OUR SERVICES

One source for all of your billing and practice management needs

MedComm’s professional team delivers a comprehensive suite of services tailored to the specific needs of each practice. From billing and coding, to more comprehensive practice management and compliance support, we perform as an extension of your operations.

MedComm’s professional team delivers a comprehensive suite of services tailored to the specific needs of each practice. From billing and coding, to more comprehensive practice management and compliance support, we perform as an extension of your operations.

By relying upon us, you’re assured of consistent and efficient performance, along with a high level of personal service. You’ll interact directly with key team members who will operate as an extension of your internal team. When your patients need assistance or have questions, they will receive friendly, compassionate help that reflects well on your practice.

Your primary contacts will be a dedicated manager and team lead who are responsible for all aspects of the work we perform for you. You’ll also have direct access to executive management and the owners whenever you want. Together, this team will take a proactive, ongoing approach to evaluating our performance and quality, identifying areas for performance improvement, maintaining compliance, and optimizing our collaboration to make the most of your valuable time.

Hover over any of our services of more information


CODING


CONTRACTING


SYSTEMS & SUPPORT


Accurate coding by Certified coders

MedComm’s in-house team of Certified Professional Coders ensures that billing is coded accurately and to TPA and carrier expectations. Our experienced coders are familiar with the specialties they serve, providing efficient processing for faster reimbursement. Their work is supported by Certified Medical Auditors who assure compliance for our clients through proper documentation, coding reviews, and provider education.

Our customized approach allows us to tailor our services to your specific needs, with solutions including:

  • Focused provider documentation reviews and coding audits
  • Support of hospital-employed physician group compliance
  • One-on-one and group provider education
  • Payer validation and defense audits
  • EHR template and documentation reviews

Contract analysis and negotiation

MedComm’s extensive experience with a large number of payers gives us useful insight into each third-party payer’s requirements and payment schedules, so we’re able to process billing and claims as efficiently as possible.

Our exclusive Payer Profile Analysis studies payer data to help clients identify contracts that may not be advantageous to their practices. We can use that data and our analytics to function as a “messenger” and assist with negotiating more favorable contracts on your behalf.

In addition, our credentialing team is available to assist you with provider enrollment. We’re accustomed to working with large practices that have significant provider turnover, so we’ve developed effective systems and processes to ensure thorough completion of credentialing functions.

Turnkey systems and support

Through partnerships with Virtual OfficeWare and other systems vendors, MedComm gives you access to proven, current technology at a minimal investment. From electronic billing, to patient scheduling, to electronic medical records and more, we can equip your practice with direct terminal access to a full suite of medical office applications. That gives you state-of-the-art technology to maximize efficiency without having to find, develop, or pay market cost for your own systems.

Just as important, we support those systems on your behalf, so your office team can focus on serving patients. Whether you need assistance with training, backups, specialized interfaces, or other needs, we’ll work closely with your IT consultants or department to deploy and maintain exactly what you need and keep it functioning for you.

To learn more about the features and functionality available to your practice through our team, visit the Virtual OfficeWare site.


CONSULTING


REVENUE CYCLE MANAGEMENT


COMPLIANCE


Complete consulting services

MedComm’s sister consulting firm, Comprehensive Healthcare Advisors (CHA), is an integral part of the services we provide to our clients. Through CHA, we offer extensive experience at helping you deal with the ever-increasing complexity of the healthcare world.

The CHA team can go beyond MedComm’s core services to deliver expertise in a wide range of business activities, among them:

  • Complete or targeted practice assessments
  • Strategic planning
  • Organizational development and business continuity planning
  • Buy/sell and other shareholder arrangements
  • Income distribution modeling
  • Governance
  • Mergers, acquisitions or joint ventures
  • Regulatory/legal compliance (Corporate, JCAHO and HIPAA)

Take control of your revenue cycle

Cash flow is the lifeblood of any practice, but providers face an array of roadblocks that can impede the flow of revenue. By using more efficient approaches for claims management, adjudicating payments, responding to third-party payer denials, and pursuing patient balances, our professionals pick up the pace of your cash flow and minimize delays due to mistakes and mishandled claims.

Our team becomes an extension of your practice, representing you in ways that reflect positively to both insurers and patients. They are supported by efficient practice management technology and streamlined processes, allowing us to offer a superior level of service and quality.

We provide all these Revenue Cycle Management services for one fee, with no hidden or extra costs:

  • Entering/editing patient demographics and insurance information
  • Providing/reviewing CPT and ICD codes and posting charges
  • Reconciling charges by patient to provider logs/schedules to capture all charges
  • Submitting claims in both electronic and paper formats based on payer rules
  • Working rejections and denials
  • Accounts receivable follow up and management
  • Extensive reporting options

Comprehensive compliance services

In today’s healthcare environment, compliance is essential. To ensure that our clients are properly protected, MedComm maintains a longstanding comprehensive compliance plan that adheres to the Office of Inspector General’s regulations for third-party medical billing companies.

This comprehensive compliance plan has been protecting our interests and those of our clients since 2002. We routinely review and update the plan to incorporate ever-changing regulatory requirements, such as the privacy and security rules that are part of HIPAA. In addition, every MedComm employee receives extensive training in HIPAA and privacy and security compliance, with regular updates and refresher training.

