THE BEST MEDICAL BILLING SERVICES IN CALIFORNIA
Our services increase productivity, improve and accelerate reimbursement, decrease your expenses, reduce claim processing time, and improves your patient experiences.
- 99% CLEAN CLAIM RATE
- LESS THAN 20 DAYS IN A/R
- GET STARTED IN LESS THAN 7 DAYS
- FREE ACCOUNT AUDIT
- DAILY CLAIMS PROCESSING
- A/R MANAGEMENT (AGING)
- PATIENT INQUIRIES ASSISTANCE
- CLAIMS TRACKING & MANAGEMENT
A partnership with Pathwayhms will allow our team to serve as an extension of your practice , enabling your staff to focus on quality patient care and administrative duties. Because we understand that no two practices are alike, we provide customized billing services/solutions tailored to the specific needs of your medical practice. We bill all private, commercial, and government insurance payers & IPAs throughout the US. We offer electronic medical claims filing and electronic remittance of Medicare, private & HMO insurance payments. Our mastered approach achieves efficient reimbursement turnaround and higher claims acceptance. The result is a decrease in physician’s administrative expenses and increase in cash flow.
Tailored medical solution to fit the specific needs of your practices
our seasoned team of certified Medical Billing Specialists boasts extensive expertise in handling telehealth insurance claims. We specialize in supporting a diverse range of telehealth providers, with a significant focus on behavioral health, family medicine, and internal medicine practitioners.
With our in-depth knowledge and hands-on experience, we ensure accurate and efficient billing processes tailored specifically for the nuances of telehealth services. Trust Pathway GMS to streamline your telehealth billing operations, allowing you to focus on delivering exceptional care to your patients.
Why Choose Pathwayhms?Explore the costs associated with maintaining an in-house medical billing staff. By outsourcing to us, we take care of all operational expenses. This means significant savings for your practice, totaling thousands of dollars!
- Salaries
- Payroll Taxes
- Health Insurance
- Benefits
- Packing
- Training
- Sick Leave
- Vacation
- Workers Comp Insurance
- Software Expenses
Pathwayhms presents a cost-effective solution as an alternative to hiring an in-house employee or collaborating with other medical and collections billing companies. Our fees are typically structured based on a percentage of the revenue we successfully collect from insurance providers on your behalf, and our medical billing services come with transparent pricing, free from hidden fees. Despite the availability of our reliable and affordable service, some providers persist in enduring subpar or even poor-quality medical billing services due to apprehensions about switching. However, entrusting your practice’s financial stability to inadequate billing services poses risks. We strongly encourage you to get in touch with us to discover how the Pathwayhms team can support your practice in thriving financially.
Experience tailored medical billing solutions at PMB, addressing inefficiencies with streamlined onboarding and flexible contracts. Our focus is on promoting positive financial health and enhancing profitability. With exceptional customer service and a dedicated team of specialists managing your revenue cycle, we ensure comprehensive support. Services include clearinghouse enrollment, revenue cycle management, medical billing, and expert office management solutions for efficiency optimization.
APPEALS
– It’s common for insurance payers to deny medical claims for reasons including but not limited to; not medically necessary, out of network, untimely filing, and even the location where the care was provided. If our experienced billers have medical documentation or other evidence that the services were justified or the claims were filed timely, we will appeal the decision and seek reimbursement.
A/R MANAGEMENT
– We manage outstanding A/R in an additional effort to increase the practice’s revenue and maintain a balanced account. Our medical billing specialists follow up with patients and insurance companies in an attempt to collect as much outstanding revenue as possible on behalf of our clients.
REPORTING
– Communication is the key to any productive business relationship. That is why we communicate our methods and medical billing process by establishing an open line of communication, regular meetings, and on-demand financial reports.
LIGHT COLLECTION
– No MMB is not a medical collection agency. But we will make a reasonable attempt over the course of 90 days to try and collect patient outstanding patient balances. We send out statements and follow-up via phone and/or email. If we fail to collect after 90 days, we consult with our client to find out what the next course of action will be.
At Pathway GMS, we understand that Medical Billing guidelines can vary significantly depending on the specialty. That’s why our dedicated team of Medical Billing Specialists is carefully assigned to your account based on the specific requirements of your practice’s specialty.
Even seemingly minor oversights, such as coding errors or failure to obtain proper authorization, can lead to unwanted denials and unnecessary complications. Moreover, any inaccuracies or omissions in the credentialing process may significantly impact your ability to receive reimbursement for the services you provide.
Trust Pathway GMS to navigate the complexities of Medical Billing with precision and expertise, ensuring that you receive the reimbursement you rightfully deserve.
INSURANCE VERIFICATION
– Before the visit, we verify the patient’s insurance to ensure eligibility. This greatens the chance of reimbursement to the provider for the service provided.
PAYMENT POSTING
– To maintain balanced account records, we post payments received regularly. The posting allows the provider to get a clear picture of the practice’s financial health, identify any issues, and be able to solve them timely.
MEDICAL BILLING
– Within 48 hours of receiving the superbills or the claim reaches ready status, our team creates and submits healthcare claims to insurance payers with the purpose of obtaining timely reimbursement for the services rendered by the provider(s).