Medical Billing Companies & Consultants in Manassas, VA

Medical Professional Services, Inc. (MPS) is a company based in Manassas, Virginia, founded in 1997, that takes on the claims and reimbursement work of physician offices under contract. It serves physicians and group practices nationwide.

Its work includes preparing claims, assigning medical codes, overseeing the full path from patient visit to collected payment, and providing administrative support for day-to-day office operations. Clients include established practices dealing with slow cash flow or aging accounts receivable, as well as doctors launching a new practice.

What the Core Service Covers

MPS handles every stage from a patient's initial visit to the last dollar collected. The standard package includes:

• Keying in patient demographic data and charges, and verifying CPT and diagnosis codes before a claim is released
• Sending and monitoring claims electronically, which applies to nearly every claim
• Watching for denials and pursuing appeals
• Posting insurer and patient remittances daily, with every line reviewed for underpayment
• Mailing statements to patients and fielding their account questions
• Pursuing any claim that remains open beyond 30 days
• Providing monthly financial reports along with reviews of how the practice is performing

When posting remittances, staff look for typical reasons a payment comes up short. These include fee schedules priced under what payers allow, reimbursement that is inconsistent with the units submitted, absent modifiers on bundled procedures, and incorrect copays collected at the time of service.

Processes and Tools

The firm considers every practice distinct, so it builds a tailored workflow in collaboration with each practice's key office personnel. Charts and encounter information can reach MPS through an EMR integration or an online document-sharing system.

According to the company, within 24 to 48 hours of a provider completing a chart, the claim is reviewed, formatted to the ANSI 5010 EDI standard, screened for coding errors and transmitted to the payer. Because nearly all claims are sent electronically, MPS reports that most are paid in roughly seven business days.

Technology is bundled into the service. The firm's platform interfaces with a wide range of EMR/EHR products, among them Allscripts, GE Centricity, Practice Fusion and Emdeon. It also links with specialty-specific systems in obstetrics and gynecology, oncology, podiatry, gastroenterology and pathology, such as Artemis digiChart, OncoEMR, gGastro and Windopath. Through a mobile app, physicians can check schedules, dictate notes, add photos to charts and record procedure and diagnosis codes from a smartphone or tablet.

Extra Services and Getting Started

MPS positions itself as a one-stop source for medical offices and goes beyond claims work. It assists new practices with enrollment in insurance networks and adds newly hired physicians, nurse practitioners and physician assistants to existing payer agreements. Marketing guidance, website creation and graphic design are also available, and some of these office services come at no added cost.

Prospective clients begin with a complimentary consultation, followed by a proposal that carries no obligation. MPS follows a defined transition process for practices leaving a previous arrangement, intended to prevent interruptions in cash flow during the changeover. Organizations seeking a Northern Virginia partner with a long track record, extensive EMR integrations and credentialing help may find MPS worth evaluating.

Old Town Medical Billing and Credentialing, LLC is a firm based in Manassas, Virginia, that handles the administrative side of behavioral health practice. It does not try to serve every medical specialty. It focuses on claims and insurance enrollment for mental health providers, working with clinicians who need help getting paid by insurers, getting accepted into insurance networks, or both. Its Manassas office is within easy reach of practices across Northern Virginia, including Centreville.

The team has more than fifteen years of hands-on experience with billing and credentialing for mental health clinicians. Melanie Hill and Moira Cary run the business, and both work as billing and credentialing specialists, so clients deal directly with the people who handle their accounts rather than with a large call center. The company shares its office with a related business, Commonwealth Medical Claims, and the two operate side by side.

Billing and Credentialing Services

For billing, the firm sends insurance claims to carriers on the provider's behalf and follows them through to reimbursement. It also verifies patients' insurance benefits so practices know what coverage looks like before they bill. It handles claims where the patient's deductible applies, as well as visits where the copay is higher than the amount the payer allows.

Its billing compensation is tied to the insurance payments collected on claims it submitted, which links the firm's earnings to the practice's actual reimbursement.

• Insurance claim submission and follow-up
• Patient benefit verification
• Processing of deductible and copay-related claims
• Insurance panel credentialing for providers
• Bundled multi-panel credentialing packages
• Custom credentialing quotes

Credentialing is the firm's second core service. Old Town helps clinicians apply to and join insurance panels, which can be a slow, paperwork-heavy process for solo therapists and small group practices. Pricing is set per panel and depends on the carrier. Providers who plan to enroll with several insurers can ask about bundled packages or request a quote based on their needs.

The company says its goal is to take tedious administrative work off clinicians' plates so they can spend their time on patient care. It aims to keep the whole process clear and easy to follow. Prospective clients can reach out through an online inquiry form that asks which services they want and how they found the firm. The website also has a forms section, answers to frequently asked questions, and testimonials from existing clients.

For buyers comparing medical billing vendors, Old Town stands out for its narrow focus on mental health, its offer of both billing and credentialing from one small team, its direct access to named specialists, and its published, usage-based fee structure. Behavioral health practices in Northern Virginia that want a local partner with experience in this specialty may find it a good fit.

Professional Billing Service LLC, often called PBS, is a medical billing company based in Manassas, Virginia. It handles revenue cycle work for physician practices and other healthcare providers. The firm presents itself as an outside billing partner that protects a practice's reputation as well as its income, because every call to a patient about money reflects on the provider.

Who They Serve

PBS says it stays small on purpose so its staff can build deep knowledge of each client's specialty instead of trying to serve every field. The intake form for prospective clients lists the specialties it works with most often:

• Pathology
• Fine needle aspiration services
• Laboratory medicine
• Urgent care
• General practice

New clients are asked which EHR system they use, who their main insurance payers are and what their biggest operational challenge is. This suggests each engagement is set up around the practice's existing technology and payer mix.

Billing and Collections Services

The firm's work covers the whole billing cycle: preparing and sending claims, checking diagnostic codes, and following up with payers on unpaid or underpaid claims. When a claim is denied, staff look into the procedure details, correct the problem and send the claim again. Clients particularly note how consistently PBS follows up on overdue balances with both insurers and patients.

The company gives the example of a carrier that regularly pays only part of a certain procedure. In cases like that, PBS may suggest a different but proper code, or splitting the claim into separate codes, before the patient ever gets a confusing bill. The goal is faster payment and fewer disputes.

Patient-Facing Approach

Courteous treatment of patients is central to how PBS describes itself. Patients with billing questions reach a live staff member, not an automated phone system, and are routed to the right practice. Clients describe that personal phone service as an important benefit.

PBS argues that listening closely to patients helps it spot fixable problems early and prevent them from happening again, which it says leads to stronger collections for the practice. Patients can also pay their bills online, and client practices have a login portal.

What Sets Them Apart

Practices comparing billing vendors may notice that PBS stresses how long its staff have stayed and how much it invests in training them. It hires for experience and attitude as well as technical skill.

The firm says its work rests on two commitments: representing each practice in an ethical and professional way, and treating patients the way staff would want to be treated themselves. Its pitch is aimed at practices that want a specialty-focused vendor and that care about patients' experience of billing as much as about recovering revenue.