L&M Medical Billing Solutions
“The health of your practice matters to us!”
L&M Medical Billing Solutions is one of the leading medical billing companies in New Castle, PA. Our team of experienced professionals are dedicated to helping physicians streamline their billing tasks while saving time, maximizing revenue, and minimizing expenses. With over a decade worth of experience and up-to-date specialized training, we’re your partner for all your revenue cycle management needs. With our broad knowledge from all sides of an insurance claim - the providers view, the coder’s view, the billers view, the insurance payor’s view and as well as an auditor’s point of view L&M will be a great asset to add to your team.
We offer a wide range of services including organizational assistance, insurance verification, ensure encounter forms are up to date, educate when needed concerning medical necessity, timely claim submission, payment posting from EOB, review of ERA to ensure proper payment/adjustment, denial management with consistent follow up, manage patient statements and calls and provide a detailed monthly report showing the health of your practice. Our services are all tailored to the needs of our clients.
L&M is partnered with a comprehensive Revenue Cycle Management (RCM) system who focuses on independent healthcare practices to enhance their practice operations, growth and patient experience. We show our clients appreciation, who are looking to change to a comprehensive and updated RCM system that will streamline their medical billing responsibilities by offering it at a 50% discount.
Our Promise to You:
Build trustworthy partnerships.
Streamline billing processes, reduce errors, ensure accurate and timely claim submission.
Review your practices accounts receivables on a consistent and timely basis.
Stay up to date on all regulations and requirement changes.
Be your office staff and patients go to for all medical billing inquiries.
Send your practices revenue health in detailed monthly reports to you.
Respect patient privacy and security remaining HIPAA-compliant at all times.
Offer excellent customer service to you, your office staff and your patients at all times.
Our Services
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Medical Billing
L&M Medical Billing Solutions will streamline billing processes, reduce errors, and ensure accurate claims submission is done in a timely manner. We handle all claim submission electronically or on paper ensuring that it reaches the appropriate insurance payor in a timely manner. With precision, we post insurance payments, meticulously review all ERAs to ensure proper insurance adjustments/payments, and expertly prepare patient statements. L&M optimizes revenue by minimizing claim denials, improving collections, and identifying missed opportunities by using a trusted billing system that stays up to date. Efficient billing is important and leads to faster reimbursements. Trust us to streamline your billing processes while cutting costs and increasing your revenue.
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Coding & Documentation Review
L&M Medical Billing Solutions reviews encounter forms and documentation to ensure compliance within the most up to date coding and documentation requirements. We ensure the accuracy of your encounter forms show the updated procedure and diagnosis codes that relate to your specialty. Before submitting claims to the appropriate payor, we verify medical necessity is met per encounter. L&M is partnered with an up-to-date encoder to ensure all proper modifiers, diagnosis codes and procedures are reported on each claim before submission to reduce denials. If necessary, we will provide education to you and your office staff to better understand any changes that may arise within the requirements of medical coding and documentation. L&M will be your go to for all of your medical billing questions.
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Claims Tracking
L&M Medical Billing Solutions work isn’t done once a claim is submitted it is just the beginning. We track every claim until payment has been accepted or denied. When denials occur, we work through the denial process in a timely manner, so you receive every payment your practice is eligible to receive. Account receivable reports are run every four to six weeks, checking for outstanding insurance denials and patient balances. Once you hire L&M, we will assist with your accounts receivables for payor and patient balances up to one year before your sign-on date.
Testimonials
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“Monica is a dedicated and hard-working employee while demonstrating excellent leadership skills. She is an excellent communicator and has successfully managed tasks and projects while adhering to timeframes. Her work has impacted tax pay dollars while ensuring patients get the best care.”
—Jennifer Putt, CFE
Previous Manager of Fraud, Waste, and Abuse Special Investigation Unit at Gateway Health Plan
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“From first meeting Monica, I knew she was a special individual. Her spirit shines brightly from the moment you meet her. I have known Monica for about fifteen years and for several years Monica worked for me at my restaurant, where she was always a very diligent employee who continually strived to do better and be better. Monica always showed leadership at work when new employees would join the team or when tasks needed completed. Monica has a gift with others. She has a very positive personality and the ability to overcome any situation. She is ambitious, dedicated, and motivated.”
