Revenue Cycle Management (RCM)
Concept Billing Solutions offers comprehensive Revenue Cycle Management (RCM) services designed to optimize the financial performance of healthcare practices. Our RCM solutions encompass a wide range of services, including patient registration, insurance verification, accurate medical coding, claim submission, denial management, payment posting, and financial reporting. By leveraging advanced technology and industry expertise, we streamline revenue cycle processes, improve reimbursement rates, and reduce claim denials, ultimately helping healthcare providers maximize revenue and focus on delivering high-quality patient care. With Concept Billing Solutions, you can trust that your revenue cycle is in capable hands, allowing you to achieve financial success and operational efficiency.
Medical Credentialing
Our credentialing specialists offer provider enrollment services, assisting healthcare providers in joining desirable payor networks with maximum privileges while ensuring eligibility for insurance reimbursement. We provide comprehensive credentialing solutions tailored to all types of practices.
Medical Coding
Our specialty lies in precise medical coding, guaranteeing adherence to regulations. CBS empowers healthcare providers to concentrate on delivering exceptional patient care by managing accurate documentation and billing processes.
Wecome to Concept Billing Solutions
Billing plays a crucial role in the operations of any medical practice. When entrusted to capable hands, it allows your staff and medical professionals to concentrate on their primary focus: delivering excellent patient care. Concept Billing Solutions has a proven track record of assisting healthcare providers in optimizing their revenue collection, minimizing unnecessary expenses, and simplifying business processes through a team of highly skilled billing experts. Concept Billing Solutions offers comprehensive revenue cycle management solutions tailored to over 50 specialties across the United States.
Why Concept Billing Solutions?
At Concept Billing Solutions, we truly believe healthcare providers should be able to concentrate on what matters most – taking care of patients and providing top-notch service. That’s why we’ve designed our approach to streamline the nitty-gritty of claims, payments, and patient statements. We’re all about smart workflows that prioritize getting things right from the get-go, so providers can focus on what they do best without worrying about billing hiccups.
EXCEPTIONAL EXPERTISE
Every individual within our team possesses at least a decade of extensive experience in medical billing and client management, with the majority of that tenure dedicated to high-level executive positions. This assertion distinguishes us, as only a limited number of medical billing firms can rival our depth of expertise.
CONTROLLED MONTHLY DENIALS
Our monthly denial rate is less than 8% across all of our customers which is better than the industry average!
95% Electronic Payments
Achieving a 95% rate for Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT) payments with Concept Billing Solutions demonstrates their commitment to efficient and modern financial transactions in healthcare. Utilizing ERA and EFT significantly streamlines payment processes, reduces paperwork, and enhances accuracy. This high percentage indicates that Concept Billing Solutions excels in facilitating electronic payment methods, providing healthcare providers with quicker and more secure access to their payments, thus improving overall financial management.
Open Service Agreement/ No limitation
An open agreement with Concept Billing Solutions without limitations suggests a flexible and unrestricted partnership. Such an arrangement typically means that there are no predefined constraints, boundaries, or specific terms that restrict the scope of services or engagement. It provides both parties with the freedom to collaborate and adapt the agreement as needed to meet evolving needs and objectives. Leave us any time if not happy with our committed services. No hidden charges.
HIPAA-compliant
Being both HIPAA-compliant and ISO-certified, we wholeheartedly prioritize the utmost standards of compliance within our industry. Our team consists of highly trained experts who rigorously adhere to regulations stipulated by Medicaid, Medicare, and commercial insurance entities.
RAPID REIMBURSEMENTS
Due to our profound knowledge, we can efficiently accelerate your reimbursements. Our team comprises only seasoned professionals, eliminating the necessity for costly on-the-job training. This leads to decreased overheads for us and heightened reimbursements for you, all at a more affordable price.
96% Electronic Claims Submission
Sending 95% of claims electronically is an impressive efficiency achievement for Concept Billing Solutions. Electronic claims submission is faster, more accurate, and cost-effective compared to paper-based methods. This high percentage suggests that Concept Billing Solutions prioritizes streamlined processes, reducing paperwork, and expediting claim processing, which benefits both healthcare providers and their clients by accelerating reimbursement and reducing administrative burdens.
