Medical Billing Companies & Consultants in Rumford, RI

New England Medical Billing, Inc. (NEMB) is a revenue cycle and practice management firm based in Rumford, a village of East Providence, Rhode Island. The company was established in 1990. Its clients are healthcare organizations throughout New England, mainly medical practices, and it also works with municipalities in the region. It handles many specialties rather than a single niche, so it may suit buyers ranging from small single-specialty offices to larger multi-provider groups.

Core Services

NEMB offers several ways to work together, depending on how much of the billing workload a client wants to keep in-house. Under its full outsourced revenue cycle model, NEMB's own trained staff handle claims and collections for the client, using the company's practice management platform. Practices that want to keep billing in-house can choose a different arrangement.

In that case NEMB installs its practice management system at the client's site, and the practice's employees do most or all of the billing work with NEMB providing support.

• Outsourced revenue cycle management, including billing and collections
• On-site practice management system installation with ongoing support
• Full or focused evaluations of practice operations
• Guidance on state and federal regulatory compliance
• Help interpreting and putting HIPAA requirements into practice
• Help resolving billing and coding problems
• Development of fee schedules

How They Work With Clients

The firm says its services can be bought individually or combined into a custom package. A practice could, for example, hire NEMB only for a compliance review or fee schedule project, or hand over its entire revenue cycle.

NEMB describes four goals for its clients: getting the highest reimbursement payers allow, lowering overhead, reducing compliance risk by tracking and interpreting regulatory changes, and taking administrative work off providers so they can focus on patients. The company says it adapts each engagement to the client's circumstances and aims for long-term relationships rather than one-off projects.

Background and Differentiators

NEMB has more than three decades of history in the Rhode Island market. It describes its approach as paying close attention to detail and following up on claims until all available revenue is collected. The website says hundreds of providers currently use its services. The company also runs an online payment option that accepts several payment methods, which makes it easier for clients' patients to settle their balances.

Buyers comparing medical billing vendors may notice three things about NEMB. It offers both a fully outsourced model and an in-house software-plus-support model. It provides consulting alongside billing operations. And it has served both private practices and public-sector municipal clients across New England. These features may appeal to organizations that want a regional partner able to scale its involvement up or down over time.