The FIRM: A Comprehensive Approach to Medical Billing and Management

PAID POST: At The FIRM, our team brings a wealth of experience and expertise to the medical and medical billing fields. With a collective background in physician office management, utilization review, reimbursement practices, collections, appeals, and personnel management spanning over ten years, we offer a unique blend of knowledge and skills to our clients.

Experience and Expertise:

Our team holds certifications in reimbursement specialty, possesses a master’s degree in healthcare management, and carries specialty licensing in substance abuse counseling. This diverse set of qualifications sets us apart from other billing companies, allowing us to provide a range of services not commonly found in the industry.

Skill Set:

Some of our key skills include office management/organization training, documentation training, appeal coordination, contract negotiation, personnel evaluation, and training. We are committed to delivering individualized, personalized services tailored to the unique needs of each client.

Diverse Staff:

With a staff boasting over 30 years of combined experience in the medical and medical billing field, we have a team that includes nurses, counselors, a pharmacy technician, coding interns, certified reimbursement specialists, and data entry professionals. In addition, we have access to ancillary resources such as doctors, professional counselors, lawyers, litigation specialists, coding professionals, accountants, insurance specialists, a HIPPA compliance officer, and an information technologist.

Full Medical Billing Management:

As a full medical billing management service, we specialize in accurately and timely filing insurance claims for medical doctors, therapists, dentists, and other non-medical providers. Our services aim to increase practice productivity, maximize revenue, and decrease costs. We prioritize getting to know each practice on both a personal and professional level, offering tailored services to meet their specific needs.

Credentialing Services:

Our credentialing services help practices and providers stay in compliance with insurance carriers and state guidelines. We credential providers with major insurance companies, including Aetna, Cigna, TRICARE, Medicare, and Medicaid. Whether for solo providers or mid-level practices, we ensure efficient registration with the Council for Affordable Quality Healthcare (CAQH), enabling practices to contract with multiple healthcare carriers.

Continuing Education:

Recognizing the rapid changes in the field, our staff undergoes continuous training. We actively participate in seminars and workshops, covering topics such as Medicare/Medicaid, Region C DMERC Supplier certifications, Texas Department of Insurance, TWCC Stakeholders, TDI/Division of Workman’s Compensation, and various private and specialized educational events.

At The FIRM, our commitment is not just to manage medical billing but to empower practices with comprehensive solutions, staying ahead through continuous education and adapting to the evolving landscape of healthcare.