Medical Billing Companies & Consultants in Virginia Beach, VA

Overview

Acsel Medical Solutions, LLC is a Virginia Beach-based firm that has handled physician billing and practice administration since its founding in 1977. It works with medical groups nationwide and says it serves more than 300 providers across a wide range of sub-specialties. Healthcare is its only line of business. Its offerings cover outsourced revenue cycle work, practice technology and advisory support for doctors and other licensed clinicians.

Billing and Revenue Cycle Services

The core of the business is outsourced claims and receivables management, aimed at improving collections while keeping processes compliant. Its revenue cycle work includes:

• Posting of charges and credits
• Medical coding
• Denial management
• Patient statements
• Electronic data interchange (EDI)
• Charge capture auditing
• Chart audits for compliance
• ICD-10 education and preparation

Clients can choose how much of the work to hand over. Under the facilities management model, Acsel takes over the entire accounts receivable function. With a direct-link, software-as-a-service option, office staff connect a PC to Acsel's cloud-hosted billing system and work online. Practices that would rather keep every task internal can buy a turnkey in-house package that includes both receivables software and the hardware to run billing on site.

Technology and Products

As an authorized partner, Acsel resells electronic health record systems from multiple vendors whose products carry meaningful use certification. Because it is not tied to one supplier, it can match a system to each practice. Its lineup includes e-Medsys, an ONC-ATCB certified EMR and practice management application supported by TriMed Technologies.

It also offers ARRA-certified EHR options that connect to its claims and billing software, so clinical and financial records sit in one place. In addition, the firm provides Doks for Docs, a web-based, HIPAA-compliant transcription service available around the clock. Physicians dictate by digital recorder or phone, and trained transcriptionists produce the documents, which an experienced practitioner then reviews.

Advisory Services

Beyond billing, the company offers practice management consulting on EHR readiness and payer contract negotiation. It also runs revenue cycle assessments covering coding, patient flow, cost analysis and accounting. A benefits administration line provides consulting on retirement plans and executive benefits. Staff with MBA training and reimbursement specialists help clients with complicated business or collections problems.

Team and Credentials

Acsel's management team holds Certified Professional Coder credentials. The company expects its managers to be proficient in coding, physician billing, receivables and HIPAA compliance. Every employee completes cross-training and then continuing instruction overseen by a Senior Account Manager, including coursework in CPT, ICD and medical terminology. Staff are also encouraged to attend payer-sponsored programs and IT seminars.

The firm belongs to the MGMA and HBMA professional associations. Its published team includes Gayla Lindros, Director of Operations; Veronica Doolittle, who leads global IT services; Joshua Lansberry, Network Administrator; and Heather Merrick, Sr Account Manager.

For buyers comparing vendors, its main distinguishing points are a track record going back to the late 1970s, no ties to any single EHR vendor, and a choice of outsourced, cloud-based or fully in-house billing.

Atlantea Medical Billing, LLC is a Virginia Beach, Virginia, company that manages reimbursement and revenue cycle tasks for clinicians and healthcare organizations nationwide. It is certified as both woman-owned and minority-owned, a credential that can be relevant to agencies and practices that monitor the diversity of their outside suppliers.

Services and Specialties

Atlantea oversees each stage of the reimbursement cycle on behalf of its clients. Engagements typically begin with registering clinicians with insurers and checking that patients have active coverage. From there, the firm prepares and transmits claims, pursues those that payers send back, and collects balances that remain unpaid. The areas it advertises include:

• Home health claims to Medicare under the Patient-Driven Groupings Model (PDGM)
• Claims to state Medicaid programs, including plans that private insurers administer under state contracts
• Reimbursement work for practices that treat chronic and acute pain
• Claims for mental health and substance use treatment providers
• Claims for broad-scope primary care offices and podiatry (foot and ankle) clinics
• Provider credentialing and insurer enrollment
• Verification of patient insurance coverage
• Resolution of denied claims and collection of aging receivables
• Assistance with electronic medical record and practice administration software

Given this range, the company is well suited to home health agencies operating under Medicare's PDGM framework, to clinics focused on pain treatment or mental health care, and to primary care and podiatry offices. Atlantea states that its work follows HIPAA requirements. It operates purely as a service firm and does not sell proprietary software, although it supports clients on the records and office management platforms they already use.

Approach to Client Work

The company emphasizes anticipating issues rather than fixing them after the fact. Among the goals it highlights are staying current with regulatory requirements, getting claims accepted on the initial submission, heading off denials, increasing collections, giving clients transparent reports, and delivering outcomes that can be quantified.

Atlantea characterizes its style as combining the individual attention typical of a boutique operation with the disciplined procedures found in a large organization's internal billing team. One primary care doctor, in a testimonial on the firm's site, notes that Atlantea has managed his office's claims for more than a decade and credits it with prompt replies and thorough problem-solving.

