Medical Billing Companies & Consultants in Essex Junction, VT

Overview

Medical Business Services, LLC, usually called MBS, is a billing and revenue management firm based in Essex Junction, Vermont, a short drive from Burlington. Many medical billing vendors work for physician practices, hospitals and clinics. MBS works in one niche: ambulance and emergency medical service (EMS) agencies in Northern New England. It names Vermont and New Hampshire as its core service area. Buyers outside the EMS field should know that the company does not present itself as a billing partner for other kinds of healthcare providers.

The firm's typical client is a small or medium-sized EMS organization, such as a nonprofit squad, a fire department that runs an ambulance service, or a municipal agency. Most of these operations rely partly on local tax dollars. MBS therefore frames its work around collecting the reimbursement an agency is owed so that taxpayers need to cover less. The company openly says it has no ambition to become the largest player in its market. Instead it grows deliberately, choosing clients that look like the agencies it already understands well.

Services

MBS handles ambulance claims and revenue cycle work for its customers. It shapes its workflows around each agency rather than using a single template for everyone. According to the company, its staff go after underpayments and push back on insurer practices they consider inadequate, rather than settling for the easiest collections. Its offerings include:

• EMS and ambulance billing and claims management
• Billing and revenue system management
• Challenges to insufficient payer reimbursement
• Reporting customized for each agency
• A proprietary data analytics system that shows trends for long-range planning
• A library of forms and model policies written for EMS providers
• Updates on current regulatory, reimbursement and EMS industry issues
• Training resources for client personnel

Approach and background

The company was formed in 2011, but its roots go back about thirty years earlier, to consulting and support work for EMS agencies across the region. That history supports its main argument. Every agency, every state EMS system and every state's reimbursement statutes and regulations are different, and a billing partner has to understand those differences in detail to collect well. MBS says it knows the regional insurance payers closely. It says this helps it get claims paid in difficult cases where bigger competitors might give up.

MBS describes itself as relaxed and easy to reach in day-to-day dealings, while relying on capable, automated back-end processes. Transparency comes up again and again. The firm contrasts its reporting with the hard-to-read statements some billing companies provide, and says its reports and analytics are designed to be clear and genuinely useful. Prospective clients are asked to contact Jeffrey Spencer to discuss their needs.

The company also sets ethical limits on its revenue goals. It says it aims to maximize collections only through legal and ethical means, and to treat patients with the same respect shown by the crews who cared for them. MBS presents itself as a regional alternative to national vendors for EMS agencies in Vermont or New Hampshire that want a smaller, specialized billing partner.