Medical Billing Companies & Consultants in Lawrenceburg, TN

Medical Billing Solutions is a claims and revenue cycle management firm based in Lawrenceburg, Tennessee, in the southern part of Middle Tennessee near the Alabama line. The company was founded in 2003 and has done billing work for physician practices and other healthcare providers for more than twenty years.

It now has clients across the country and says it works with practices in every U.S. state. Providers in and around Florence, Alabama can work with a firm from their own region that also serves clients nationwide.

What the company does

The firm offers complete billing service shaped around how each practice operates. It prepares claims and sends them to Medicare, Medicaid and commercial insurers. Its billing staff check each claim for mistakes before it goes out, to reduce rejections and shorten the wait between a patient visit and payment. The company reports that more than 90 percent of the claims it handles are accepted on the first try. Along with core claims work, it provides several supporting services:

• Billing to Medicare, Medicaid and commercial insurance carriers
• Patient statements sent through Billflash
• Collection of patient balances through Capital Accounts, which offers an online portal
• Insurance eligibility checks using Trizetto
• Cloud server access
• Rural health clinic billing, which follows its own separate process
• Coding by an on-site Certified Professional Coder (CPC)
• Credentialing help so providers meet payer and practice standards

How it works with practices

Medical offices use many different record systems, so the company keeps its setup process flexible. If a practice doesn't have suitable tools, the firm can supply scheduling and billing software. If a practice already has a system, it can give the billing team access to pull the patient data it needs. The company also works with outside clearinghouses. It will send staff to a client's office to set up systems and train employees in person.

Fee structure and background

Medical Billing Solutions is paid a percentage of what it collects for each client rather than a flat fee. Its income therefore depends on the practice actually getting reimbursed, and the company presents this as a reason to chase every payable claim and grow a client's revenue. Office manager Ashley DeRidder runs daily operations. The firm's website has a page on data security and a section with references and testimonials for prospective clients.

Buyers comparing billing vendors may note a few things that set this firm apart. It has been operating since 2003, it knows the special billing rules for rural health clinics, and it has a certified coder in-house. It is also willing either to supply software or to work in whatever system a practice already uses. Smaller and rural practices may find it useful to get claims management, patient collections, eligibility checks and credentialing help from one vendor.