Billing companies that work podiatry claims every day and take on practices in Los Angeles, CA. Describe your practice once and compare their proposals.
A few questions about the practice, then billing companies that fit send proposals. You are not committing to anything.
Hand off all of it or just the parts that are breaking. Say which in the form so the proposals match.
Charges entered, claims checked against payer edits, and sent daily so clean claims go out the first time.
Every denial worked, appealed, or corrected, with the root cause tracked so the same denial stops repeating.
Old balances called on and worked by payer and by age until they are paid, adjusted, or written off on purpose.
Certified coders assign CPT, ICD-10, and modifiers from your notes, or audit the codes your providers pick.
New providers enrolled with payers, CAQH kept current, and revalidations handled before they lapse.
Statements, online payment, payment plans, and the phone calls that come with them, handled in your name.
Eligibility checks, prior authorizations, and old AR cleanup go through the same request. If you only need one piece, say so.
There is no right answer for every practice. The usual tradeoffs:
Los Angeles podiatry runs through medical groups and IPAs more than almost anywhere else. Many of your patients are assigned to a group that holds a capitation contract, so the claim you send may belong with the group and not the health plan on the card, and every group has its own rules. Layer on Medi-Cal managed care plans and a heavy Medicare Advantage population, and one nail debridement visit can follow three different authorization paths depending on the clinic the patient was assigned to.
New practices lose months to credentialing here. You can end up loaded with the plan and also with the delegated group, and the two do not always talk to each other. Make a list of every plan and group you hold a contract with before you talk to anyone. Then ask each biller how they would track enrollment group by group. Patients show up on the wrong eligibility roster weekly in this city, and somebody has to own the phone calls to the groups when a claim sits in limbo. That owner should be named in the proposal.
Compare other specialties in Los Angeles, CA on the Los Angeles medical billing site.
Three steps. Most practices hear from the first billing company within a business day.
Specialty, providers, claim volume, your software, and what you want handled.
Your request goes to billing companies that work your specialty and take on practices your size in Los Angeles, CA.
Compare fees, scope, reporting, and contract terms side by side. Pick one, or none.
What practice managers usually ask before they fill out the form.
Describe the practice once and compare proposals from billing companies that fit. No obligation.
Request proposals