Solutions

We making your life easier

Let your office staff assist you in running your business smoothly and attending to your patients.  And let us get you paid.

Do you want your company to Thrive, or just Survive?

One-quarter BILLION DOLLARS-that's what Medicare said it underpaid physicians during the last year. Sadly, most medical practices are grossly under-performing. And, the third party payers won't even begin to tell you the Billions of dollars they underpaid.

At Clean Claim MD, It's hard to articulate in a list how hard we work to collect your money. Job one is to work your account and squeeze every collectable dollar out of every claim. We inspect every claim for the correct code and modifier to insure a smooth transition through the appropriate channel. Your denials are vigorously analyzed and resubmitted for a timely.

Our business exists simply because - We Work Hard

Our business exists simply because we work hard at collecting every dollar you have earned.  We are paid at what we collect for you.  What better incentive could there be to outsource your billing to one of the hardest working billing companies?  Let your office staff assist you in running your business smoothly and attending to your patients.  And let us get you paid.

MEDICAL BILLING

  • Remote Access to our billing system
  • Patient scheduler
  • Office & Hospital Charge Processing 
  • Initiate and Manage Insurance Appeals
  • Quarterly Financial Reports and Analysis
  • Issue and Manage Patient Billing Statements

PRACTICE MANAGEMENT

  • Complete Physician Credentialing 
  • Human Resource Services
  • New Practice Start-up and Guidance
  • Customized Charge Slip design
  • Marketing and Strategic Development

 

Our Services

BILLING SERVICES

Clean Claim MD offers complete Revenue Cycle Management (RCM) services including charge capture, electronic and automatic insurance verification, electronic claims submissions,payment processing, corrected claim submissions and appeals, patient statements, accounts receivable follow up, refund review and processing, and account pre-collection activity.
Our account representatives have received certification as Medical ReimbursementSpecialists (CMRS) through the American Medical Billing Association (AMBA). Ongoing education in all areas of medical billing and reimbursement is the key to our excellence. Our CMRS team is required to complete yearly continuing education requirements in order to maintain their certification through AMBA.

CODING SERVICES

Clean Claim MD provides routine charge auditing to ensure that all codes submitted to payers for payment meet industry standards. We vigorously analyze all claims for accuracy. We use a variety of technologies to research codes, CCI Edits, NCD/LCD rules and others to make sure that our clients receive the maximum reimbursement for services they provide to their patients. We provide provider feedback on coding, documentation and compliance risks.
Clean Claim MD employs Certified Professional Coders (CPC) as certified through the AmericanAcademy of Professional Coders (AAPC).Our coding team is required to complete yearly continuing education requirements in order to maintain their certification through AAPC..

REPORTING SERVICES

Clean Claim MD provides monthly reports to our clients that include industry standard benchmarking reports including A/R performance summaries and analysis, Cash Reconciliation reporting, Top payer issues/topics analysis, productivity reports and other customized reports as requested.

HIPAA and COMPLIANCE SERVICES

Clean Claim MD provides HIPAA and Compliance training to our employees and to our client offices. In addition, we can, at your request, help you to establish a compliance plan that includes the “7” components that are required for a compliance plan includingPolicy/Procedure/Conduct Standards, Designation of a Compliance Officer, training and education, reporting concerns, auditing and monitoring, establishing disciplinary guidelines for violations, and how to handle problems with compliance.

HUMAN RESOURCES SERVICES

One of our newer services we offer is Human Resources. Upon request, Clean Claim MD will advertise, conduct interviews, and verify references when the need arises in our clients’ offices for new employees. Clean Claim MD, with prior notification, will send a “substitute”employee to our clients’ offices when the need is there due to a staffing shortage for vacations and other issues.

PRACTICE MANAGEMENT & CONSULTING SERVICES

Clean Claim MD will contract with a client to provide practice management services in your office to include the management of the daily operations in your office. We act as the practice manager/administrator but are employed by Clean Claim MD. This is a wonderful service for clients without a manager to have the expertise of a qualified manager/administrator at their disposal.

PHYSICIAN CREDENTIALING SERVICES

Clean Claim MD offers full credentialing services to our clients. We will provide credentialing services including initial application process and follow up processes for physician groups and solo providers. Services include CAQH Application, NPI Numbers, Medicare andMedicaid applications, ERA and EFT enrollment, and upon request, Contracting services as well.

MARKETING & STRATEGIC DEVELOPMENT

 Stay tuned for a new program!

PATIENT SCHEDULING SERVICES

Clean Claim MD is pleased to offer appointment scheduling for patient office visits utilizing our practice management system. All scheduling calls will be routed to our office where our staff will schedule appointments for your patients per your scheduling protocols. This service allows your front office staff to be focused on the patient intake procedures when the patient has arrived for their scheduled appointment.

MAKE TODAY THE DAY YOU IMPROVE THE RESULTS IN YOUR BILLING PROCESS.

CONTACT INFO

3868 McMann Rd, Cincinnati, OH 45244
(513) 843­7632
Monday - ­ Wednesday 8:30am to 4:30 pm
Thursday 8:30am -­ 7pm , Friday 8am -­ 12pm

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