Cost savings free up staff to do other important duties. Complete Billing & Consulting, LLC will work closely with your staff to ensure that your claims are filed correctly, timely, and efficiently.

Specialties Under CMS-1450 (UB-04)

The sooner you get us the “clean documentation” to support the medical necessity of your claims, the sooner we can quality check and bill the insurance. The payer receives the claim the day we submit, and it generally takes about 14 days for payer to process and send payment.

Absolutely! We guarantee the highest level of security for patient and financial documents. Our staff is trained on all government and state guidelines, including the Insurance Portability and Accountability Act (HIPAA). We are happy to discuss this in more detail upon the initial consultation.

Depending on the provider type, the rate for our service is based on the service package you choose and billed at a monthly flat rate. We understand that if you don’t get paid, we don’t get paid, so other billing service companies who charge per claim, do not necessarily work hard to get you paid.

Only the state-of-the-art billing system with the ability to allow our providers access to claim information on demand - complete with reporting beyond your imagination

Depending on the payer's timely filing requirements, you may still have appeal rights. Even if you have appealed the claim once and they denied it a second time, it does mean you cannot get paid. We jump through all the hoops and red tape that most providers wouldn’t even think of doing. While we still do not guarantee you will be paid, we certainly will not stop trying until every rock has been turned.

The billing system will have an instant "real-time" Eligibility check option.  After the provider enters the encounter-case into the billing system, he/she will process the eligibility check.  This is important for our providers because you will instantly know if there is any problem with the insurance information provided to you by the patient.  In cases where more information is needed to determine higher coverage, our staff will contact the insurance on your behalf.  A thorough verbal verification of benefits will be uploaded into the patient chart.  The other thing to consider is our professionals know to ask the right questions in order to catch frontend errors that may cause payment delays.

Staying well informed with all payers in or out of network is how we ensure our clients are in the right hands. Not only does our software have knowledge base tools for payers, but it is always enhancing and prepared for significant changes way before these developments occur.

We will certainly remind you when it’s time to renew the authorization, but it’s critical for the practice to obtain the initial authorization and keep this as an internal process due to the clinical supporting documents that may be necessary to provide the payer at the time of the request.

Fax a Business Associate Agreement (BAA) located in the forms section and email it to our secure email at [email protected].

Medicare Secondary Payer (MSP) is the medical billing term used to describe benefits that are available when Medicare is not the primary insurance carrier. Medicare is the primary insurance when the patient is 65 or older and:

Medicare is also the primary insurance when an individual is disabled and has a small group plan through his/her own or his/her spouse’s employer regardless of age.

Medicaid is always the payer of last resort when the patient also has coverage under other health plans. Medical providers must notify Medicaid of any third-party insurance information they are aware of, in addition to informing them as to any payments they receive on behalf of the recipient.

The Medicare Secondary Payer Questionnaire is given to determine MSP situations. The questions contained in this questionnaire should be asked during each admission for those who have other insurance coverage outside of Medicare. Doing so will also enable providers to determine whether or not other payers are primary or secondary.

This is our promise to your practice! Our associates will be responsive to your calls, emails, and requests. If we cannot help you, we will not leave you hanging alone. We will offer any resources we have to get your answers.

There is a policy that all account-related responses must be made within 24 hours to all our clients, providers, and customers.

That is an excellent question! Providing the most up-to-date insurance information is by far the most important thing you can do to help claims continue cycling.

You will notify your account specialist immediately and forward the legible information via our document portal process.

A personal box will be set up for your practice so that we can share additional documents.