About Us
Mederi Services, LLC is the largest medical billing company in the country specializing in insurance reimbursement for Surgical Billing, Non – Physician (Surgical) First Assistants, Anesthesia and Physician / Surgical practices. Our company staff is comprised of Orthopaedic Physician’s Assistant – Certified / Licensed Surgical Assistant and Certified Medical Billing Specialists. With over 19 years of practice management and 23 years of medical /surgical experience, we are uniquely qualified to perform any claims management. We understand the challenges faced by Physician practices and Non – Physician First Assistants (surgical assistants) seeking reimbursement for services.
There are many companies that provide Anesthesia / medical / surgical assistant billing and soft collection services, but the complaints we hear from their former clients involve a lack of information or communication, indifferent treatment, and a general unwillingness to pursue the claims past an initial denial or minimal payment. Insurance companies frequently use these tactics to delay or reduce payments to providers. Our entire process was developed with the provider in mind, not the way some administrator with no practical experience would do it. We provide ethical, accurate, and affordable billing services. Please take a look through the website and let us know if you have any questions. Not all billing companies are created equal.
Our Headquarters is in Sugar Land, Texas, but we have many clients throughout the country. We have a vast knowledge of the policies and procedures for handling your medical billing needs, regardless of your state.
Mederi Services, llc has proven methods for coding, filing, and appealing claims that we use everyday for our own practice. We constantly monitor the ever-changing government and private insurance standards for medical billing. We provide knowledgeable, accurate, and courteous service that will make you confident that your claims are filed correctly and pursued aggressively.
We are the only billing company that has created proprietary software for automation of appeals, claim reconciliation and client reporting which allows us to process and do more for our clients than anyone else.
What Sets Us Apart
Mederi Services is not just a claims processing center. Our goal is to provide customized services dependent on your needs and to bill accordingly. Your costs are aligned with your customized requirements, which means you don’t pay for services you don’t need or require. Our goal is to provide the highest return on your claims without sacrificing service or patient support. We successfully convert medical services into reimbursements by providing a full range of medical billing services including:
- Generating and accelerating individual claims which are professionally prepared, accurately coded and electronically submitted
- Proprietary Appeals and Automation software that allows us to get your appeals out faster and more accurately than ANY other billing company
- Automated reporting sent 3 times a month to make sure you have an accurate understanding of your accounts status (6 different reports sent)
- The key to your success is the appeal
- Persistent follow-up on all claims
- Prompt submitting and posting of payments
- Analysis of patient information
- Courteous but effective soft collection of outstanding receivables
- Patient billing questions answered promptly and efficiently
- Creation and mailing of patient statements
- Customized statistical reports and spreadsheets tracking business activity and productivity
- Analysis and recommendations for fee structuring
Billing for Surgical Practices and Non Physician First Assistant services is more complex than standard office medical billing. We have the knowledge for the coding policies and procedures for each insurance company to ensure efficient processing of your claims. Knowledge of states that have government regulations mandating reimbursement for Physician, Surgical practices and non MD First Assistant services is crucial in today’s healthcare market.
The denial rates for surgical services are much higher so the need for appropriate appeals is greater. Many claims are paid at a lower rate than expected and this must also be appealed. We perform routine follow-ups so you get your payment sooner. We provide claims filing via mail or electronically through a clearinghouse to the insurance companies (Private, Workers Comp, Medicare and Medicaid).
We provide appeal services for our clients until the claim has been satisfied, or all appeal avenues have been exhausted. Our main objective is to obtain the highest return on billed services for our clients. The insurance companies have full-time staff whose sole objective is to reduce their payouts. Shouldn’t you have full-time staff working to ensure that you get the maximum return for your services?
We can send invoices to patients (for deductibles/co-pays or balances), hospitals, and surgeons for your services, if needed. Our staff will work with you to devise a plan that fits your practice. Our goal is to meet your reimbursement needs in every way. Why try to hire a back office biller that is just there for a paycheck and not looking out for you. We only get paid if you do.
Depending on your needs and the size of the account our rates are 4%-13% of the amount collected (Most are 8.75%).
Please feel free to contact us for your rates and any other general information.