California Medical Billing specializes in new practice consulting. We provide a variety of consulting services including:

• Computer systems and software installation
• Training front office staff
• Introducing an employee handbook and policy manual
• Creating master copies of patient forms
• Organizing filing systems

We can also customize a Superbill and charge slip to fit your specific needs. Our specialists will also assist new Physicians with Insurance Enrollment and Credentialing.

FULL SERVICE BILLING

Our services include electronic and paper claims filing. We process claims electronically to all carriers that currently accept electronic submission. Payers that do not accept electronic submission will be sent via paper. We will then follow-up with insurance carriers and/or our clearinghouse to assure claims have been accepted. We will forward secondary claims upon receipt of primary’s EOB. We will post all payments and track all claims that have gone unpaid beyond 30 days. If an unpaid or underpaid claim requires an appeal, we will resubmit the claim with the required information and handle all necessary follow-up.

Our full service billing also includes generating patient statements on a daily basis. We provide a “soft” collection method for patients consisting of letters and telephone calls if necessary. For a minimal processing fee, we provide a “merchant account” offering your patients an alternative way to pay. Also provided are customized monthly financial reports that reflect charges, deposits, adjustments and patient balances.

ACCOUNTS RECEIVABLE RECOVERY

California Medical Billing provides services to include contacting the insurance carriers to determine claim status. If a claim was never received, never paid, or is not on file, the claim will be resubmitted to the insurance carrier. Follow-up will be performed per claim status. Claims requiring medical records will have the records attached to it and resubmitted. All claims sent to the insurance carriers during the re-bill project will be sent directly to the claims manager.

PHYSICIAN CREDENTIALING

California Medical Billing will perform initial credentialing and/or re-credentialing for every provider in your office. Applications for all insurance companies, including 855’s for Medicare, are completed and stored in our database. We attach all relevant documents, such as current license, CME’s, declarations pages, malpractice narratives, certification, etc. to complete applications and then send it to you for signatures. We also provide mobile Notary Public services.

We provide service for Family Medicine, Internal Medicine, and Pediatric Medicine practices throughout California, for the following specialties:

• Hospitalists
• Neurologists / Neurology
• Otolaryngology (ENT)
• Gastroenterologists/Gastroenterology
• Pulmonologists / Pulmonary Disease
• Orthopedic Surgeons
• Cardiothoracic Surgeons

• Cardiologists
• Nephrologists
• Urology / Urologists
• PT/SLT/OT Speech/Language Therapy, Physical Therapy, Occupational Therapy
• Psychiatry
• Sleep Medicine
• Infectious Disease