Mg Consulting Group
Claim Adjudication
Navigating the complexities of claim adjudication is crucial for ensuring the financial stability and success of your medical practice. At MG Consulting Group, we specialize in maximizing your reimbursement rates by meticulously managing every aspect of the claim adjudication process. Understanding that, in today’s market, only a portion of insurance claims are paid as expected, we take a proactive and aggressive stance to secure the reimbursements you deserve.
- Meticulous Monitoring of EOBs and Payments
- Maximizing Reimbursement Rates
- Aggressive Claim Management Strategy
At MG Consulting Group, our claim adjudication services are designed to empower your practice by ensuring that you receive the reimbursements you are entitled to, without the hassle. Let us take on the burden of managing your insurance claims, so you can focus on what matters most—providing exceptional care to your patients. Contact us today to discover how we can optimize your claim adjudication process and boost your practice’s financial performance.
Full-Service Revenue ManagementÂ
MG Consulting Group has been providing practice management and billing services to physicians for over a decade. That experience has allowed us to provide custom solutions based on specializations. Our products and services will maximize your reimbursement process, eliminate unnecessary processes and allow you to spend more time with patients.
Management Consulting
HIPPA Compliance
Vendor & Financial Analysis
Third-Party System IntegerationÂ
Policy & Procedure Implementation
Outsourcing/ Insourcing Consulting
Electronic Medical Records
Claim Adjudication
Claims System Analysis
Form Development
Operations Analysis
We’ve Got You Covered
Receivables Improvement
Our solutions focus on maximizing collections and increasing your receivables – both in terms of volume and speed. Our clients notice a significant improvement in collections and overall receivable performance within the first six months. The MG Consulting Group Claim Reviewer will catch billing errors before data entry, which will provide a marked reduction in denial rates.
Our follow-up strategy is based on aggressive collection goals and client initiatives we put in place after analysis of your current processes. All follow-ups, appeal denials and misadjudicated claims are addressed promptly and with results in mind.
Customized Solutions
MG Consulting Group products and services are all customizable and scalable based on the needs of the client. We investigate the current policy, procedures and processes of each client and will customize a solution that best fits their unique needs.
MG Consulting Group offers full-service medical billing services ranging from service integration to complete outsourcing, while you retain total control of your business. We partner with practices to make lives simpler and businesses more profitable.
Performance Driven
MG Consulting Group’s business model is based on our clients’ performance Our pricing is directly proportional to our client outcomes. We believe strongly in our ability to get results! All of our services are offered with no investment in new technology.
FAQ
What types of medical practices does MG Consulting Group serve?
MG Consulting Group offers comprehensive medical billing services tailored for all types of medical practices, including solo practitioners, group practices, and multi-specialty clinics. Our expertise spans across various medical fields, ensuring that regardless of your practice's size or specialty, we have the solutions to meet your billing and coding needs.
How does MG Consulting Group ensure billing compliance?
We are fully HIPAA-compliant and adhere to the highest standards of ethics, compliance, and integrity in all our operations. Our team stays up-to-date with the latest federal, state, and local regulations to ensure that your billing process is not only efficient but also fully compliant, minimizing the risk of audits and penalties.
What is MG Consulting Group's approach to handling claim denials and underpayments?
Our strategic approach to managing claim denials and underpayments involves identifying and addressing the root causes to correct and prevent future issues. We meticulously draft appeals, update claim data, and resubmit claims as needed, working diligently to secure the revenue your practice is entitled to.
Can MG Consulting Group handle both electronic and paper claim processing?
Yes, we are equipped to process claims both electronically and on paper, depending on the specific requirements of the insurance carriers you work with. Our adaptable solutions ensure that claims are submitted in the most efficient manner possible, improving processing times and claim acceptance rates.
How does partnering with MG Consulting Group improve my practice's cash flow?
By optimizing your billing and coding processes, proactively managing claims and A/R, and efficiently resolving denials and underpayments, we help to improve your practice's cash flow. Our goal is to streamline your revenue cycle management, turning receivables into reliable income and ensuring a healthy financial status for your practice.
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