Capital Medical Consultants, LLC
Services That Keep Your Practice In Good Health

Medical Billing Solutions

Capital Medical listens to our clients and offers services designed around their specific needs. No up-selling of software or services and no unwieldy, long term contracts. Our family values approach to service is designed to increase your profitability, while reducing your administrative burdens.

  • Medical Billing

    Our services cover the entire medical claims revenue cycle.
  • Software Flexible

    We can help you choose the right platform or work within your existing software.
  • Insurance Credentialing

    Provider enrollments can be very problematic. We can process your enrollments, saving you time and money.
  • Financial Reporting

    Information is power. We provide you with customized reports to make informed business decisions.
 

Reporting & Analytics

The typical canned report options leave a lot to be desired. Capital Medical works with each client to develop the necessary reports and analysis to understand their performance and make informed business decisions.

Coding

Most providers are efficient at documenting and coding patient visits. However, certain specialties or procedures may require a coding expert. Capital Medical has the resources to ensure proper coding and reimbursement of your medical claims.

Charge Entry

Capital Medical will process medical claims within 24 hours after demographic and encounter information is received. Checks and balances are in place to ensure each encounter is captured and ready for submission to the correct payer.

Claims Submission

Denied claims hurt cash flow. Capital Medical has the technology in place to make necessary corrections and ensure acceptance of the claim by the payer..

Payment Posting

The majority of payments are posted automatically from Electronic Remittance advice files (ERA’s). Paper remittance notice and patient payments received by the practice are forwarded to Capital Medical for processing. If necessary, claims will be forwarded to secondary insurance for payment.

Denials Management

Failure to follow-up on denied claims is a significant source of revenue leakage. In the event of a denial or incorrect payment, Capital Medical will exhaust all options to collect payment.

 Patient Engagement

The prevalence of high deductible insurance plans places added emphasis on patient collections. Capital Medical resolves patient balances in conjunction with our clients, in the manner they choose. We generate patient statements with an explanation of the amount due and provide a toll free number for them to call with any questions. If necessary, Capital Medical will call patients with past due balances in an attempt to collect payment or establish a payment plan. Patient portals, where patients can view balances and make payments on-line are available for participating clients.