—Abdou Saada
Local restaurant owner
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“Monica, as an employee of Medical Service Associates, was a very dedicated, hardworking, enthusiastic employee who always went over and above what was expected of her. She is a certified coder and always strived to learn and do more to help the company. She was instrumental in helping us change clearinghouses for our EDI services and was always willing to pitch to help in any way she could. Monica is the type of person that you do not find much anymore, motivated, driven, and wants to succeed in anything she puts her mind to.”
—Bruce Bartlett
President of Medical Service Associates
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“Monica is an ambitious individual who made a lasting impression on me. A few years ago, when she was interning at Ellwood City Hospital, she showed great potential. Despite not having a coding job available at the time, Monica kept in touch, reaching out to me every few weeks. Her determination paid off when a position finally opened up, and she was the first person I thought of. Monica quickly proved herself as a skilled coder and displayed a strong eagerness to learn. With her experience and knowledge, I'm confident she'll thrive and find success in this field."
—Barbara Razzano, MS, RHIA, CCS
Former HIM Director and Medical Records Manager at Ellwood City Hospital
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“Monica is a great team player, she works well with others and is always willing to go above and beyond her task. Her greatest quality is her honesty. She will bill what the documentation information provides. She was not hesitant to provide us with the knowledge to improve our documentation. She has excellent communication and interpersonal skills, which has been critical in building the bridge between the medical staff and the billing department. She has always been very professional in her interaction with us.”
—Anne-Marie Laberge, MD, MSc, BCEM
Former Medical Director Emergency Department, AHN provider
Why Choose L&M Medical Billing Solutions?
When you partner with us, you and your front office staff can focus more on providing quality care to your patients, while we handle all the medical billing tasks of your practice. Our team of experienced and knowledgeable medical billers and coders will ensure accurate and timely claim submission to the appropriate insurance companies while minimizing claim denials and possible delay in payments. L&M will handle any denials and or appeals that need to be completed in a timely manner by running aging reports on a regular basis.
We will provide to our physicians and their office staff any medical billing and/or coding updates and changes that can occur at any given time. L&M will provide assistance with organization of PHI, documentation issues, medical necessity and credentialing issues when needed.
As the Centers for Medicare and Medicaid Services (CMS), Local Determination Coverage (LCD), Current Procedural Terminology (CPT) codes, and International Classifications of Diseases (ICD-10-CM) codes change all so often it is hard to keep up to date while running a practice. That is where we come in to help - we are members of American Health Information Management (AHIMA), and American Medical Billing Association (AMBA) and it is our responsibility to stay up to date with the changes that occurs constantly. I found my passion within the medical billing and coding field with the determination to spread knowledge and to be helpful in any way to eliminate stress on physicians, office staff and even patients.
L&M is not only here to help your office succeed; we are here to also help your patients better understand their medical bills. We will be your patients go-to for any of their inquiries concerning their medical bills while providing excellent customer service. Your patients will appreciate the personal and professional courtesy every call will receive.
Customer Service
When you partner with L&M Medical Billing Solutions, we’ll be your practice’s primary contact for patient billing inquiries. We guide patients through understanding their bills in a concise, easy-to-understand manner. Most importantly, your patients will appreciate the personal touch every billing question receives.
Work with Us
We look forward to the opportunity to work together. Get started in a few steps:
Step 1: Sign up for your free practice analysis report. Your report will pinpoint areas of billing improvement and sources of lost revenue in your practice.
Step 2: We’ll set up a meeting to review your analysis report and discuss how L&M Medical Billing Solutions will be able to assist your practice. We’ll share details about our process and what you can expect when partnering with us.
Step 3: Get started! We’ll then begin managing your day-to-day billing operations for you.
