Country
State
Cities
Learn. Understand. Partner
2012
NA
10 - 49
United States
Established in 2012, SMB is a medical billing and practice management consulting company committed to delivering healthcare practices unrivaled, tailored services. At SMB, we pride ourselves on being the best partner to handle all back-office functions for health-centered practitioners, allowing them to focus on what matters most to them, treating patients. We dedicate our knowledge and energy to help the practitioners achieve their highest level of revenue.Every medical practice wants to concentrate on increasing its business by providing the best service and making their patients smile. We want to alleviate physicians and administrators from dealing with insurance companies, and take pride in providing resources to clients that will exceed their expectations.
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330 East Wilson Bridge Rd Suite 100 Worthington Ohio United States 43085
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What core services does Specialized Medical Billing provide?
Specialized Medical Billing offers comprehensive revenue cycle management solutions. This includes medical coding, claims submission, payment posting, accounts receivable management, and denial management. The focus is on streamlining the billing process to help healthcare providers improve their financial performance and reduce administrative burdens.
Which medical specialties does the company serve?
The company supports a wide range of medical specialties. Their expertise covers areas such as cardiology, orthopedics, physical therapy, primary care, and multi-specialty practices. They tailor their billing strategies to meet the specific documentation and coding requirements of these diverse clinical fields.
How does the billing process work for new clients?
The process begins with a thorough assessment of the current billing workflow. After identifying areas for improvement, the team integrates with the client's existing practice management software or EHR. They then handle the day-to-day billing operations, including scrubbing claims for accuracy, submitting them to payers, and following up on unpaid balances to ensure maximum reimbursement.
Does the company handle medical coding services?
Yes, medical coding is a primary service. Certified coders review clinical documentation to ensure that all procedures and diagnoses are accurately translated into the correct CPT, ICD-10, and HCPCS codes. This attention to detail helps minimize claim rejections and ensures compliance with current industry regulations.
Can the company work with existing EHR or practice management systems?
Yes, the billing team is experienced in working with a variety of popular EHR and practice management platforms. They prioritize seamless integration, allowing providers to continue using their preferred software while the billing experts manage the financial data and claim cycles within those systems.
How does the company manage claim denials?
Denial management is a key part of the revenue cycle service. The team proactively monitors claim rejections, identifies the root cause of the denial, and takes corrective action to resubmit claims promptly. By analyzing denial patterns, they help practices implement changes that prevent future errors and improve overall collection rates.
What are the benefits of outsourcing medical billing to this firm?
Outsourcing allows healthcare providers to focus more on patient care rather than administrative tasks. By leveraging professional billing expertise, practices often see a reduction in claim denials, faster reimbursement cycles, and improved cash flow. Additionally, it helps reduce the overhead costs associated with maintaining an in-house billing department.
Is the company compliant with HIPAA regulations?
Yes, maintaining patient data privacy and security is a top priority. All operations are conducted in strict accordance with HIPAA regulations. Robust security measures are in place to protect sensitive health information during every stage of the billing and data transmission process.
How does the company ensure accuracy in billing?
Accuracy is maintained through a multi-step verification process. This includes verifying patient insurance eligibility before services are rendered, performing rigorous claim scrubbing to catch errors before submission, and conducting regular audits of coding and billing practices to ensure compliance and precision.
Does the company provide reporting and analytics for practice owners?
Yes, clients receive regular financial reports and performance analytics. These insights provide a clear view of the practice's financial health, including key performance indicators like days in AR, collection rates, and denial percentages. This data helps providers make informed decisions about their business operations.
How can a medical practice contact the company to get started?
Interested practices can reach out through the contact form available on the official website. Providing basic information about the practice size and current billing needs allows the team to prepare a tailored consultation to discuss how their services can specifically benefit the practice.
Does the company assist with patient statement processing?
Yes, patient billing and statement processing are included in the revenue cycle management services. The team manages the generation and mailing of patient statements, handles patient inquiries regarding their bills, and assists with setting up payment plans when necessary to improve patient collections.
Is the service suitable for small private practices?
The services are designed to be scalable and are well-suited for small private practices as well as larger medical groups. The goal is to provide personalized support that addresses the unique financial challenges faced by practices of all sizes, helping them optimize their revenue regardless of their patient volume.
How does the company stay updated with changing insurance regulations?
The billing team stays current with the ever-evolving landscape of insurance policies, payer requirements, and government regulations. Through continuous training and monitoring of industry updates, they ensure that all billing practices remain compliant and that claims are submitted according to the latest payer guidelines.
What is the primary focus of the company's accounts receivable management?
The primary focus is to reduce the number of days accounts remain in receivable. The team actively follows up on outstanding claims, communicates with insurance companies to resolve payment delays, and works to recover aged accounts, ensuring that the practice receives the revenue it is owed in a timely manner.
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