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What we do

Proficient in athenaClinicals, eClinicalWorks, Kareo, Charm EHS and other EMRs.

Training offered for athenaClinicals and eClinicalWorks.

Submitting electronic and /or paper claims to both primary and secondary insurance carriers.

Follow up on claims.

Appeals and Denials.

Monthly patient statements at additional cost.

Refer all overdue patient balances to client for analysis.

Entering practice information into software program, to include lists of all insurance carriers, fee schedules, ICD-10 and CPT-4 codes.

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Handle all patient calls regarding billing.

We will follow insurance guidelines for all appeals and pursue all avenues to receive payments.

If the appeal process has been exhausted, we will forward the information back to the client for review and analysis.

Prompt posting from EOBs and ERA's to your system- every day.

Optional monthly meetings to review monthly reports.

Set up EFT payments.

Assist with credentialing.

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MEDICAL CODING AND BILLING

Medical Coding & Billing:

 

TPMC Billing Services LLC, offers Medical Coding solutions that can be custom-built for any type of medical facility.

 

Advantages of outsourcing your medical coding to TPMC Billing Services LLC:

Fast and clean claims submissions and fewer denials.

All coders covered by company's privacy policy for HIPAA 

compliance.

We will use your current EMR.

About our Medical Coding and Billing staff:

 

Our certified medical coding and billing personnel have undergone AAPC coding training. They are well updated with the latest changes in CPT /HCPCS and ICD-10 codes and use latest coding books and also have access to online medical coding software. 

Our Medical Coders are proficient with:

CPT, ICD-10, and HCPCS coding across various specialties.

Insurance and governmental regulatory requirements.

Payer-specific coding requirements.

 

TPMC Billing Services LLC specializes in providing effective AR collections and following these old accounts by assigning a dedicated member of our team to analyze the unpaid and underpaid claims.

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CREDENTIALING AND CONTRACTING

Credentialing & Contracting

Medicare / Medicaid managed care, Blue Cross Blue Shield, Ambetter, Affordable Care Act Plans, Cigna, Aetna, UHC, Multiplan, Scott & White, Humana, Tricare among others.

 

Credentialing for all payers with all necessary tracking to completion of process.

Professional credentialing to allow you to concentrate on patient care.

Proper credentialing to reduce your billing issues.

Changes in your practice or business status effect your reimbursement. 

Expertise with CAQH, Medicare, Medicaid, all commercial insurances, and the enrollment processes.

We provide services for individual/solo providers, medical groups, clinics, physician assistant, and nurse practitioner.

First time submission of credentialing packets correctly reduces rejections.

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