Medical Billing

MMMBS, Inc. Revenue Cycle Management services encompass the entire life cycle of the patient account from creation to payment. Services included with the flat-rate Billing Service include:

  • Billing Software & Practice Management Software set-up, and Database & Practice Set-up included (at no cost)
  • Credentialing (at no cost)
  • Insurance Eligibility Verification using our state-of-the-art software that checks benefit information including co-pays and deductibles in real-time from any computer with wi-fi access (at no cost)
  • All Services related to billing and coding (see medical billing workflow below)
  • Review & update of fee schedules
  • Updates on Industry changes, regulatory compliances, & monthly financial reporting


Our billing is designed to increase your reimbursement. Key features include:

  • AAPC (American Academy of Professional Coders) certified coders to provide physicians with accurate billing & coding policy
  • 48 hour turn-around-time for charge entry after MMMBS, Inc. receives your billing
  • Utilization of AllScripts Billing software
  • An Industry leading 97.8% average reimbursement rate on all insurance claims submitted (most companies typically average 70-75% reimbursement)

Combining MMMBS, Inc. certification and state-of-the-art software, most of our clients find their income substantially increase due to the accuracy of our coding and the quality of our follow-up services!

Billing Process


As part of the billing service and MMMBS’s Client Management Relationship Approach, we assign each client with 3 direct contact representatives:

1) Billing/Coding Specialist

  • Focus on proper ICD-10, CPT, and HCPCS coding
  • Review medical record documentation to validate & ensure proper charge capture
  • Report insufficient documentation issues
  • Report over-coding/undercoding issues
  • Work with Reimbursement Specialists & Account Managers to ensure minimum claim denials

2) Reimbursement Specialist

  • Focus on payment posting, denials management, unpaid claims
  • Reconcile/record batch payments from insurance payers
  • Responsible for managing 1°, 2°, 3° claims ageing reports
  • Communicate directly with insurance payers to resolve claims issue
  • Create & file appeals as necessary
  • Effectively communicate coding/billing issues which are causing denials to both account managers & billing specialist

3) Account Manger

  • Responsible for coordination and quality assurance of all aspects of customer’s revenue cycle
  • Provides customer service- main point of contact
  • Understands & communicates coding/billing/compliance regulations
  • Manages patient invoicing and collections
  • Works with other 2 reps to maximize overall account efficiency

You will also work closely with a credentialing specialist during the implementation phase of service.

Why Choose MMMBS, Inc.?