M&D Professional Services
Phone Icon (346) 226-2363
Contact Us

M&D Professional Services

Phone Icon (346) 226-2363

We Help Your Office Stay Financially Healthy

You may see a lot of patients, but if their billing isn't properly handled, you will not receive proper compensation for services provided. M&D Professional Billing Services provides comprehensive medical claims submission and insurance collection. We assure all billing guidelines are followed with all billed claims for all payers along with timely follow-up on all submitted claims.

Solutions, Not Excuses

Medical billing is vital to your dental or medical practice, yet it can quickly become an administrative and financial headache. You need a medical billing company that will address your needs so that you can focus on patient care and growing profitability. We help increase your revenue by providing timely and effective services that include:

  • Timely Claims Submission - Once encounters are closed, the claims will be submitted to payers within a 2-day turnaround.
  • Claims Follow-up - Claims will be followed up within 14 days of submission (This may vary by payers). Medicare claims have a quicker turnaround time and will be followed up within 7 days of submission.
  • Payment Posting - We perform electronic payment posting (835,837 files) along with manual check payment posting.
  • Appeals Management - This service is provided at no extra cost to the client.
  • RCM Monthly Management Reporting - You always know that status of patient billing because we provide tracking of denial/rejections trends, month-end close, and payer reimbursement analysis.
  • Monthly Clinic Outstanding Reports - Information includes a Credentialing Pending Report along with details such as encounter not closed and hold claims report payer specific.

Additional Claims Services

  • Claims Scrubbing Prior to Payer Submission
  • PQRS Monitoring
  • Self- Pay Soft Collection after 60 days of Patient Billing
  • Direct Patient Contact for Any Denial Related Issues (Example: Incorrect Insurance Information, Demographic Information, & Coordination of Benefits)
  • Periodic Front-End Audits - Assuring That All Services Rendered Are Being Billed
  • Ongoing Front End Training - Assuring That Clinic's Staff Are Trained Based on Back-End Denials
  • Credentialing- for all insurance
Business Employees

Claim Submission

  • Eligibility
  • Batch Verification
  • Real Time Verification
  • Electronic Remittance Advice (ERA)
  • Paper Claim Submission
  • Secondary Claim Submission
  • Charge Reconciliation to Capture Missing Charges
  • First Past Rate at 93.5% or Higher

Insurance Collection

  • Rejection Analysis
  • Claim Submission Inquiry
  • Online Claim Corrections
  • Compliant Billing and Coding
  • Timely Claim Follow-up within 14 Days of Submission
  • Track Fee Schedules for Underpaid Claims
  • Payment Posting
  • Days in AR (DAR) Goal Less than 45 Days