About Us
Experienced, Comprehensive Billing
The Billing Group (TBG) has been a full-service billing company for over 20 years. Our corporate office is located in Fountain Valley (Orange County) California. We provide services to medical providers throughout the country. Our services are available to all medical specialties, and facilities.
The Highest Standards
There is no practice, facility too small or too large to benefit from the personal and professional billing services that TBG provides. Our clients see an increase in revenue of at least 20 percent within the first 90 days of service as well as a significant decrease in overhead. As a true extension of the provider's practice, TBG will give the patients and staff of the practice a truly personal and upfront experience. We only bill you on what you collect. Charging a client a percentage motivates us to collect as much as possible for all of our clients.
Services We Offer
Medical Billing & Collection Services
1. CHARGE ENTRY:
- Provide billing software to the practice 24-hour a day 7-day a week
- Set up and implementation of a billing system in practices office
- Create electronic billing and carrier remittance
- Provide access to full-time document storage and retrieval
- Set up integration between practices EMR system and billing software
- Data entry of demographic, billing, payments (EOBs), denials, rejections
- Gather all charge information from hospitals, offices, facilities for billing
- Client account management provides personal service to staff and patients
- 48 hours turn around of billing information to sending of claims
- Check and balance to ensure no missing charges
2. PAYMENT ENTRY:
- Entry of all payments from electronic and paper explanations
- Balance of payments between provider and billing company
- Ensure payments are being paid per insurance contracts
- Set up of credit card payments and provide patients with the ability to pay by credit card
3. COLLECTIONS:
- Rectify all rejections and denials through electronic EOBs and ERAs
- Retrieval of all medical records to submit to carriers to get claims paid
- Take all patient and insurance calls regarding insurance and patient balances
- Insurance collections on all unpaid and slow paid claims, primaries and secondaries
- Patient collections with set up of payment plans and arrangements
- Review of delinquent patient accounts with provider and staff
- Placement of problem patient accounts with the professional collection agency
- Use of account receivables reports collecting all unpaid claims
- Analysis of A/R reports identifying problem carriers and contract issues
- Mass rebilling and appeals of all unpaid insurance claims
- Rectify all rejections and denials through electronic EOBs and ERAs
4. REPORTING:
- Monthly reporting of practice and individual providers
- Report analysis to address coding, EMR billing issues and introduce new items for billing
- Address contracting issues for practice and providers
- Identify problem insurance carriers and patient
5. PROFESSIONAL CODING SERVICES:
- On staff certified professional coders
- Evaluation and management coding and auditing to ensure best coding and reimbursement rates
- Operative coding and auditing
- Diagnostic and imaging coding
- Auditing of all CPT/ICD/HCPC coding
- Training of providers and staff on proper coding techniques
6. PRACTICE PROMOTION:
- Obtain new managed care contracts with local carriers and medical groups
- Provide practice with referring doctor and facility information to help promote and increase practice referrals
- Identify and credential providers with new hospitals, and facilities to promote provider referrals
7. CONTRACTING:
- Identify new possible contracts for group and providers
- Negotiate contracts to a reimbursement level that is profitable for the group and promotes growth for the practice
- Obtain new contract and follow through to completion and implementation of the contract
- Market practice to patients and providers to ramp up patient referrals to the practice
- Obtain employer, union and school contracts for providers
- Complete government contracts and ensure compliance on all levels
- Use online programs to expedite contracting to lower the time to complete contracts
- Yearly analysis of contracts to make sure contracts are still profitable to the practice.
8. CREDENTIALING:
- Gather all credentialing information for practice and providers
- Use online credentialing programs to save and update credentialing items in a timely and efficient manner
- Work with hospitals and facilities to make sure providers are full credentialed with each facility
- Inform providers of expiring licenses and certificates and assist them in renewing all certificates
- Identify new facilities that could help practice grow and increase patient visits
9. PRACTICE SET UP AND LEGAL SERVICES:
- Practice set up
- Form business, corporation, LLC, partnerships, etc.
- Obtain NPI and tax identification numbers
- Obtain business licenses for cities and states
- Complete and keep current all business documents
- Provide practice with information for accounting services
- Obtain insurance for providers, locations, employees
10. LEGAL SERVICES:
- Set up of corporations
- Contract creation for providers as partners, private contractors, employees
- Set up lease contracts for locations
- Negotiation with potential employees or providers
- Yearly completion of practice legal documents
Meet Our Team
Chris Lusiani, J.D. CEO & President
Chris has been in the medical billing and contracting business for over 20 years. He is a graduate of Chapman Law School and UCLA (University of California, Los Angeles). His specialties are revenue cycle and contract negotiation. He creates a personal touch to the billing business and is a hands-on leader who gets the best out of his employee partners.
Pam Calderon, Client Implementation & Collections Manager
Ashley Van Cleve, Collections & Client Manager and Data Entry Supervisor
Monica Byrd, Data Entry Lead
Gina Pinhero, Certified Coder & Biller
Nicole Decker, Client Manager
Liz Pond, Payments & Denials
Grace Sheperd, Collections & Denials
Software Partners
Kareo Inc. Practice Management & EMR Software
The Billing Group Inc. is a VIP billing partner for Kareo Clients
Ebridge Document Storage Company
Encoder Pro Coding Software
EMR Integration & Assistance
- Kareo EMR www.kareo.com
- Practice Fusion www.practicefusion.com
- Epic
- WEB PT www.webpt.com
- Health Fusion www.nextgen.com
- Super EMR
- Office Ally www.officeally.com
- Now MD www.nowmd.com
- Modernizing Medicine
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Testimonials
VV, M.D., Fountain Valley, CA
VV, M.D., Fountain Valley, CA
VV, M.D., Fountain Valley, CA
"The Billing Group has been providing services to my pain management practice for 20 years. Their ability to increase my revenue and decreasing my overhead has made my practice thrive throughout the difficulties in the health care industry."
DH, M.D.,Huntington Beach, CA
VV, M.D., Fountain Valley, CA
VV, M.D., Fountain Valley, CA
"I have a very busy hospitalist practice. The Billing Group can gather my extensive data and get it billed within 48 hours. Their ability to get the claims out quickly and correctly has helped my practice obtain more facility contracts and hire more providers."
EH, M.D., Escondido, CA
VV, M.D., Fountain Valley, CA
EH, M.D., Escondido, CA
"As a retinal surgeon, coding and collections are the keys to my practice being successful. The Billing Group's certified and precise coding of my procedures has increased my revenue by twenty percent. As reimbursement rates decrease every year, The Billing Group ensures that I am getting the largest reimbursement for all of my procedures
"As a retinal surgeon, coding and collections are the keys to my practice being successful. The Billing Group's certified and precise coding of my procedures has increased my revenue by twenty percent. As reimbursement rates decrease every year, The Billing Group ensures that I am getting the largest reimbursement for all of my procedures. Any items not paid at the highest level is immediately rebilled and/or appealed in a timely manner."
Contact Us
We strive to stay in communication with our clients. Have a question about our billing practice, or want to see if we match your needs? Send us a message, or give us a call.
The Billing Group Inc.
9475 Heil Avenue Suite D, Fountain Valley, CA 92708, USA
Office: 657-204-6070 Fax: 714-541-3200 Email: ks4doctors@gmail.com Satellite Offices: Torrance, Hemet, Hesperia in CA; Seattle, WA; Nashville, TN