Massachusetts Medical Billing Company

For most practices, our Standard Services are an excellent and inexpensive option. You qualify for our standard services if you bill out at least 100 claims per week, and you receive, on average, at least $60.00 per claim.  Here’s how it works:

We partner with Practice Fusion, the Electronic Health Record solution that offers a full practice management program at no cost to you.  We assist with setting this up and migrating your exisiting data.  Once the setup is complete, you enter your patient notes online, using the easy templates for fast data entry.  (If you prefer not to use Practice Fusion, or you don’t want to enter your own data, please see our Premium Services.)

We also partner with Kareo, which is the medical billing software.  When you write a progress note in Practice Fusion, you create a Kareo bill right from there.  You enter a few fields (such as CPT code and diagnsosis), and click ‘send’.  That’s all there is to it. We then submit the claims electronically using Kareo.  You have no additional work beyond entering the progress notes in Practice Fusion, and adding the CPT code and diagnosis.

We follow up very aggressively on all claims to be sure that they are received in a timely manner, and paid.  Since the vast majority of claims are submitted electronically, we have immediate confirmation of claims receipt, and if there are any issues with a claim, we know about it quickly.  We follow up immediately on any claims that are rejected, denied, or underpaid, or on any claims where there has been no response from the insurance company.  You don’t have to worry about claims follow up, tracking specific claims, etc.

We automatically bill any secondary insurances at no extra cost.  We provide the same thorough level of follow-up for secondary claims as we do for the primary claims.

We send out monthly statements for any amounts owed by patients for co-pays, deductibles, etc.  If a patient has a question about a bill, they can call our office and our professional staff will review all aspects of the invoice with them and answer all of their questions.  This relieves a huge burden from your office staff, as they no longer have to answer patients’ questions about their bills.

There is an initial startup fee of $200.00 per clinician, with a maximum charge of $1,500.00. Some of our customers prefer to have their own account with Kareo and keep direct control of all their patient data. Some of our customers prefer that we manage this for them. Our pricing is based on how much you receive, on average, per claim billed. (Please note: this is the amount you receive from insurances and patients, not the amount you bill out.) There are four different pricing options under the standard plan:

For those practices who receive (not bill) on average $60.00 to $100.00 per claim:

• If you keep control of the Kareo data and pay the Kareo monthly costs, we charge 6%
• If we manage this for you and we pay the Kareo costs, we charge 7%.

For those practices who receive (not bill) on average more than $100 per claim:

• If you keep control of the Kareo data and pay the Kareo monthly costs, we charge 5%
• If we manage this for you and we pay the Kareo costs, we charge 6%.

In all cases, this is based on the actual amount you receive, not the amount billed. We don’t get paid until you do.