Efficient and effective medical billing and coding are more important than ever. In today’s healthcare industry, receiving appropriate reimbursement for provided care poses a significant challenge to maintaining and growing a profitable private practice. As legislative and contractual complexities expand, in-house billing departments demand an ever-increasing share of practices’ management time and resources. Without the right expertise, improper coding and insufficient documentation can also lead to repeated denials, revenue shortfalls, and compliance issues. With over 30 years of experience, Empire Management Group’s dedicated California credentialing, billing, and coding specialists have the knowledge needed to navigate complex payer requirements to ensure accurate, thorough medical coding and maximum reimbursements.
At Empire Management Group, your success is our success. Our goal is to achieve the highest possible collection and reimbursement rate in support of your practice’s profitability while reducing your compliance risks and eliminating the administrative and financial burden of maintaining your own billing staff. From credentialing and claims submission, to payment posting and patient balance billing and communication, Empire Management Group has the expertise and resources to develop an efficient and effective full-service revenue cycle management strategy tailored to your practice’s needs, which will serve as the keystone to your business’ growth. Let us worry about your revenue so you can focus on what you do best, providing quality care to your patients.
As an extension of your practice, Empire Management Group can handle the entire revenue cycle on your behalf, including enrollment, billing software and clearinghouse implementation, coding, claims entry, rejections, denials, appeals, collections, reporting, and more.
We realize that there are countless Practice Management, EHR, Billing & Clearinghouse platforms, and we have experience with many of the most popular solutions. We will integrate our services with your existing systems, or help get you set up with recommended platforms based on your needs.
We pride ourselves on providing the best possible customer service. We realize that trust and a good customer relationship are earned, and emphasize prompt, professional communication and transparency with our partner physicians, their staff, and their patients.
Whether you’re just starting, or you’re looking to grow your established practice, we can tailor our revenue cycle management services to your needs:
EMG has extensive experience with the often lengthy and arduous process of third-party payor credentialing and CAQH provider credentialing updates.
Upon receiving the daily charges from your practice, your designated billers review diagnoses and coding, enter charges, and submit claims via a clearinghouse. Claims are randomly audited for accuracy.
Through our detailed code and charge review process, we ensure claims are submitted accurately. If a rejection does occur, corrections are submitted as quickly as possible to avoid reimbursement delays.
Our team verifies all ERAs and EOBs for appropriate reimbursement on each claim, and posts remaining balances to patient’s accounts for payment collection.
Our A/R team ensures appropriate action is taken on every denial, making corrections and resubmitting claims or filing appeals so appropriate payment can be received.
If a balance remains after all payer reimbursements have been received, we generate and send easy-to-read statements for patient responsibility to your patients for payment collection.
EMG takes the hassle out of patient payment collections. We will send up to 3 statements and make reminder phone calls. Payment can be taken over the phone, through the web, and by mail.
Our team of bilingual representatives serves as your patients’ point-of-contact for any questions or concerns regarding patient statements, freeing up your staff to focus on practice matters.
With custom revenue cycle analytics and reporting, you will always have the insights you need about your practice’s reimbursements, A/R, and collections.
How well is your current billing process working? Our team of billing and credentialing experts are ready to to perform a full revenue cycle audit to help uncover improvement opportunities.
Every practice’s needs are different, and we pride ourselves on offering flexible, custom-tailored solutions that help our team become an extension of yours!
Empire Management Group has extensive experience with credentialing, billing, and coding for a variety of medical specialties. Just like the patients seeking your care, every specialized field of medicine has its unique insurance payor requirements. EMG’s certified California billing and coding specialists have the knowledge and experience necessary to navigate these challenges and ensure accurate claims processing and timely reimbursement. We have had the great pleasure to support physicians with:
Whatever your practice’s current pain points are, Empire Management Group is ready to help.