• 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.

  • 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.

What we do

 

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.

 

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.