Background and Leadership

Atlantea was founded by the mother of Mariliz Vega-Anderson, who now serves as Owner and President and assumed control of the business in 2015. Vega-Anderson has upward of twenty years of experience in medical reimbursement. Under her direction, the company has refined its internal procedures and adapted to shifts in provider payment rules.

Earlier in her career, she worked as an Import Account Specialist at Dollar Tree's corporate offices, where she oversaw major accounts and coordinated with international suppliers. She and her husband also jointly owned and operated a restaurant, where she was responsible for bookkeeping, hiring and scheduling, supplier negotiations and guest relations.

Organizations evaluating outsourced reimbursement partners may find Atlantea notable for its concentration on Medicare home health PDGM claims and state Medicaid plan work, its handling of credentialing in addition to claims and denial follow-up, its origins as a business started within the family, and its hands-on leadership, with the owner encouraging prospective clients to talk with her personally.

Headquartered in Virginia Beach, Virginia, H & A Med Consultants, LLC is a consultancy focused on medical coding, compliance reviews and revenue cycle performance. Provider organizations turn to it when they would rather have dedicated specialists manage the technical details of getting paid. Its client base spans everything from modest physician offices to sizable health plans. The company lists multi-specialty groups, integrated health systems, military treatment facilities and academic teaching hospitals among the organizations it serves.

Code Assignment, Record Review and Claim Assistance

At the center of the company's work is the selection and verification of diagnosis and procedure codes, so that every submission leaves the office correct and in line with regulations. Its coding staff are credentialed for hospital-based and ambulatory settings alike.

Their work draws on the standard classification systems and payer requirements, including ICD-10 CM/PCS, CPT, HCPCS, evaluation and management guidelines, NCCI edits, and both local and national coverage determinations. Reviewers on the team carry certifications from AAPC and AHIMA. Facilities without enough internal personnel can pass along sizable queues of pending edits and returned claims for the team to clear.

Principal services are:

• Coding for hospital admissions and ambulatory visits
• Record reviews, including look-back examinations of past charts
• Support for working through large numbers of claim edits and payer denials
• Coding tailored to mental and behavioral health practices
• Assignment of E/M, CPT and ICD-10 CM/PCS codes

Financial Performance and Advisory Services

The company's role extends past code assignment. It shows practices how to interpret their key performance metrics and pinpoint where income is slipping away.

Its staff examine each phase of the revenue process, from front-desk patient intake and coverage verification through code assignment, claim submission, denial resolution and payment follow-up, and then work with the client to clear whatever obstacles turn up. Advisors also offer guidance on establishing medical necessity, applying modifiers properly, strengthening clinical documentation and managing chronic conditions.

Structured revenue cycle assessments and coaching across a variety of health subjects round out the advisory side.

Education forms an additional line of service. The company provides ICD-10 CM/PCS trainers who meet AAPC qualifications and can sharpen the coding abilities of physicians as well as staff coders. This option appeals to organizations aiming to build internal capability instead of sending every coding task to an outside vendor.

Leadership and Working Style

Jolonda Harris-Ashby heads the company as chief executive. She earned a bachelor's degree in healthcare administration and holds the Certified Professional Coder designation. Her roughly 25-year career in healthcare includes roles as a project manager and as a supervisor overseeing billing operations. Organizations have also relied on her specialized knowledge of claim adjudication, code assignment, invoicing, record reviews and office procedures. She has dealt with Medicare, Medicaid and private insurance carriers.

Engagements can take place on site or virtually, and prospective clients can reserve time through a web-based booking tool. Organizations evaluating billing partners may find the company well suited if their priority is certified coding and review expertise, denial resolution or coder education, as opposed to a broad, full-service billing operation.

Founded in 1995, Innovative Management Alternatives (known widely as IMA) is a Virginia Beach firm that combines medical billing with healthcare consulting. Its founders, Susan Harris and the late Elizabeth "Beth" Maddry, wanted an organization whose first priority would be the people it served rather than profits for investors.

Now some thirty years on, IMA manages revenue cycle and operational tasks for medical practices throughout Hampton Roads and across the Commonwealth, from Richmond to Northern Virginia. Its reach extends beyond state lines to North Carolina, additional locations around the country, and the U.S. Virgin Islands.

Clients and Specialties

The company's clientele ranges from privately owned, independent offices to physicians who practice inside hospitals and other facilities. Among the groups it supports are:

• Hospitalists, emergency physicians and radiologists
• Walk-in urgent care clinics
• Providers of mental and behavioral health care
• Specialists in fields like anesthesiology, cardiology, dermatology, neurology, pathology, radiation oncology and pain medicine
• Clinicians who care for nursing home residents, along with a variety of other disciplines

Billing and Revenue Cycle Services

At the core of IMA's work is a pairing of claims processing and receivables oversight. For billing, the team examines clinical records, applies the correct codes, builds and transmits claims, confirms that every submission satisfies the requirements of the insurer, and corrects and refiles anything that gets rejected.