We monitor our security systems continually, and conduct regular audits using reporting generated by our systems. These skills and practices ensure that our clients can be confident that the services we provide on their behalf will comply with regulators’ expectations, protecting practices and patients alike.

CODING

Accurate coding by Certified coders

MedComm’s in-house team of Certified Professional Coders ensures that billing is coded accurately and to TPA and carrier expectations. Our experienced coders are familiar with the specialties they serve, providing efficient processing for faster reimbursement. Their work is supported by Certified Medical Auditors who assure compliance for our clients through proper documentation, coding reviews, and provider education.

Our customized approach allows us to tailor our services to your specific needs, with solutions including:

  • Focused provider documentation reviews and coding audits
  • Support of hospital-employed physician group compliance
  • One-on-one and group provider education
  • Payer validation and defense audits
  • EHR template and documentation reviews


CONTRACTING

Contract analysis and negotiation

MedComm’s extensive experience with a large number of payers gives us useful insight into each third-party payer’s requirements and payment schedules, so we’re able to process billing and claims as efficiently as possible.

Our exclusive Payor Profile Analysis studies payor data to help clients identify contracts that may not be advantageous to their practices. We can use that data and our analytics to function as a “messenger” and assist with negotiating more favorable contracts on your behalf.

In addition, our credentialing team is available to assist you with provider enrollment. We’re accustomed to working with large practices that have significant provider turnover, so we’ve developed effective systems and processes to ensure thorough completion of credentialing functions.


SYSTEMS & SUPPORT

Turnkey systems and support

Through partnerships with Virtual OfficeWare and other systems vendors, MedComm gives you access to proven, current technology at a minimal investment. From electronic billing, to patient scheduling, to electronic medical records and more, we can equip your practice with direct terminal access to a full suite of medical office applications. That gives you state-of-the-art technology to maximize efficiency without having to find, develop, or pay market cost for your own systems.

Just as important, we support those systems on your behalf, so your office team can focus on serving patients. Whether you need assistance with training, backups, specialized interfaces, or other needs, we’ll work closely with your IT consultants or department to deploy and maintain exactly what you need and keep it functioning for you.

To learn more about the features and functionality available to your practice through our team, visit the Virtual OfficeWare site.

CONSULTING

Complete consulting services

MedComm’s sister consulting firm, Comprehensive Healthcare Advisors (CHA), is an integral part of the services we provide to our clients. Through CHA, we offer extensive experience at helping you deal with the ever-increasing complexity of the healthcare world.

The CHA team can go beyond MedComm’s core services to deliver expertise in a wide range of business activities, among them:

  • Complete or targeted practice assessments
  • Strategic planning
  • Organizational development and business continuity planning
  • Buy/sell and other shareholder arrangements
  • Income distribution modeling
  • Governance
  • Mergers, acquisitions or joint ventures
  • Regulatory/legal compliance (Corporate, JCAHO and HIPAA)


REVENUE CYCLE MANAGEMENT

Take control of your revenue cycle

Cash flow is the lifeblood of any practice, but providers face an array of roadblocks that can impede the flow of revenue. By using more efficient approaches for claims management, adjudicating payments, responding to third-party payer denials, and pursuing patient balances, our professionals pick up the pace of your cash flow and minimize delays due to mistakes and mishandled claims.

Our team becomes an extension of your practice, representing you in ways that reflect positively to both insurers and patients. They are supported by efficient practice management technology and streamlined processes, allowing us to offer a superior level of service and quality.

We provide all these Revenue Cycle Management services for one fee, with no hidden or extra costs:

  • Entering/editing patient demographics and insurance information
  • Providing/reviewing CPT and ICD codes and posting charges
  • Reconciling charges by patient to provider logs/schedules to capture all charges
  • Submitting claims in both electronic and paper formats based on payer rules
  • Working rejections and denials
  • Accounts receivable follow up and management
  • Extensive reporting options


COMPLIANCE

Comprehensive compliance services

In today’s healthcare environment, compliance is essential. To ensure that our clients are properly protected, MedComm maintains a longstanding comprehensive compliance plan that adheres to the Office of Inspector General’s regulations for third-party medical billing companies.

This comprehensive compliance plan has been protecting our interests and those of our clients since 2002. We routinely review and update the plan to incorporate ever-changing regulatory requirements, such as the privacy and security rules that are part of HIPAA. In addition, every MedComm employee receives extensive training in HIPAA and privacy and security compliance, with regular updates and refresher training.

We monitor our security systems continually, and conduct regular audits using reporting generated by our systems. These skills and practices ensure that our clients can be confident that the services we provide on their behalf will comply with regulators’ expectations, protecting practices and patients alike.

PERSONAL
SERVICE

By relying upon us, you’re assured of consistent and efficient performance, along with a high level of personal service. You’ll interact directly with key team members who will operate as an extension of your internal team. When your patients need assistance or have questions, they will receive friendly, compassionate help that reflects well on your practice.

SEAMLESS
PARTNERSHIP

Your primary contacts will be a dedicated manager and team lead who are responsible for all aspects of the work we perform for you. You’ll also have direct access to executive management and the owners whenever you want. Together, this team will take a proactive, ongoing approach to evaluating our performance and quality, identifying areas for performance improvement, maintaining compliance, and optimizing our collaboration to make the most of your valuable time.

Wondering if we can help your practice?

SEE WHICH specialties we handle most.