We employ the industries most talented professionals and equip them with world class technology solutions, this combination allows us to far surpass the industry norm in Accounts Receivable metrics.  Our proven end to end RCM workflows are highly customizable and are purpose built to capture reimbursement early in the revenue cycle.
 

Full Service Revenue Cycle Management

Reporting
 

Coding

We offer a full compliment of Medical Coding and Auditing Services to help you optimize your reimbursement and enhance your productivity. MBO offers services to help Maximize Workflow, Enhance Productivity, Prevent Denials, Realize Cost Savings and Increase Compliance.

 

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Data Entry

Patient demographics and charges are collected from your office daily. Data can be scanned, faxed or couriered to any one of our locations. Once the data has been received, a dedicated MBO account representative will enter the information into our practice management system.  

 

For MBO clients using an electronic medical record system (EMR/EHR), patient demographics and charge data can be electronically transferred in real-time to our practice management system though our EMR/EHR medical billing interface.

 

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Claims Management

By leveraging our large scale vendor relationships we are able to ensure that your claims are paid faster.  Our streamlined and automated processes can be designed to transmit your claim data from our practice management platform or, can be integrated with your existing technology solution.  Multiple electronic claim status inquiries are exchanged with the carriers to ensure there are no unnecessary delays in claim processing.

 

Prior to a claim being received by a carrier, a claim must pass multiple layers of coding and payor specific edits before it can be cleared for release.  This scrubbing capability ensures a 98% clean claim processing rate. 

 

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Payment Posting

Much like our claims management solution, we maintain relationships with large scale vendors that allow us to process nearly 98% of all payments via electronic remittance advice (ERA).  Many times ERA's can be accompanied with electronic funds transfers (EFT) which eliminates delays in revenue receipt.  

 

In the event a carrier does not offer ERA's we have developed proprietary applications to track paper remittance through receipt to system posting. 

 

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Patient statements have been designed with your patients in mind. Services rendered and the reason for any residual billing is clearly marked on the statement.  Patients may also elect to utilize our web solutions for asking questions regarding their bill or to make online credit card payments.

 

If one of your patients has a question about a bill our highly trained customer service representatives will assist them.  Our patient first mentality ensures that all calls are handled professionally and courteously. 

 

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Customer Service

 

Denial Management

For both operational consistency and clarity in reporting, denial codes from carriers are translated into the ANSI Remark and Reason Codes and are posted into our billing platform.  Each code is tied to a reporting category to allow for denial trending and subsequent workflow optimization to prevent future denials from occurring.

 

We strive to maintain a less than 5% denial rate by providing you with easy access to electronically verify insurance eligibility and benefit coverage prior to service.  Our many payor specific layers of coding and data integrity edit scrubbing ensure that your claims will be processed timely and accurately. 

 

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Underpayment Recovery

Once a claim is paid our job is not done.  Our technology solutions allow us to monitor payor and provider specific fee schedules to ensure that insurance carriers are paying your contracted amounts on each and every claim.

 

Upon identifying a claim underpayment, MBO will proactively transmit all of the required appeal information to obtain your additional revenue. 

 

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Credentialing

Never miss another filing or recredentialing deadline.

 

MBO has developed a solid relationship with many health care plan administrators. This relationship allows us to negotiate the highest reimbursement rate for your practice, which means more to your bottom line!

 

We will customize a credentialing package that will fit your budget.  Extensive consulting services are provided by the highly-trained and experienced professionals at MBO.

 

Consulting packages include but are not limited to,

  • Credentialing Consulting

  • Criteria for physician participation

  • Credentialing Files (content, documentation)

  • Credentialing Committee preparation

  • Monitor the expiration dates for State License, DEA, DPS, Malpractice Insurance, Board Certification, etc.

  • Reports provided on a bi-weekly basis

  • Maintain Current/Past Hospital Affiliations

 

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