List | MMBC, LLC

Authorizations

Authorizations

Authorizations

Benefit, eligibility, and prior authorization requirements analysis
Prior authorization submission and follow-up
Single case agreement and GAP exception negotiation
Alternative approval analysis

Billing

Authorizations

Authorizations

EDI, EFT, and ERA enrollments
Fully hosted customizable billing system that is MMBC owned.
EOB review, processing, and posting
Patient statements and billing
Credit balance resolution

Credentialing

Authorizations

Credentialing

Payer credentialing across all major payers, including Medicare and Medicaid for your local market.

Compliance

Revenue Cycle Management

Credentialing

Billing and compliance guidelines established specifically for your center and staff
Documentation audits
Comprehensive daily compliance review of all CPT codes
Reporting guidelines and appropriate use procedures

Payer Contracting

Revenue Cycle Management

Revenue Cycle Management

MMBC has years of experience in consulting, negotiating, and maintaining payer contracts - maximizing terms favorable to growth and revenue.

Revenue Cycle Management

Revenue Cycle Management

Revenue Cycle Management

Fee schedule/Charge Master analysis and maintenance
On-going revenue assessment
Oversight and comprehensive reporting