Our Primary Services

Full Service Medical Billing

ResourceOne Medical Billing, LLC is a full service billing and management company working with all aspects of your practice to insure accurate billing and maximum reimbursement.

Coding, Charge Entry and Claims Submission

Experienced, certified coders with AAPC and AHIMA certifications
Manual charge entry into our billing software
Custom charge files for import into our billing software
Manual charge entry into our billing software
99.9% coding accuracy
Fast electronic insurance filing and billing services
Checks and balances in place to ensure that all billable procedures are captured

Insurance Reimbursement

Followup on un-paid and underpaid claims
Provider enrollment and credentialing for dozens of private and government insurances
Re-credentialing renewals
Substandard insurance payment monitoring
Continuous review of self-pay patients for Medicaid eligibility
Fee schedule analysis and recommendations
Payor contracting

Payments

Insurance payment posting
Process deposits through a bank lockbox or local post office box
Secure client links for expedited transfer of client information

Custom Reporting and Analytics

Customized financial reporting
Customized monthly statistical reports and tracking of business activity and production

Patient Invoicing and Collections

Creation and mailing of color laser generated patient statements
Patient billing questions answered personally and efficiently
Automated calls for patients with unpaid claims

Also included with our Billing Service

MIPS reporting
Electronic connections to numerous hospitals and EMRs
Maintain and monitor HIPPA compliance
Web page design and development
Patient and surgeon surveys

Coding Services

Rn this era of value based reimbursements, it is important that your charges are coded correctly. Our experienced and certified coding team will help your practice by utilizing the latest coding guidelines. With all provider coding services, we offer powerful reporting and analysis tools.

Anesthesia Certified Coding

Anesthesia coding requires a specific set of coding skills and compliance awareness. We ensure that your anesthesia coding is accurate and compliant. We stay current with anesthesia billing requirments and help you navigate any changes to maximize your reimbursement.

Experienced Coding Staff

Our team of experienced and dedicated coders are AAPC and AHIMA certified. They attend monthly coding compliance and education seminars to stay informed about any ICD-10 or CPT changes.

Coding Compliance

Insurance payment posting
Process deposits through a bank lockbox or local post office box
Secure client links for expedited transfer of client information

Multiple Specialties Coding

We offer coding for many different types of providers and healthcare centers.

Urgent care centers, Pain specialists, Surgery centers, Ambulatory service centers, Ambulatory service companies and Rheumatology are just some of the providers we offer coding services for.


To inquire about your specialty or practice, please contact us.

Credentialing Services

Our credentialing services can help get your providers enrolled with government and commercial payors so there is no delays in enrollment.

  • Experienced credentialing team
  • Condensed information forms
  • Enrollment with dozens of insurance companies
  • Enrollment with multiple government insurances
  • Quality processes ensure accurate and complete information is sent to the payors
  • Set up and maintenance for all provider CAQH & PECOS accounts
  • Renewal notifications
  • Re-credentialing

Practice Management

ResourceOne scales its service to meet the unique needs of each client. We provide a wide variety of services directly or in conjunction with accountants, lawyers, benefits administrators, bankers, and insurance agents. We provide the following:

  • Private insurance contracting
  • Government insurance contracting
  • Provider recruiting and management
  • Credentialing and compliance plan development
  • Patient scheduling
  • Provider services proposals
  • Contract review and negotiation
  • Bookkeeping
  • Financial Review
  • Credentialing
  • Payroll processing – integrated with ADP for tax payment
  • MIPS Reporting
  • Compliance plan
  • Employee manual
  • Support staff assistance
  • License, malpractice and CME follow-up
  • Work with benefits administrator
  • Working with CPA for taxes
  • Working with attorney for legal issues
  • Web page design and maintenance

Consulting

The business of delivering health care has become extremely complicated. Today, even small physician practices require experienced, trained, and highly qualified managers and experts in a variety of fields to compete, insure efficiency, to optimize their billing and collections, and to stay in compliance with the numerous laws and regulations that effect day to day operations and profitability. It is normally not possible to afford to have experts on a single practice payroll.

ResourceOne Medical Billing has the trained, experience staff to respond to these needs. We can provide the expertise and support needed to respond to requirements, optimize the business aspects of an organization, and even provide advice and assistance in management and financial matters. Our team has a broad range of experience working with various medical specialties, hospitals, nursing facilities, and pharmacies.

Services provided by ResourceOne consultants include:

  • Financial Tools and Management
  • Insurance Filing and Billing Services
  • Practice business structure consulting, LLCs, S Corps and more
  • Accounts Receivable Management
  • Mergers and Acquisitions
  • Compliance Audits
  • Compliance Plan Development
  • HIPAA Plan Development and Implementation
  • Coding Assistance
  • Training and Instruction
  • Practice Start Up
  • Managed Care Contract Negotiations
  • Hospital and insurance contracting
  • Needs Assessments
  • Practice Management Computer System Selection
  • Fee Schedule Analysis
  • Interim Practice Management
  • Practice Evaluations
  • Key Performance Indicators and Benchmarking

Memberships and Associations

Want to work with us? Get in touch