Medical Billing Companies & Consultants in Denton, TX

ClaimCare Medical Billing Services is an outsourced revenue cycle company that has been operating since 2003. It works with physician practices, specialty groups, ambulatory surgery centers, imaging centers and new practices that want to hand off billing completely.

The company has offices in several parts of the country, and its North Texas office serves practices in the Dallas/Fort Worth area, including Irving. Its stated goal is to bring in as much revenue as possible, as quickly as possible, while lowering costs and administrative work for the practice.

Scope of Service

ClaimCare takes on the whole billing workflow rather than parts of it. Demographic and charge entry, correcting claim errors, claim follow-up and patient phone calls are all handled by ClaimCare staff, so the practice does not need its own billers for that work.

Claims are checked against payer rules before they are sent, which helps the team spot likely denials early. The company says about 96 percent of its claims are paid on the first submission. It also says most clients keep accounts receivable under 45 days.

• Full-service billing and claim follow-up
• Denial management
• Expedited setup, often within a week of signing
• Fixing billing operations that have fallen behind
• Credentialing, payer contracting and front-desk training for new practices
• Patient collections and handling of patient calls
• An Instant Payment Program that pays the practice within 24 hours of an encounter

Technology and Reporting

Clients get an electronic medical record as part of the service, with no up-front purchase or long-term commitment. Practices can drop the EMR if it does not suit them. The service also includes billing and scheduling software and a tool for checking insurance eligibility and collecting patient payments up front. Dashboard reports are available online around the clock, so physicians and managers can track performance from any internet-connected computer.

Specialties and Reach

ClaimCare lists experience in a wide range of specialties, including cardiology, dermatology, dialysis, emergency medicine, ENT, family practice, gastroenterology, hospitalist services, infusion, internal medicine, neurology, OB/GYN, occupational medicine, ophthalmology, orthopedics, pathology, pediatrics, physical therapy, plastic surgery, podiatry, pulmonology, radiology, urology and vascular surgery. It describes serving practices in Texas and most other states.

Team and Differentiators

The company reports more than 100 employees. Its team includes medical providers, practice managers, certified coders, business professionals and engineers. Each account is handled by a team, and staff are cross-trained, so a practice is not exposed when one biller leaves.

ClaimCare offers a Service Level Guarantee to all clients and says it aims for Six Sigma-style consistency so practices can predict how quickly they will be paid. It reports that typical clients see collections rise by 10 to 25 percent while their total billing cost goes down compared with in-house staff or other vendors.