Medical Billing Services

Tools to manage the business side of your practice

What makes us so effective?

• Fifteen plus years of experience in medical billing have made us very effective at keeping Mainstreet Medical current with all of the changes in insurance claim processing. Our experience with insurance billing has taught us what individual carriers expect on a claim.
• Compliant with HIPAA regulations for the ANSI 837 file format.
• Improves cash flow by sending more than 90% of insurance claims electronically via computer.
• Electronically bills many secondary carriers.
• Provides an automated printing process for claims requiring EOBs
• Pre-edit rejection reports from our clearinghouse allow you to correct and rebill claims quickly.
• Over 3000 insurance carrier addresses maintained by our clearinghouse. Also allows for custom entries.
• Complete patient database including all demographic, insurance, treatment, and account information.
• Patient scheduling software with multiple provider and location capability.
• Yearly updates of CPT and ICD-9 codes.
• Generation of accurate and detailed patient statements. Payments can be posted to exact treatments and notes added to explain patient responsibility.
  
  

Consulting and Other Services

• Consulting on HMO and PPO contracts.
• Analysis of CPT codes for profitability.
• Advising on capitation insurance and the effects it will have on your practice.
• Servicing of accounts receivable for primary, specialist, and surgical practices.
• Electronic claims processing services including daily transmissions to all insurance companies.
• Efficiency analysis for procedures in maintaining patient account demographics, insurance information, and treatment statistics.
• Setup of complete, user friendly computerized system for medical management including ongoing support and updates as changes occur in the reimbursement environment.