When you outsource medical billing, you have a dedicated team with the expertise and knowledge to manage any complex billing situation that arises, work insurance denial claims, and ensure submission accuracy. Outsourcing your medical billing allows you and your office staff to focus on patient care instead of tedious and time-consuming admin tasks. In addition, our customer support system offers patients a reliable person to help them better understand their billing questions, so your staff doesn’t have to spend valuable time investigating billing inquiries or spend hours on the phone with patients explaining their bills.

Medical billing involves submitting and tracking claims with health insurance companies to obtain payment for services provided by healthcare providers. This process ensures healthcare providers receive prompt, accurate payments and helps patients avoid unnecessary financial stress.

L&M Medical Billing Solutions takes patient privacy and security seriously. We comply with all HIPPA regulations and follow strict protocols to ensure patient data remains confidential and is handled with integrity. We use secure electronic systems to transmit and store patient information and undergo regular training on privacy and security best practices.

We use advanced medical billing software and various coding tools to provide accurate and efficient billing. Our software includes built-in coding and billing rules to help us identify and correct any errors or discrepancies before sending claims to insurance carriers. Our medical billing software also provides advanced reporting and analytic tools to help track collection rates, claim denials, and identify areas for improvement. It also offers integrations with electronic health records (EHR) systems and other healthcare software to provide seamless data sharing and improve efficiency.

We actively participate in industry organizations, attend conferences, take courses, and complete training sessions. We also regularly review government and insurance company policies to ensure your practice remains compliant. L&M Medical Billing Solutions follows all Centers for Medicare and Medicaid (CMS) coding guidelines while following the Federal Register Office of Inspector General (OIG) Compliance Guidance for third-party medical billing companies.

L&M Medical Billing Solutions offers a wide range of billing services, including organizing sensitive patient health information (PHI), claim submission and tracking, coding and documentation review, denial management and appeals, insurance payment posting, and patient payments. We also handle patient billing calls and inquiries. Learn more about our services here.

We review and verify all patient insurance information before submitting claims electronically to insurance companies. Once we receive the claim information from your practice, we will enter it into our practice management system within 24 hours. Claim processing times vary depending on the individual insurance company. Our team works meticulously to ensure claims are submitted and reviewed promptly.

We understand that running a medical office takes time and effort, so we work with you to develop a customized billing solution that fits your budget and ensures the best possible results. Ongoing monthly medical billing services are charged as a percentage of monthly collections. We assess a small initial fee for accounts that would like to migrate to our advanced practice management system. To learn more about our pricing guidelines, contact us directly.

Our team undergoes rigorous and continuous training to ensure we have the knowledge and necessary skills to provide you with the highest level of service possible. Our certifications include Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA) and Advanced Billing Specialist certificates.

We are willing to serve physicians and medical offices with a wide range of specialties in New Castle, PA, and surrounding areas. We have experience working with primary care physicians, dermatologists, cardiologists, ophthalmologists, chiropractors, urologists, emergency care, and mental health providers. We are always willing to grow and gain more knowledge on other specialties.

The first step in working together is to sign up for your free practice analysis. We’ll research your specific practice’s medical billing needs, identify places for improvement, and pinpoint areas of lost revenue. The analysis takes about two weeks to complete and will include a review of our findings. We’ll review the report with you during a one-on-one meeting and discuss our recommendations for solutions. Once you decide to move forward, we’ll enter your account information into our patient management system or request access to your current Practice management system. Once this initial setup is complete, we’ll be ready to help streamline all your medical billing needs. If you’re updating to our advanced medical billing software, a small one-time initiation fee is required to reserve our time to get your information into our practice management system.