practice management services

Medical Practice Management Services

Our Services for Managing Your Medical Practice

  • Credentialing - Contract Renewal and Revisions
  • Electronic and Paper Claim Submissions
  • Analyze and Update
  • Analyze and Use Correct Modifiers to Increase Reimbursement Management
  • Customized Monthly Financial Support
  • Generate and Mail Monthly Patient Statements
  • Management of Collections
  • Complete Practice Analysis
  • Review
  • PQRS, Meaningful Use Compliance and Set-Up
  • Consulting and Training for You and Your Staff

We Provide you 100% Visibility and Control:
  • You can monitor our performance on-line in real time.
  • We educate you on coding updates, front office procedures, and office policies to keep you in compliance.
  • We are proficient in E-Clinical Works & Lytec EMR Software

North Medical Billing has been serving health-care providers for over 14 years in the Los Gatos, CA area. Our reputation for honesty and integrity is well known. We hope you'll consider allowing our experienced staff, who are not only highly trained in billing and collections, but they also place great emphasis on treating your patients courteously and professionally to provide the financial peace of mind, you deserve.

Lower your Medical Billing Costs

North Medical can lower and often dramatically reduce your billing expenses

The majority of medical practices are paying too much for their medical billing both in house billing or outsourcing. It is very likely that your practice is overpaying by a significant margin.

If you currently outsource, you may have a medical billing service that does not understand your specialty or even the fee schedule for your area. In situations like these, the medical billing service may not be offering the proper service and often charging you more than what your type of practice should be charged. Not every practice should be charged the standard industry amount. Also, when outsourcing your billing, your office staff should not be performing functions for your billing service that they should be performing for you. For instance, do they expect your office to enter the demographic, charges, correct claims errors, post payments, take patient phone calls and/or perform claims follow-up. If you add the costs of performing this work to what the medical billing service charges, you will find you are paying too much for outsourcing.

If you have your billing in-house you likely have a billing office that is overstaffed or in some cases overstaffed. This can be driven by old outdated billing software; a disorganized and outdated medical billing process; ineffective billing staff or billing supervision; or high employee turnover which cost you time and money and training. No matter the cause, your practice can easily be paying much more for in-house billing than outsourcing.

In addition to the labor costs of internal medical billing, there are many other costs of billing. For instance:

  • Payroll, Benefits, Federal & State taxes
  • System maintenance, updates
  • Supplies, forms, envelopes
  • Postage
  • Clearinghouse costs
  • Phone calls to payers and patients,
  • Coding and billing books,
  • Training,
  • Occupancy costs (the space for your billing department that could be used for other purposes),
  • Management focus (spending time managing the billing instead of expanding the practice)

These costs can easily equal 20% of your labor costs (i.e., if you spend $10,000 for billing employees each month you are likely spending at least an additional $3,000 each month on the costs outlined above).

The costs outlined above are the direct and indirect costs of performing in-house medical billing. These do not take into account the lost revenue that typically occurs from in-house billing. These sources include:

  • Claims that are denied for timely filing,
  • Claims that are submitted, "lost" by payers and never pursued by the billing department,
  • Claims that are underpaid,
  • Claims that are never submitted,
  • Money lost due to poor patient follow-up, and
  • Secondary claims that are never submitted or pursued.

This lost revenue can easily be costing your practice 10% to 20% of your potential revenue. The true cost of internal billing is at least $24,000 per month).

North Medical Billing Service offers the most competitive billing rates in the industry. We also provide the best quality of service. In most cases our cost will be lower than your direct cost (the labor and non-labor costs outlined above). We can do your billing for less and do it better.

Here is what we offer:

  • 96% of claims paid upon first submission
  • 15% to 25% more revenue per case
  • Average days in AR under 30 days
  • Only written Service Level Guarantee in the industry

Electronic Medical Records

We provide an EMR that will streamline your operations and improve compliance and enhance your patient care.

Many practices want to embark on utilizing the high quality practice management and patient care through the use of Electronic Medical Record Software (EMR). Unfortunately, this typically means spending thousands of dollars in software, hardware and training.

North Medical works with an EMR program called E-Clincal Works. This EMR has received rave reviews from physicians and provides the functionality most practices need.

You receive customized Electronic Medical Record Software. You receive office training. It is all part of our service. It you are currently working with an EMR program, we can work with your practice in utilizing your EMR program as necessary.

Proven Track Record

Our proven track record for “fixing” your billing and increasing your collections

You are working harder and collecting less. Your biller is not collecting what is owed; your claims are denied or under paid per your contract. Money is sitting on the books and your AR is out of control. Your medical billing needs to be fixed!

North Medical has a proven track record for evaluating and “fixing” medical billing problems that often drag a practice down. These problems normally go ignored or are written off, costing you thousands of dollars. We do this through the use of cutting edge technology, error resistant billing program, certified coders, continuous management and review of your account and rewarding outstanding employees… REMEMBER, WHEN YOU MAKE MONEY, WE MAKE MONEY. How do we do this:
  • Submit clean claims quickly;
  • Pre-adjudicate claims – review and fix issues before being submitted to payer.
  • Prompt and Dedicated follow-up on claims
  • Compare payments to contractual allowables appeal and vigorously pursue underpayments;
  • Profession patient collection process that maximizes patient payments

Contract Negotiations, HIPAA Compliance, PQRS & eRx Prescribing

One of the many services North Medical provides to a new or existing practice is setting up and /or maintaining contract negotiations. We find that providers may not read or understand what they are about to embark on when signing a contract. Many times physicians do not review existing contracts to determine if re-negotiation needs to be done.

We also review and help a practice launch into meaningful use reporting and e-prescribing. Many practices have not paid much attention to the incentive programs available to them or realized the penalties assessed to them for not participating in these programs. We review these programs and contracts to best serve your practice’s needs.