For receivables, employees record payments from both insurers and patients, monitor unpaid amounts, follow up on claims that were denied or paid short, reach out to insurance carriers and patients, and oversee aging reports and collection efforts.

The objective is fewer rejections, a higher share of claims accepted on the first pass, and full recovery of what each contract entitles a practice to receive. Additional services include:

• Reviews of coding accuracy, paired with guidance and instruction for clinicians on how to document care
• Financial reports drawn from electronic claims data that reveal patterns by insurer and highlight unpaid amounts
• Oversight of collections and appraisal of receivables
• Help with provider enrollment and credentialing, plus advice on regulatory compliance
• Guidance on running a practice and streamlining day-to-day office operations

Operations Consulting

Beyond billing, IMA assists practices in improving how their offices run. Consultants study processes including patient registration, appointment booking, eligibility checks, recording of payments, coordination among departments and clinical documentation habits. From there, the firm introduces stronger procedures, coaches employees, supports transitions to new software, and measures outcomes once the new methods are underway. Practices that are expanding, losing staff or stuck with persistent slowdowns are well suited to this service.

Approach and Leadership

Rather than handing every client an identical bundle of services, IMA describes its method as starting with a close look at each practice's operations and goals, and then designing a plan specific to that organization. Susan Harris, who serves as both President and CEO, brings over four decades of healthcare experience.

Earlier in her career, she held a regional vice president post with a nationwide billing firm, supervising services for upward of 140 physicians. She also holds memberships in three professional bodies: a national trade group for medical billing companies, an organization for business leaders in radiology, and an industry group representing urgent care operators.

Jeff Jessee, the firm's Executive Vice President and CFO, joined IMA in its founding year and has worked in healthcare receivables for more than 35 years. Stephanie Tauti, the Chief Operating Officer, has a healthcare career spanning more than 25 years; she joined IMA in a starter position and advanced through the company until she reached its leadership team.

KS Consulting and Revenue Management, LLC is a Virginia firm that handles the financial and administrative side of running a behavioral health practice. Most of the people it serves are therapists and other mental health professionals, but it also works with small business owners who want help with planning or who need documents notarized.

One trait stands out to anyone comparing outside billing services: this company does not try to serve every medical specialty. Its billing and collections work is reserved for behavioral health.

Claims and Payment Handling

For billing, KS Consulting manages the full claims cycle for counseling and therapy practices, whether that means a single counselor working alone or a group with multiple providers on staff. The goal is to free clinicians from the time-consuming job of following up with insurance carriers and chasing outstanding balances.

Doing so helps revenue arrive more predictably and gives practice owners a clearer view of their financial position. Since the firm handles collections as well as billing, it seems to oversee each claim from the moment it is filed until the payer's money is actually recovered, rather than limiting itself to entering charges.

Advisory Services for Practice Owners

Consulting makes up the other major branch of the business. Its centerpiece is a structured strategy program that runs for eight weeks. Clients can select packages that bundle a written business plan, financial forecasts and one-on-one coaching.

This work is aimed at clinicians in two situations: those opening a private practice for the first time and those who already own one and hope to grow it. The firm presents this consulting as a path for providers to move past burnout and create a practice built for the long haul.

• Full-cycle claims management for individual and group therapy practices
• Billing and collections dedicated to behavioral health professionals
• A structured eight-week program with business plans, forecasts and coaching
• Guidance for clinicians starting out or scaling an established practice
• Notary services in Virginia for real estate, legal and business documents

Books and Learning Tools

The company also produces educational material. It authored From Burnout to Business Success, a guide of seven chapters and 122 pages that helps mental health professionals with topics such as insurance reimbursement, managing uneven cash flow and growing a practice. The book is sold on Amazon, and the firm separately offers a limited number of signed copies.

It also gives away a free checklist describing the requirements for launching a behavioral health billing service in the Commonwealth, and it runs an email newsletter that periodically shares advice on claim approvals, more efficient billing processes and sustaining a practice's finances over time.

Why Practices Choose It

KS Consulting is distinctive because it combines three separate lines of work under one roof: billing, business advisory work and Virginia notary services. A practice that wants a billing partner who understands behavioral health, along with guidance on planning and forecasting, can get both from the same source.

Its focus on therapists, its Virginia-specific resources for people hoping to start billing businesses of their own and its published practice-management guide make it a specialized option rather than a general billing vendor. Clinicians who are curious can schedule an introductory discussion about their practice before deciding on any specific package.