PCMB is a Professional Medical Billing, Practice Management and Consulting Company. We are dedicated to providing outstanding services to all our physicians. Our services fit any specialty of health care such as General Practice, Internal Medicine, Psychology, Psychiatry and Specialty Practices. By using the latest technology available, we are able to provide clients with fast efficient service while maximizing their reimbursment.
Electronic Claims Facts
NEW PRACTICE CONSULTING
California Medical Billing specializes in new practice consulting. We provide a variety of consulting services including:
We can also customize a Superbill and charge slip to fit your specific needs. Our specialists will also assist new Physicians with Insurance Enrollment and Credentialing.
FULL SERVICE BILLING
Our services include electronic and paper claims filing. We process claims electronically to all carriers that currently accept electronic submission. Payers that do not accept electronic submission will be sent via paper. We will then follow-up with insurance carriers and/or our clearinghouse to assure claims have been accepted. We will forward secondary claims upon receipt of primary’s EOB. We will post all payments and track all claims that have gone unpaid beyond 30 days. If an unpaid or underpaid claim requires an appeal, we will resubmit the claim with the required information and handle all necessary follow-up.
Our full service billing also includes generating patient statements on a daily basis. We provide a “soft” collection method for patients consisting of letters and telephone calls if necessary. For a minimal processing fee, we provide a “merchant account” offering your patients an alternative way to pay. Also provided are customized monthly financial reports that reflect charges, deposits, adjustments and patient balances.
ACCOUNTS RECEIVABLE RECOVERY
California Medical Billing provides services to include contacting the insurance carriers to determine claim status. If a claim was never received, never paid, or is not on file, the claim will be resubmitted to the insurance carrier. Follow-up will be performed per claim status. Claims requiring medical records will have the records attached to it and resubmitted. All claims sent to the insurance carriers during the re-bill project will be sent directly to the claims manager.
California Medical Billing will perform initial credentialing and/or re-credentialing for every provider in your office. Applications for all insurance companies, including 855’s for Medicare, are completed and stored in our database. We attach all relevant documents, such as current license, CME’s, declarations pages, malpractice narratives, certification, etc. to complete applications and then send it to you for signatures. We also provide mobile Notary Public services.
Our Medical Billing is dedicated to providing physicians with the best possible medical billing services available. We seek to obtain full and fair financial reimbursement for our clients to whom they are legally entitled for services provided. We accomplish this with the highest levels of integrity, compliance and ethical values and through our expertise in:
- ICD-9 and CPT coding through utilization of patient charts, medical records and superbills.
- Complete and accurate preparation of all claims with respect to patient information so as to eliminate claim rejections for incomplete or incorrect information.
- Accurate and prompt submission of claims to insurance companies including Medicare, Medi-Cal, Blue Cross/Blue Shield, Commercial payers, Workers Comp, and over 700 other managed care plans. Whenever possible all claims are transmitted electronically.
- Meticulous and persistent follow-through on all delinquent payments or rejected or downwardly adjusted payments.
- New clients have consistently experienced higher collection ratios, improved payment cash flows, and better managed accounts receivable when coming from another billing company.