CareSolution MBS specializes in physician billing services that will help revolutionize your practice's financial well-being. We remove claims friction, and we get your physicians paid in full. Our advanced solutions enable you to achieve superior rates and sustainable revenue growth.
We’re a trusted medical billing company committed to quality, accuracy, and real results. Our goal is simple to take the stress out of billing so you can focus on your patients. We handle everything from correct coding to quick claim submissions and consistent follow-ups, helping your practice get paid faster and more reliably. With us, your billing process becomes smoother, more organized, and easier to manage.
Our medical billing team has extensive experience in every aspect of billing services. We’ve successfully navigated every major regulatory change, ensuring your practice stays ahead of the curve.
Whether you are a small local practice near the Boulder Medical Tower or a large multi-state physician group, we can customize our billing services to the needs of your volume and compliance regulations.
We carefully check every claim before submitting it. This helps us get most claims approved the first time, so you get paid faster and avoid costly denials.
Our medical billing services offer comprehensive revenue cycle solutions to ensure you never miss a bill from the moment a patient walks in. We handle the entire financial process so you can focus on delivering quality care.
Insurance Verification & Eligibility Checks: We do live insurance verification before the patient's visit. This proactive process eliminates qualification errors and cuts down on bad debt claims.
Accurate ICD-10, CPT, and HCPCS Coding: Our expert coders use accurate CPT and ICD-10 codes on all services. What do we capture? We take the complex billing information of a physician's services and ensure maximum, compliant reimbursement for each procedure.
Charge Entry & Medical Claims Submission: With us, you can rely on prompt and accurate charge entry. We will electronically submit all of your medical claims, getting you paid faster and ensuring timeliness in payer filing deadlines.
Denial & Appeal Management: We don't take no for an answer. Our denial management department attacks every denial. We do a well-structured appeal process with strong paperwork to reverse bad decisions.
Accounts Receivable (A/R) Recovery: Our dedicated A/R group stratifies aging balances on a routine basis. We cut down your outstanding A/R days and pound every single dollar of your hard-earned money with high-frequency follow-up.
Payment Posting & Reporting: We follow through with accurate posting of all payments and balance accounts daily. This way, your books are constantly up to date and prepared for precise and detailed reporting.
Patient Billing & Collections: We handle all patient billing and collections with courtesy and adherence. We address all patient issues professionally and with clarity, which preserves your reputation while ensuring that we get the final payment in.
Physician Credentialing & Enrollment: We handle the time-consuming physician credentialing and insurance enrollment process for you. This will allow your new providers to bill without any interruption.
EHR / EMR Integration: Our systems are fully compatible with the leading EHR / EMR systems. This seamless connection reduces the administrative burden and helps the billing flow equally straight and incident-free for the integrity of data.
We work with a wide range of physician practices and understand that each specialty has its own billing challenges. Over the years, we’ve learned what works best for different types of providers, whether you're in a general practice or a highly focused field. Our goal is to make sure your coding and billing processes are smooth, accurate, and tailored to how your specialty works so you can focus on patient care while we handle the rest.
What is physician billing? It's a brutal field, with expensive pitfalls. We pinpoint the key hurdles for physician providers and remove them head-on.
High Claim Denial: Too many denials slow down the cash flow. Our bang-bang frontend scrubbing and instant monsters workflow tackles the main errors underlying high denial rates.
Complex Insurance Rules: Payer rules are constantly changing, causing non-compliance and rejection. This is our Solution: All that being said, here's how we can help you - Our team checks state-specific insurance and Medicare guidelines on a daily basis so that your billing practices are updated just as quickly.
Regulatory Compliance Burden: Maintaining full HIPAA and OIG adherence is an enormous risk. Solution: We assume that risk. Our continuous investigations and accredited personnel guarantee your practice is compliant with federal regulations.
Delayed Payments & Cash Flow Issues: How slow payment and high A/R age suck your health. Solution: We ensure aggressive A/R follow-up & faster claim submission time, leading to higher cash-flow.
Administrative Overhead for Small Practices: Small practices' laissez-faire billing management of these resources.
A simple, straightforward process that gets your claims from patient checkout to money in the bank faster.
We get the right patient and insurance information, creating fewer frontend errors, which are responsible for 90% of denials.
All CPT and ICD-10 codes are accurately billed, and all services are workflowed correctly by our coding specialists.
We rely on best-in-class, automated solutions to scrub every single claim against thousands of payer edits before submission, ensuring the highest first pass rate.
We monitor all returned claims, instantly recognize the reason for denial, and strategically appeal high-value denials to ensure optimal payment.
We have accurate posting of payments, and we will apply aggressive A/R follow-up on the aged / partially paid claims.
You'll have transparency, tailored reports showing your revenue, denial rate, and payment cycle time.
Our specialization leads to cleaner claims and a quicker payment cycle.
Avoid the expense of employing, training, and managing your billing staff.
Release your clinicians from administrative work, and empower them with more time to spend on patients.
We offer ongoing billing assistance and access to our platform, so you have the information when you need it.
We directly contribute to your practice's profitability by increasing revenue and reducing costs.
CareSolution is more than just a billing service — we’re your reliable partner in financial growth.
Get ready to transform the financial health of your practice with professional resolutions for avoiding these types of preventable denials. CareSolution MBS offers the professional resolution you need to cease losing money on avoidable denials.
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CareSolution MBS
Physician billing is the preparation and submission of claims to both insurance companies and patients for the professional services rendered by physicians, as well as other providers.
Medical billing services are full-service, external health information management (HIM) solutions for end-to-end revenue cycle management, which includes coding and claims submission to accounts receivable follow-up and denial management.
We precariously bill PA services, mainly following "Incident-to" guidelines to get 100% of allowable dollars, or billing the service under their NPI at the fee-schedule rate if supervision levels require it.
A billing company manages all the monetary aspects of your business and guarantees compliance, reduces mistakes, allows for full legal reimbursement, and enhances cash flow time.
RCM within the context of medical billing is both the financial and clinical output for monitoring that patients receive the care they need, from when a patient makes their first appointment to when the account is entirely paid off.
