Medical Providers 2017-10-16T07:14:51+00:00

MEDICAL PROVIDERS

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How Can We Help Your Medical Practice?

Medical Bill Gurus provides physician assistant billing, retrospective auditing, and other medical billing services to medical providers to serve as a “Supplemental Collection Policy” to ensure that every account is audited and paid accordingly to the manages cared rates and or policy provisions. Services for social media and website design are also offered.

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Supplemental Insurance Billing Policy

Payers understand that few organizations have the staff, time, or resources required to routinely cross reference explanations of benefits and payment data, against a patient’s insurance benefits and the group’s managed care contracted rates.

Our service is comparable to a “Supplemental Insurance Billing Policy” applicable to your front-end billing staff.

Operating on a contingency basis, we win when you win, such that there is no fee unless we successfully collect from the insurance payers.

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Medical Bill Gurus has pioneered a strategic business model that addresses the current reimbursement issues associated with Physician Assistants (PA) billing. Physician Assistants (PA) are a crucial component of any specialty group, and we have seen declining reimbursements and consequently a decline in the involvement of your PA’s.

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Medical Bill Gurus offers a Retrospective Revenue Recovery service available to medical groups that counteracts Silent PPO abuse and other underpayments by your insurance payers. Therefore lost profits can be recovered from your closed, aged, and zero insurance balanced accounts for the past 3 years.

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Medical Bill Gurus will carefully examine all medical bills on behalf of medical providers or patients, to identify excess medical expenses, and look for errors such as unusually excessive charges, duplicate charges, as well as charges for a test that may have cancelled or never scheduled. Upon finding any error, we will work diligently to have it corrected to avoid additional and unnecessary costs.

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Our services are RISK FREE!

If we do not locate or collect any reimbursements for your organization you do not pay us anything.

Physician Assistant Billing

Medical Bill Gurus has pioneered a strategic business model that addresses the current reimbursement issues associated with Physician Assistants (PA) billing.

Medical Bill Gurus stays ahead of the curve of the dynamic spectrum of rules and regulations of the healthcare system to collect revenues that are due to you, so we can navigate the hurdles on your behalf.

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Physician Assistant Reimbursement

Physician Assistants (PA) is a crucial part of any specialty group, and we have seen declining reimbursements and consequently a decline in the involvement of your PA’s as these claims are substantially reduced or not eligible altogether. We understand the importance of a Physician Assistants (PA) as well as the costs involved.

We have implemented actions to help cover the costs of your Physician Assistants (PA) business. Our clients have experienced a tremendous surge of insurance revenue since implementing our billing and collection streams.

By outsourcing Physician Assistants (PA) billing into our system we have covered over $4MM of PA revenue for our partners.

Silent PPO Abuse

Silent PPO abuse is a strategic tactic utilized by insurance payers to undercut doctors’ offices by applying a third-party’s benefits to your patients’ medical bills, therefore underpaying your practice’s medical claims.

Medical Bill Gurus is a Retrospective Revenue Recovery service available to medical groups that counteracts Silent PPO abuse and other underpayments by your insurance payers; therefore, producing lost profits from your closed, aged, and zero insurance balanced accounts for the past 3 years.

Payers understand that few organizations have the staff, time, or resources required to routinely cross reference explanations of benefits and payment data, against a patient’s insurance benefits and the group’s managed care contracted rates.

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RETROSPECTIVE AUDITING

Medical Bill Gurus is a Retrospective Revenue Recovery service available to medical groups that counteracts Silent PPO abuse and other underpayments by your insurance payers; therefore, producing lost profits from your closed, aged, and zero insurance balanced accounts for the past 3 years.

By utilizing our key service, which we have coined “Retrospective Revenue Recovery” we are able to audit accounts as far back as three years. Insurance payers implement various tactics to underpay your medical claims.

Payers understand that few organizations have the staff, time, or information systems required to routinely check whether the information submitted with the payment matches what the patient presented at the time of service and and managed care rates of your payers.

By refining the recovery process we are successful in collecting erroneous discounts that were oversights which in turn produce LOST PROFITS for your organization. Some of the benefits of utilizing Medical Bill Gurus are listed below.

  • Recover significant revenue from closed, aged and zero insurance balanced accounts
  • Address Prompt Pay Statutes
  • Improve contractual terms, rates and relationships with your contracted payors and managed care networks.
  • Raise the level of your staff’s awareness with respect to your commercial insurance accounts, managed care contracts and relationships.
  • Show you which of your managed care contractual relationships are positive and which ones are negative.
  • Fix underpayment contractual issues with payors so that moving forward your claims are paid correctly.
  • Quickly improve your bottom line, by producing “LOST PROFITS”
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Had I known about Medical Bill Gurus 30 years ago, I would have had the opportunity to impact the lives of more patients. I initially agreed to contract with Medical Bill Gurus because of the lack of financial risk associated with the auditing process. Within three months I was extremely pleased with my decision to work with Medical Bill Gurus. Their level of professionalism and attention to claim details increased my managed care collections by over 30%. Medical Bill Gurus recovered millions of dollars I would have never known was collectable and had written off as “part of the job”. I absolutely recommend their services.

Dr. Charles Rogers

SOCIAL MEDIA AND WEBSITE DESIGN

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