Medical Billing Services

Getting paid takes more than sending a claim. Credentialing, eligibility checks, coding, follow-up and patient billing all affect how much of your revenue you keep. Westmont Revenue Partners connects practices and facilities with a network of vetted medical billing experts who handle each part of the revenue cycle.

Pick a service below to see what it includes, how it works, common challenges, and answers to frequently asked questions. You can also browse by specialty.

Complete Revenue Cycle Support

• Medical Revenue Cycle Management (RCM): Oversight of the whole billing cycle, from patient registration and verification through payment and follow-up.
• Medical Management Services: Operational support that sits alongside billing, such as workflow review, reporting and payer coordination.

Front-End Services

• Credentialing & Payer Enrollment: Provider enrollment with payers and upkeep of credentials so claims can be paid.
• Eligibility & Benefits Verification: Confirming coverage and benefits before the visit so patients and practices know what to expect.
• Prior Authorization Management: Getting required approvals in place before services are delivered.

Coding & Charge Capture

• Medical Coding & Coding Audits: Turning documentation into accurate diagnosis and procedure codes, with audits to catch errors.
• Charge Capture: Making sure every billable service is recorded and reaches a claim.

Claims, Payments & Collections

• Claims Submission & Clearinghouse Management: Preparing, checking and sending claims to payers through a clearinghouse.
• Payment Posting & Reconciliation: Applying payments and adjustments accurately and matching deposits to remittances.
• Denial Management & Appeals: Finding out why claims are denied, appealing them, and fixing the causes.
• Accounts Receivable Follow-Up & Recovery: Working unpaid claims and aged balances until they are resolved.
• Patient Billing & Collections: Clear statements, payment options and follow-up on patient balances.

Out-of-Network & Specialty Billing Lines

• Surprise Medical Billing / No Surprises Act & IDR Support: Support with out-of-network billing and payment disputes under federal surprise billing rules.
• Laboratory Billing: Billing for clinical and reference laboratories, including test coding and payer requirements.
• Radiology & Imaging Center Billing: Billing for imaging centers, including professional and technical component rules.

Value-Based & Care Management

• Risk Adjustment / HCC Coding: Coding that reflects patient complexity for risk-adjusted payment programs.
• Value-Based Care & MIPS/MACRA Reporting: Quality reporting and value-based care program support.
• Chronic Care Management (CCM) & Remote Patient Monitoring (RPM) Billing: Billing for chronic care management and remote patient monitoring programs.

Compliance & Performance

• Compliance Audits & HIPAA Support: Reviews of billing and coding practices, plus HIPAA-related support.
• Practice Analytics & Reporting: Reports on collections, denials and A/R that show where revenue is slipping.