Free Coding audit
Offering a free coding audit with Concept Billing Solutions is a valuable service for healthcare providers. A coding audit can help identify errors or inaccuracies in medical coding, which can have a significant impact on reimbursement and compliance. By providing this service for free, Concept Billing Solutions demonstrates a commitment to helping healthcare practices improve their coding accuracy and optimize their revenue cycle management without incurring additional costs.
3RD PARTY EHR/BILLING PLATFORMS
We have hands-on expertise with almost all the industry top medical billing software platforms. This means we can get you started without any delay.
Data Protection
Our commitment to data security is unwavering, with stringent protocols in effect to guarantee the privacy and integrity of your data
Assurance of Quality
Through our stringent audits and unwavering commitment to quality standards, we guarantee unwavering billing services. We persistently enhance our systems to uphold service excellence.
CLAIMS ACCEPTANCE RATIO – 98%
Our monthly first-pass claim acceptance rate among all our clients has consistently maintained an average of 98%, surpassing the industry average by 3%!
99% Credentialing success on first application
Concept Billing Solutions achieved 99% credentialing success rate on the first application which is a significant accomplishment in the healthcare industry. Credentialing is a crucial process where healthcare providers are thoroughly reviewed and verified by the insurance companies.
10% - 15% Growth in monthly Collections
Achieving a proven monthly revenue growth of 15% to 20% with Concept Billing Solutions is a remarkable accomplishment. This substantial increase in revenue demonstrates the effectiveness of Concept Billing Solutions’ services and strategies in optimizing revenue cycle management for healthcare providers. Such growth indicates that Concept Billing Solutions not only maintains the financial health of their clients but actively contributes to their financial success by enhancing billing, collections, and reimbursement processes.
ALL SPECIALTIES
Our team has proven skills in Institutional Billing, Professional Billing, DME, Emergency Room, Out-of-Network and Laboratory Billing.
Single Point of contact
At Concept Billing Solutions, we pride ourselves on offering a personalized experience to each client. That’s why we assign a dedicated project manager to you, ensuring you have a single, reliable point of contact throughout your billing journey. This approach simplifies communication, minimizes any potential confusion, and guarantees transparency when it comes to updating you on your claims, settlements, and promptly addressing any questions you may have.
Our Services
Billing plays a crucial role in the operations of any medical practice. When entrusted to capable hands, it allows your staff and medical professionals to concentrate on their primary focus: delivering excellent patient care. Concept Billing Solutions has a proven track record of assisting healthcare providers in optimizing their revenue collection, minimizing unnecessary expenses, and simplifying business processes through a team of highly skilled billing experts. Concept Billing Solutions Medical Billing Solutions offers comprehensive revenue cycle management solutions tailored to over 50 specialties across the United States.
Medical Billing
Credentialing specialists assist healthcare providers in enrollment, ensuring insurance reimbursement eligibility. We offer comprehensive credentialing solutions for all practices.
Medical Coding
With the help of our certified medical coding specialists working on your project, your claim denial rate is significantly reduced. Our coders use the best-in-class coding tools and resources available in the industry
Medical Credentialing
Concept Billing Solutions can handle any specialty including laboratories and DMEs. Our experts send error free applications to insurances and do proper follow-up till the case is closed.
Verification of Benefits
Our Insurance Benefits Verification Services provide healthcare providers with a hassle-free way to confirm patient insurance coverage and eligibility.
Prior Authorization Services
Our Prior Authorization Services take the complexity out of obtaining insurance approvals for medical procedures and treatments. We simplify the process for healthcare providers, ensuring you get the necessary authorizations efficiently.
Patient Billing
Our Patient Billing Services are designed to make healthcare billing transparent, efficient, and stress-free for both patients and healthcare providers
We Cover
These Medical Specialties
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Reach Us
+1 760 820 4896
6545 Market Ave. North STE 100 North Canton OH 44721
info@conceptbillingsolutions.com