• Comprehensive Medical Billing Solutions - Core Services

    At CMBS, we have identified a group of core services we believe will benefit Emergency Physician Groups the most. These are services that hospitals and physician groups all require but few are able to perform effectively for themselves. To that end, we have positioned ourselves to be industry leaders, among available providers, by focusing on our specific offerings and by employing an expert staff and state-of-the-art technology. At CMBS, we focus on these basic, essential services to ensure the success of our partners (click on each for more info):

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  • Core Services - Medical Coding

    Proper Medical Coding can define or destroy a practice. It is arguably the most difficult aspect of the Emergency Medicine business model. Between keeping up with ever-changing regulations and varied insurance provider requirements, accurate medical coding can be difficult at best and can sometimes seem impossible.

    • ICD9 and CPT Coding
    • ICD10 Transition
    • CPC Certification
    • Frequent Auditing
    • Compliance, Compliance, Compliance

    Remember, the largest area of risk for any physician group or billing company is coding. The risk and penalties associated with incorrect coding can bankrupt any practice

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  • Core Services - Medical Billing

    Proper Medical Billing is the most important non-medical function that Emergency Departments have to perform. If your billing procedures are sub-par, it doesn't matter how good your level of care is. If you can't bill properly, you simply cannot succeed in today's lower-margin, higher-compliance arena. You need a professional billing company whose ethics are simple:

    1. Accuracy
    2. Speed
    3. Compliance
    4. Partnership

    We understand and adhere to these principals above all else. They are the forces that drive us and we measure our success by your success.

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  • Core Services - Compliance

    The Emergency Physician billing industry is under intense scrutiny by the Federal Government. This practice is only going to get more intrusive given the current political landscape in America and the only way you can ensure your longevity and prosperity is by knowing and following the ever-changing guidelines. Between Federal and state guidelines and insurance provider requirements, true Medical Billing Compliance is attuned to navigating a mine-field. Sometimes the most innocuous, trivial overlooked detail can spiral an otherwise healthy practice down a devestating path. CMBS can perform a review for your organization, addressing current issues and concerns and give you a clear path to full compliance.

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  • Core Services - Auditing & Requirements

    Our auditing services analyze several critical aspects of your Emergency Department and provide you with concrete feedback and procedural changes you can make to increase revenue and compliance while decreasing your overall work-load. What we analyze:

    • Physician Documentation
    • Demographic Mix
    • Acuity Mix
    • Managed Care Contracts

    This analysis will then provide you with a solid estimate of anticipated collections. Having this benchmark will show you where you stand now, and where you should be standing in the future. We have performed these services for dozens of hospitals and have a 100% satisfaction rate.

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  • Core Services - Physician Documentation

    Accurate and complete physician documentation is absolutely essential to the coding and billing process. If your physicians don't correctly document their work, both compliance and revenue will be compromised. Downcoded charts are one of the most prevalent culprits in lost revenue for Emergency Departments. This is revenue you are entitled to. It is revenue you worked for. But it is revenue you will never see because of inaccurate, sloppy, or hurried physician documentation. Our documentation training sessions can result in up to a 50% increase in revenue while also increasing your compliance.

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  • Core Services - Practice Analysis

    CMBS Consulting and Practice Analysis provides critical, relevant information for all phases of the Emergency Medicine business cycle. Our objective is to ensure your compliance with the OIG Third Party Billing compliance guidelines. Specific areas of emphasis are:

    • Coding Accuracy
    • Billing Procedures
    • Physician Documentation
    • Managed Care Contract Analysis
    • Physician Productivity
    • Financial Analysis

    Our audit director has successfully audited dozens of Emergency Departments across the nation. The level of auditing experience you will find at CMBS is virtually unmatched in the industry.

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