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Maximize Reimbursements and Revenue

"Now, that SMB Medical Billing is working for me, I am collecting from the insurance companies and CMS what they righfully owe me for my services." - Current SMB Client     Unsolicited Testimonials

Maximize Reimbursements and Revenue
A happy Doctor who maximizes reimbursements with SMB.

Results Achieved by SMB's Clients - click bar below to open

Increase profits and revenue - Case Study

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  • Situation: A Doctor and the Office Manager, Podiatry Practice

  • Critical Issue: The Practice was not receiving its rightfully due reimbursements from government and insurance payors.

  • Reasons: The massive amount of regulations, rules, procedures and constant changes by government and insurance payors confuse the Practice's time strapped office staff. The payors used aggressive tactics to challenge and delay reimbursements to the Practice. In many cases, the office staff had to choose between serving the patients or holding on the phone for over an hour with the payors to get the EOB issues correctly resolved.

  • Capabilities: The Doctor and the Office Manager said they needed a service that would protect the Practice's interest and represent the Practice to the government and insurance payors. The service needed to be current and understand all of the payors' massive regulations, rules, procedures and constant changes. The service also needed the skills and perseverance to maximize the Practice's rightfully due reimbursements.

  • SMB Provides: SMB provides the Doctor and the Office Manager these capabilities.

  • Results: SMB stopped the payors' practice of bundling procedures and increased the Practice's reimbursements from these procedures 50% to 100%. For other procedures, SMB increased the Practice's reimbursements from payors by 20%.

Consistent cash flow daily - Case Study

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  • Situation: A Doctor and Practice Manager

  • Critical Issue: The cash flow to the practice from payors was sporadic and unpredictable. This created challenges for the practice to make payroll and paying bills.

  • Reasons: Their current billing service would not process claims in a timely manner. One week they would process claims only on Mondays. Another time the billing service would hold claims for two to four weeks. This all depended on the billing services profitability needs not the Podiatry practices cash flow needs.

  • Capabilities: Doctor and Practice Manager said they needed a service that processes all of their claims quickly and routinely.

  • SMB Provides: SMB provides the Doctor and Practice Manager with this capability. SMB processes all claims within a 48 hour business day window.

  • Results: The cash flow to the practice is now timely and regular. No more cash flow peaks and valleys. No more worrying about making payroll or paying bills.

Expand Practice - Case Study

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  • Situation: Two Podiatrists

  • Critical Issue: The Doctors wanted to expand their practice to include additional locations.

  • Reasons: They felt that the additional location would allow them to grow their practice, increase their profits and cash flow.

  • Capabilities: The two Doctors said they needed to receive the correct amount of reimbursements from payors that was rightly due them. They were tired of receiving less for their services than they were promised. The extra cash flow would allow them to expand to another location.

  • SMB Provides: SMB provides this capability. The expertise of SMB's billers and the constant feedback from billing in all States and CMS regions maximizes reimbursements for SMB's clients.

  • Results: Cash flow increased by 30% and the Doctors expanded their practice to another location. This increased their profits and grew their practice.

Financial Freedom - Case Study

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  • Situation: A Podiatrist and his wife whom is also the Office Manager.

  • Critical Issue: The Podiatrist and his wife felt they did not have the income from the practice to fully enjoy their lives.

  • Reasons: Insuance companies and CMS (payors) were not reimbursing them the full and correct amount owed to them for services rendered.

  • Capabilities: The Podiatrist and his wife said they needed a billing service which had the expertise to collect all they were owed.

  • SMB Provides: SMB provides the podiatry billing expertise to maximize their reimbursements.

  • Results: The Doctor and his Office Manager (wife) now have the fiancial freedom they wanted that comes from running a profitable podiatry practice.

Pleasant work environment - Case Study

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  • Situation: Doctors and staff of a podiatry practice.

  • Critical Issue: The environment at work was tense and unpleasant.

  • Reasons: The revenue was down. The time, effort and hassle required to collect the correct reimbursements from the payors was despised. And, everyone was afraid of losing their jobs.

  • Capabilities: The practice manager said they needed a billing service that kept accounts receivables to less than 3% after 90 days and 1% after 120 days.

  • SMB Provides: SMB provides a dedicated account receivables department that monitor each claim daily and quickly turns around all paperwork.

  • Results: The practice AR rate is less than 3% after 90 days and 1% after 120 days. Revenue is up, the environment is pleasant and everyone's job is safe.

Information - How does SMB Do It? click bar below to open

Quickly process claims

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  • Paperwork immediately turned around
  • Provides quick and secure communications
  • Claims electronically submitted
  • EOBs electronically processed

Podiatry Billing Expertise

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  1. Prior to entry, an expert human, not a machine, reviews each and every claim
  2. Knowing the correct diagnoses for each procedure
  3. Mastered the Use of Modifiers
  4. Knowing how the order of procedures listed in a claim affects reimbursement rates
  5. Knowing how the order of diagnosis in a claim affects reimbursement rates
  6. In-depth experience submitting claims that prevent bundling
  7. Experts at maximizing reimbursements for surgical procedures
  8. Understanding the complex role of claim documentation
  9. Understanding each payors' unique claim requirements
  10. Minimizes the risk of payors' "Losing" claims
  11. Experts in getting problems quickly solved with payors and clearing houses
  12. Critical refinement of podiatry knowledge base enhanced by SMB's work with over 200 practices
  13. All of SMB's employees are US citizens and located in the US

Get Paid for All Services Provided

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  • Helps providers accurately code for services rendered
  • Knowing the correct diagnoses for each procedure
  • Mastered the Use of Modifiers
  • SMB takes the time to understand each unique providers' practices
  • Understanding the complex role of claim documentation
  • Experts at billing for surgical procedures

A Dedicated Department for Account Receivables

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  1. SMB's record setting A/R results of 3% after 90 days and 1% after 120 days
  2. Each claim is monitored daily
  3. Quick turn around of claim paperwork between - primary, secondary, tertiary payors and patient billing

SMB is highly successful billing with ICD-10 codes

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  • Implementation of ICD-10 codes did not delay nor reduce reimbursements for SMB's clients
  • All ICD-10 codes are working in SMB's SimplyPodiary practice management system
  • ICD-10 claims with ICD-10 codes have been exchanged and verified with payors
  • SMB's billers know and understand the ICD-10 codes and their proper applications
  • You may verify in real-time how claims with ICD-10 get processed

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SMB Medical Billing • 4317 NE Walnut Ridge • Lee's Summit, MO 64064
(toll-free phone) 1-888-874-5503
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