With Brigade Pricing
We provide comprehensive Medical Billing and Revenue Cycle Management (RCM) consulting services designed to enhance the financial health of healthcare practices. Our team of skilled professionals streamlines every aspect of your billing process, from accurate noding and claim submissions.to effective denial management and collections
Professional Billing Services Based on Your Monthly Collections
- Advanced Eligibility & Benefits Verification
- Medical Coding Services
- Charge Creation/Submission
- AR & Denial Management
- Appeal Submissions
- Daily EDI Rejection
- Payment Hunting
- Daily Payment Posting
- Patient Statements Verification
- Medical Record Management
- A Dedicated Account Managers
- Daily/Weekly/Monthly Report
Enrolling and credentialing a provider with insurance plans is one of the most detail-oriented and time-sensitive tasks in healthcare administration and, if not done promptly, can cost revenue every day a provider can’t bill. Med Brigade completes federal enrollments in 30-60 days and commercial insurance enrollments in 30-45 days, which reflect the nature of a defined and proactive follow-up process rather than simply submitting an enrolment. Enrolment for both group practices (NPI-2) and individual providers (NPI-1) are processed with the same accuracy, ensuring that every provider is enrolled accurately and correctly from the outset, with the correct taxonomy and billing structure used. Credentialing and contracting services ensure the insurance networks specifically contract your providers and set the terms for reimbursements and participation agreements, while provider visibility management verifies your providers’ information on insurance directories in order to facilitate patients’ access to your services.
Med Brigade guarantees coverage for all lines of participating commercial payers’ plans and, where required, negotiates contracts to ensure that you receive competitive rates commensurate with practice values. CAQH profile management ensures that provider credentials remain current and accessible to payers 24/7 to avoid credentialing lapses that can require re-credentialing or payments to stop. Regular reporting to practice administrators tracks enrolment status and pending applications, and identifies any required actions that need to be taken from the payer side, to ensure that enrolment steps don’t get overlooked.
Credentialing & Enrolment Services
- Quick enrolment for Federal Insurance (30-60 days)
- Quick enrolment for Commercial Insurance (30-45 days)
- Group (NPI-2) and Individual (NPI-1) enrolment
- Credentialing & Contracting
- Make you visible on Provider Directories on Insurance Portals
- Contract Negotiations (If Applicable)
- Coverage to all plans under Commercial insurances
- CAQH Maintenance (Setup not included)
- Bi-weekly performance report
All medical practices are not equal: they vary greatly in size, specialty, and monthly collections, meaning that one-size-fits-all billing arrangements never succeed where practices need them to. Because most practices’ earnings vary significantly from month to month, Med Brigade bases our professional billing service fees on what your monthly collections are, rather than on what you’re paid. Electronic eligibility and benefits verification help verify coverage prior to treatment, thus removing the number one cause of preventable claims denials. Coding Services are provided by licensed coders who accurately code each encounter with the appropriate ICD-10 and CPT codes, charge creation and claims submission workflows ensure the complete set of information is transmitted to payers in the correct format and on schedule.
The daily posting of payments results in accurate financial books and records, verification of patient statements to ensure accurate patient-responsibility balances are billed, and medical record management that provides the documentation integrity necessary for clinical and billing compliance. One account manager oversees your practice’s account to establish a consistent relationship, providing support and strategy rather than different contacts who need to get up to speed on your practice and account. Account administrators and practice owners receive daily, weekly and monthly reports that allow them to make financial decisions on solid data, rather than assumptions, for more effective collection and denial management, and careful evaluation of every step of the revenue cycle.
Based on the number of provider
$499
- Identification of Issues
- Comprehensive reviews
- Transparent Reporting
- Customize Recommendations
- Customize Recommendations
Per Hour/Per Team Member
$20
- Patient Scheduling
- Check In Progress
- Patient Authorization
- Patient Communication
- Financial Guidance To Patient
Per Patient
$4.50
- High Approvals rates.
- 100% Accuracy
- In & Out Network PA
- Surgical & Non-Surgical Procedures
- Daily Reports.
