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We have over 40 years of experience in Revenue cycle management and Practice start-up. We are a revenue recovery specialist that knows how to locate and plug revenue leaks, as well as help you build a lucrative practice.
Need a billing partner that offers a turnkey solution?
From startup to success - we can help
Lets grow your practice online
(214) 295-5890
We want our help to feel like help to you, so we design our services around the revenue cycle and your needs and goals. We work in your EMR or we can provide one. We create specialized revenue reports that provide an at-a-glance view into the status of your revenue. We’re quick to respond to outreach. And that’s the glue that binds our process.
Insurance verification protects your revenue. We call it Benefit Investigation because that’s what we do. Accessing a web portal to find out if a patient is eligible and has benefits for the service you render has its place. And there are occasions when it’s beneficial to use them. Being aware of patient eligibility and benefits prevents you from performing free service.The CBM team investigates and interrogates the insurance benefit representative to determine if the service you perform is a covered benefit on the patients plan, if codes you intend to bill are covered on your contract and the patients plan and if the diagnosis you intend to bill with is covered by the patients plan. All these efforts help prevent insurance denials.
Claims processing is how the insurance carriers handle your submitted claim. Did you know that you and your biller have some control over this process? You do! It all starts with the Medical Provider and the CPT and Diagnosis codes you put on your superbill. Then the control is passed down to your biller to ensure the data is entered correctly, timely, the codes you supplied to them have synergy and append the applicable modifier(s) when necessary. When all these steps are performed consistently and timely your claims are set up for success. Once your claim reaches the insurance carrier database, it must pass all of their layers of edits before final adjudication. This where you lose control and if you or your biller didn’t perform the steps we mentioned above the probability of receiving a denial instead of a payment increases…
It’s one of the most important tasks of the revenue cycle. It gives a clear picture of practice revenue captured throughout the month. Most importantly it reveals revenue leaks and peaks. The primary tool of payment posting is the EOB/ERA. The adjudication of a claim is explained to the clinic or provider on an EOB (explanation of benefits) or ERA (electronic remittance advice). EOB typically come via mail, by accessing a web portal or fax. A ERA is automatically downloaded into the billing software. ERA is preferred. Depending on which clearinghouse, an ERA allows the practice to have an at-a-glance roster of payments. This can help with forecasting revenue and allows transparency into unpaid claims. However, a common mistake is if the ERA shows zero payment, then it’s assumed the claim was denied. And that’s not always the case.
Follow-up and Appeals is where most clinics and billing companies experience success and failure. And it can waiver month-to-month. In this COVID-19 era, increased denials has become a norm. It seems like COVID-19 hit the United States and insurance companies stopped answering the phone and can no longer process claims correctly. CBM faces these issues on a daily basis. We fight back and we win. Our staff in our collections department truly love what they do, they’re good at it and they are trained to become a CBM-SME (subject matter expert).
With a SET (Speciality, extensive and thorough) onboarding process we gain insight into the provider/clinic speciality, billed codes used versus billed codes available, codes listed on fee schedules, network status, practice legal set up, billing practices and much more…
he numbers don’t lie. However the type of report you pull from the billing system can give you the wrong perception. This is where having a hearty revenue cycle management and knowledge of how the system pulls data makes a difference. The financial area that should be reviewed monthly is the aging bucket. This report shows the age of every claim in the system. Understand how your system calculates the age of claims. Some systems calculate age by the date the claim was entered into the billing system and others age claims by the date of service…
If you’re looking for a turn-key revenue cycle management solution, look no further – CBM Medical Management is your Solution. We are specialists in Revenue Recovery. If you’re a start-up, don’t have your own billing software, or if you have a vibrant practice with your own software; we can help you. We can provide revenue cycle management software for you or we can work out of your system. We have experiences in Theranest, Practice Suite, Advance MD and Medisoft. The software we can provide is Practice Suite or Medisoft. However we’re fast learners and are willing to manage your revenue cycle in whatever system you use.
Transparent, TENACIOUS, Capable and Dependable
Hire a Team of Revenue Recovery Specialists. We keep our rates low, but make no mistake, our service and expertise are the best in the industry.
Teamwork makes the dream work. We are your team. Here to provide support and answer any questions you may have. We are a zoom call, email, text or phone call away.
You’ll find it easy to monitor the productivity of your practice with our special reports that you can review at your leisure. You’ll be delighted with the peace of mind you experience having CBM managing your revenue cycle.
Watch your profits increase and your value rise as you boost your company’s efficiency. It’s easier than you think. We guarantee you won't be disappointed.
We are a 22 year old company with over 40 years of Medical Billing, Medical Coding, Medical Receivable Recovery and Virtual Front Desk Assistance.
2435 North Central Expressway Ste 1200, Richardson, TX 75080
© 2023 CBM Medical Management. Design & Developed by The WRIGHT Consult
