular mail, plus arranging installment plans, responding to patient inquiries, and, after review, forwarding delinquent accounts to third-party collection agencies
• Insurance contracting and credentialing: negotiating and upkeeping payer contracts, managing re-credentialing, and setting up agreements with regional health systems
• Practice management consulting addressing wider operational concerns

According to the company, it targets a clean claim rate as high as 95 percent, a figure it contrasts with the 75 to 85 percent it describes as common across the industry.

How the Firm Works With Clients

MARCO characterizes its style as closely involved. Every client is assigned its own group of specialists, which acts as the sole contact for that practice. This group covers charges, payments, patient statements and credentialing, giving each phase of the cycle a clearly identified person responsible for it. The company frames its service around three objectives: efficiency, transparency and peace of mind for the practice. It positions itself as an enduring partner in billing rather than a mere claims-processing contractor.

MARCO identifies a range of difficulties that typically lead practices to engage it. Among them are trouble meeting expenses or payroll, weak clean claim rates, delayed reimbursements, billing employees lacking adequate training, insufficient follow-through with insurers, overdue receivables, and thin reporting. It also points to costly software and service charges, unresponsive previous billing vendors, and dissatisfied patients. The outcomes it pursues for clients are increased revenue and productivity, up-to-date receivables, consistent pursuit of unpaid claims, and better visibility into the revenue cycle.

Background

MARCO was established with the purpose of giving physicians and their office teams firmer command over billing and helping them receive reimbursement sooner. The company's name signals its emphasis on the fundamental principles of medical billing. One client testimonial posted by the firm describes the founder and his colleagues as professional and responsive, adding that they place the client's interests ahead of their own. Prospective clients are offered a no-cost consultation in which their existing billing operations are evaluated.