Capital Medical Consultants, LLC listens to our clients and offers medical billing 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.
Our services cover the entire medical claims revenue cycle.
We can help you choose the right platform or work within your existing software.
Provider enrollments can be very problematic. We can process your enrollments, saving you time and money.
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.
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.
Capital Medical will process medical claims within 24 hours after receiving demographic and encounter information. Checks and balances are in place to ensure each encounter is captured and ready for submission to the correct payer.
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.
Most payments are posted automatically from Electronic Remittance Advice files (ERAs). Paper remittance notices 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.
Failure to follow up on denied claims is a significant source of revenue leakage. Capital Medical will exhaust all options to collect payment in case of denial or incorrect payment.
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 explaining 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 online are available for participating clients.