1331 Pine Trail

Tomball TX 77375

202-982-3002

Info@consultareinc.com

MEDICAL BILLING REVENUE CYCLE MANAGEMENT SERVICES

Specializing in the elimination of claim denials while increasing reimbursement for your practice.

Design to support all practices and specialties.

Introduction video

MEDICAL BILLING SERVICES

STANDARD SERVICE

  • Claims Processing
  • Payment Posting
  • A/R Collection
  • A/R Managment
  • Patient Billing
  • Virtual Support

SUPPORTS

  • Small and Large Practices
  • Solo Physicians
  • Physician Groups
  • Medical Clinics
  • Hospitals
  • Home Health
  • Non-Emergency Medical Transportation
  • Freestanding Emergency Centers
  • Urgent Cares
  • Ambulance Service
  • Durable Medical Equipment Companies
  • Laboratories
  • and many more.

AVAILABLE ONSITE SUPPORT

Our Medical Billing Compliance Management Service provides onsite service support to assist on improvements of claims processing, and to reduce claims denials, while increasing reimbursements.

  • Gap Analysis
  • A R Analysis and Processing
  • Revenue Cycle Assessment and Improvements
  • Medical Billing System Assessment, Review, and Improvements
  • Personnel Coaching
  • Documented Training
  • Process Redesign, Analysis, Implementation, and Simplification,
  • Collection Improvements
  • Claim Denial Analysis, Processing, and Improvements
  • Elimination of Claims Denial Support
  • Claims Reprocessing Support
  • Cost Cutting Measure Development

ADDITIONAL COMPLIANCE SERVICES

  • 8 CFR § 212.15 - Certificates for Foreign Health Care Workers.
  • 21 CFR Part 606 - cGMP for Blood and Blood Components.
  • 40 CFR Part 141 - National Primary Drinking Water Regulations.
  • 42 CFR Part 405 - Federal Health Insurance for The Aged and Disabled.
  • 42 CFR Part 406 - Hospital Insurance Eligibility and Entitlement.
  • 42 CFR Part 407 - Supplementary Medical Insurance (SMI) Enrollment and Entitlement.
  • 42 CFR Part 408 - Premiums for Supplementary Medical Insurance.
  • 42 CFR Part 409 - Hospital Insurance Benefits.
  • 42 CFR Part 410 - Medical Supplementary Medical Insurance (SMI) Benefits.
  • 42 CFR Part 411 - Exclusions from Medicare and Limitations on Medicare Payment.
  • 42 CFR Part 412 - Prospective Payment Systems for Inpatient Hospital Services.
  • 42 CFR Part 413 - Principles of Reasonable Cost Reimbursement; Payment for End-Stage Renal Disease Services; Prospectively Determined Payment Rates for Skilled Nursing Facilities; Payment for Acute Kidney Injury Dialysis.
  • 42 CFR Part 414 - Payment for Part B Medical and Other Health Services.
  • 42 CFR Part 415 - Services Furnished by Physicians in Providers, Supervising Physicians in Teaching Settings, and Residents in Certain Settings.
  • 42 CFR Part 416 - Ambulatory Surgical Services.
  • 42 CFR Part 417 - Health Maintenance Organizations, Competitive Medical Plans, and Health Care Prepayment Plans.
  • Gap Analysis
  • A R Analysis and Processing
  • Revenue Cycle Assessment and Improvements
  • Medical Billing System Assessment, Review, and Improvements
  • 42 CFR Part 418 - Hospice Care
  • 42 CFR Part 419 - Prospective Payment System for Hospital Outpatient Department Services.
  • 42 CFR Part 420 - Program Integrity: Medicare
  • 42 CFR Part 421 - Medicare Contracting.
  • 42 CFR Part 422 - Medicare Advantage Program.
  • 42 CFR Part 423 - Voluntary Medicare Prescription Drug Benefit.
  • 42 CFR Part 424 - Conditions for Medicare Payment.
  • 42 CFR Part 425 - Medicare Shared Savings Program.
  • 42 CFR Part 426 - Review of National Coverage Determination and Local Coverage Determinations.
  • 42 CFR Part 440 - Services: General Provisions.
  • 42 CFR Part 441 - Services: Requirements and Limits Applicable to Specific Services.
  • 42 CFR Part 442 - Standard for Payment to Nursing Facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities.
  • 42 CFR Part 460 - Programs of All-Inclusive Care for the Elderly (PACE).
  • 42 CFR Part 480, 281 - Acquisition, Protection, and Disclosure of Quality Improvement Organizations Information.
  • 42 CFR Part 482 - Conditions of Participation for Hospitals.
  • 42 CFR Part 483 - Requirements for States and Long Term Care Facilities.
  • Personnel Coaching
  • Documented Training
  • Process Redesign, Analysis, Implementation, and Simplification,
  • Collection Improvements
  • 42 CFR Part 484 - Home Health Services.
  • 42 CFR Part 485 - Conditions of Participation: Specialized Providers.
  • 42 CFR Part 486 - Conditions for Coverage of Specialized Services Furnished by Suppliers.
  • 42 CFR Part 488 - Survey, Certification, and Enforcement Procedures.
  • 42 CFR Part 489 - Providers Agreements and Supplier Approval.
  • 42 CFR Part 491 - Certification of Certain Health Facilities.
  • 42 CFR Part 493 - Laboratory Requirements.
  • 42 CFR Part 494 - Conditions for Coverage for End-Stage Renal Disease Facilities.
  • 42 CFR Part 495 - Standards for the Electronic Health Record Technology Incentive Program.
  • 42 CFR Part 498 - Appeals Procedures for Determinations That Affect Participation in The Medicare Program and for Determinations That Affect The Participation of ICFs/IID and Certain NFs in the Medicaid Program.
  • 45 CFR Part 160 - General Administrative Requirements. (HIPAA)
  • 45 CFR Part 164 - Security and Privacy. (HIPAA)
  • 45 CFR Part 170 - Health Information Technology Standards, Implementation Specifications, and Certification Criteria and Certification Programs for Health Information Technology.
  • 45 CFR Part 171 - Information Blocking.
  • Claim Denial Analysis, Processing, and Improvements
  • Elimination of Claims Denial Support
  • Claims Reprocessing Support
  • Cost Cutting Measure Development

SOFTWARE & IT SOLUTIONS

Website

Web Application Development

Graphic Design

Static Website Creation

WordPress Development

Website Maintenance & Update

E-commerce

Logo Designs

Graphics for Marketing and Training Materials

Process Automation

Database Management

IT Business Solutions

OTHER IT PROJECTS

About Us

Developed by Consultare Inc., a compliance company that provides Quality Care Management Systems (QCMS), Quality Systems (QS), Quality Management Systems (QMS), Regulatory and Certification Prerequisite Programs (PRP’s). 



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