Full-Service Medical Billing

4% of Practice Income Received

Our full-service medical billing solution is designed for small practices that want professional billing and revenue cycle support without the burden of managing claims, follow-ups, and accounts receivable themselves.

Instead of charging a large flat monthly fee, 540 Billing Solutions LLC charges 4% of the practice's income actually received.

 

What's Included:

• Claim submission and electronic billing

• Claim status monitoring

• Insurance eligibility and benefits verification

• Accounts receivable management

• Claim follow-up

• Denial management and appeals

• Secondary insurance billing

• Payment posting

• ERA/EOB review

• Outstanding balance follow-up

• Claim corrections and resubmissions when appropriate

• Insurance correspondence and follow-up

• Billing issue identification

• Monthly billing and A/R reporting

• Ongoing communication regarding outstanding claims and billing concerns

 

You Pay Based on What Your Practice Collects

Our percentage-based pricing model aligns our success with yours. You are charged 4% of practice income received, rather than a percentage of your total charges or claims submitted.

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What This Means for Your Practice

• No large flat monthly fee.

• Your billing fee adjusts with your practice's collections.

• Straightforward pricing.

• You know exactly how your billing fee is calculated.

• Focused on results.

 

Our goal is to keep claims moving, reduce outstanding A/R, address denials, and help your practice collect the revenue it has earned.

Provider Credentialing

$80 Per Insurance Panel per Provider

Credentialing can be time-consuming and frustrating. Let us handle the administrative process so you can focus on building your practice.

Credentialing Services Include:

• Initial credentialing applications

• Payer enrollment

• Provider enrollment paperwork

• CAQH assistance and maintenance

• Primary source verification support

• Payer correspondence and follow-up

• Application status tracking

• Identification of missing documentation

• Recredentialing support

• Medicaid enrollment assistance

• Credentialing status updates

Credentialing Fee: $80 per insurance panel, per provider.

The credentialing fee is due before services begin.

Estimated credentialing timeframe: 90–120 days, depending on the insurance payer and provider circumstances.

Credentialing fees do not guarantee acceptance or participation with any insurance payer. Final enrollment decisions are made by the individual insurance payer or government program.

Insurance Contract & Rate Negotiation

Customized Pricing

If your practice is already credentialed but you believe your reimbursement rates could be better, we can help you navigate the payer negotiation process.

Services may include:

• Review of current payer reimbursement rates

• Identification of negotiation opportunities

• Rate analysis

• Payer communication

• Contract negotiation support

• Preparation of rate negotiation requests

• Follow-up with insurance representatives

• Documentation of negotiation outcomes

Pricing is customized based on the payer, number of contracts, and scope of negotiation.

Contact us for a customized quote.

Need help with a specific billing task rather than full-service billing?

 

We can create a customized solution around your practice.

Available Services

• Claims Follow-Up

• Focused follow-up on unpaid, delayed, or outstanding claims.

• Secondary Insurance Billing

• Submission and follow-up of claims to secondary insurance after primary insurance processing.

• EFT/ERA Enrollment

• Assistance with electronic funds transfer and electronic remittance enrollment with participating payers.

• Denial Management & Appeals

• Review of denied claims and assistance with appropriate corrections, resubmissions, and appeals.

• A/R Cleanup

• Targeted assistance with aging accounts receivable and outstanding insurance balances.

• Payer Enrollment & Recredentialing

• Support with maintaining your participation with insurance networks.

Simple Pricing. Personal Service. Better Billing.

At 540 Billing Solutions LLC, our goal is simple: help providers get paid what they're worth while taking the stress of billing and credentialing off their shoulders.

You focus on your patients.
We'll focus on your revenue cycle.

Ready to Take Billing Off Your Plate?

Let's talk about your practice and determine which services are the right fit for you.

Schedule a Consultation

540 Billing Solutions LLC
Helping providers get paid what they're worth while taking the stress out of billing and credentialing.