Medical Billing Companies & Consultants in Salt Lake City, UT

Evergreen Billing Solutions, LLC is a medical billing and revenue management firm based in Salt Lake City, Utah. It works with physicians and other healthcare practices that want to hand off insurance billing, either completely or in part. The firm calls itself a certified revenue management company.

Its stated goal is to help practices lower administrative costs and get more out of their revenue cycle, so that doctors and staff can spend more time on patient care and less on paperwork.

Core billing and revenue services

The company's main work is preparing and submitting insurance claims and then following up on them until they are paid. It also handles patient statements and collections. Its staff are certified billing professionals who process claims online in real time. Beyond basic billing, it lists several revenue cycle specialties:

• Medical billing and full revenue cycle management
• Medical coding and coding review
• Handling and appealing denied claims
• Credentialing providers with payers
• Audit readiness and compliance support
• HIPAA compliance
• Electronic health records and document management

Technology and software tools

The firm offers a web-based software suite along with its billing services. The suite is described as certified for CMS, HIPAA and Meaningful Use. Because it runs in a browser, clients and their staff can see their billing data from any computer with internet access, so they keep visibility into the process. The named tools are:

• EMRx/PM/iClaim: combines electronic medical records, practice management and claims processing
• AuditGuard: audit preparation
• CodeRite: coding support
• Compliancy Guard: compliance monitoring
• QuickCollect: patient collections
• ChoicePay: patient payment options
• iDocsNOW: document handling

How they work with practices

The company presents outsourcing as something that can work alongside a practice's own staff. A practice does not have to let its in-house billing team go to use the service. Evergreen can take over claim submission and follow-up while existing employees keep other duties. This may suit practices that want outside billing expertise without fully restructuring their office.

Background and leadership

The owner, Brandy Cooper, has a degree in health information technology and holds the Certified Medical Revenue Manager (CMRM) credential. She has more than ten years of experience in medical coding, billing and office management. Before starting the company, she worked as a coder, biller and office manager for Utah healthcare providers, including a home medical equipment and oxygen supplier.

For buyers comparing billing vendors, the firm stands out for three things: its certified billing staff, an owner who has worked inside medical practices, and its own branded software tools offered together with outsourced billing.

Overview

FixMyClaim is a healthcare claims advocacy and billing support firm headquartered in Salt Lake City, Utah. Although its office is in Utah, the company takes on cases nationwide, assisting patients and their families as well as healthcare provider organizations that are dealing with insurance denials and the administrative workload of getting claims paid. Its stated aim is to lift the weight of insurer bureaucracy off clients so they can concentrate on treatment and recovery.

Services for providers and families

The firm covers the full claims cycle rather than a single narrow task. Buyers evaluating outsourced billing partners will find the following among its offerings:

• Medical billing and claim submission
• Claims processing and follow-up
• Denial management and written appeals
• Pre-authorization requests
• Utilization review and medical necessity assessment
• Verification of benefits
• Revenue cycle management
• Hospital aging reports and credit balance audits

In addition to these services, the company has developed its own software for tracking claims and managing denials, which it reports has been used by several large hospital systems.

Specialties

Over the years the team has handled a wide variety of claim types, including medical, dental, pharmacy, auto and workers' compensation claims. After federal parity legislation in 2008 and the Affordable Care Act broadened insurance coverage for behavioral care, FixMyClaim moved a substantial part of its focus toward mental health and substance use disorder treatment claims.

This makes it a relevant option for behavioral health programs, addiction treatment centers and families whose claims for that kind of care have been rejected.

How they work

Cases move through dedicated internal teams. An intake group first examines the client's coverage, the denial and the supporting records to decide on a strategy. The appeals group then assembles documentation, builds the argument for payment, files on schedule and keeps the client informed while representing them through the process.

A utilization review group evaluates medical records and the proposed treatment plan against medical necessity criteria, and its findings are used to strengthen appeals. New clients can begin with a free consultation.

The company makes clear that it is not a law firm and that its staff are trained healthcare advocates rather than attorneys, so clients with legal questions are pointed toward qualified counsel.

Background

FixMyClaim cites more than three decades of experience in insurance claims work, and its President, Mary Covington, has spent over 50 years in healthcare. The company describes its ambition as becoming a leading national advocate in healthcare billing and claims, and it emphasizes accessibility, industry knowledge, client advocacy and continual refinement of its methods. Client testimonials on its site describe overturned denials and detailed, carefully built appeal letters, with particular appreciation for the personal attention given to difficult cases.