Why should I use Cosmos Medical Management (CMM) for medical billing and management services?

Our collection from insurance companies is 100% and A/R denial is >1%. By outsourcing billing and management services to CMM, you do not have to worry about billing staff as we are responsible for hiring, training, and supervising of employees. Our services will allow you to free up your office space and eliminate the need for billing software, thus alleviating stress, and giving your staff more time to devote to patient care and day-to-day activities. Our 20 years of experience allow us to improve your collections, no matter the size or specialty of your practice. Aside from billing services, CMM also provides complete credentialing and recredentialing services with a variety of insurance companies. We can help set up new practices and obtain NPI numbers and tax IDs if needed etc. Cosmos Medical Management is your end-to-end virtual medical billing, coding, credentialing, and management solution.

How do I make billing information available to CMM?

There are several ways to do this. We can download the patient’s demographics and superbills from your office if you give CMM remote access. Alternatively, you can email or fax the information to CMM via our secure eFax service.

How are primary and secondary insurance claims filed?

All claims are initially filed electronically or on paper if the carrier does not accept electronic claims. Claims that require medical documentation are faxed, emailed, mailed, or uploaded to the insurance website. Claims billed to secondary carriers are faxed, mailed, or billed electronically with primary insurance EOB.

How do you ensure that all claims are processed and paid by the insurance company?

We run reports regularly and use several steps to make sure all claims are paid in a timely manner. We work on each claim until it has been paid or a reasonable denial for nonpayment has been given. If a claim is not paid in a timely manner, our professional staff either calls or checks its status online and follows up rigorously until its settled. If a claim is denied and we are not satisfied, then we appeal the decision and work that claim until a satisfactory decision is rendered.

How does your company get access to EOBs and payments?

Most insurance companies make EOBs available electronically, which can be downloaded in our software through our clearing house or from the insurance carrier’s website. If your office receives EOBs and checks from insurance companies and patients, the payment will be deposited by your office staff, and EOBs and copies of the payment will be faxed to CMM.

Where do payments from insurance carriers and patients go?

All payments from insurance carriers and patients are sent directly to you by mail or through Electronic Funds Transfer (EFT). You can choose whether payments and EOBs are remitted to your post office box, bank lockbox, or physical address. If you choose to use a lockbox, EOBs are mailed to your bank where all the checks are scanned and deposited and made available through the online banking system. If you use a PO box or physical address, EOBs and checks are mailed to the payment mailing address.

How does CMM handle delinquent accounts?

CMM pursues delinquent health insurance claims and patient accounts professionally and courteously. Our procedure is to send three statements to patients with follow-up phone calls. We offer several payment plans until the account is paid in full. We also provide mutually agreed upon discounts if the patient agrees to send a full payment. Payment through credit card is offered to the patient. If the patient does not respond after three statements and phone calls, then the account is sent to a collection agency upon your approval.

How can I stay in touch with CMM to make sure my billing is done to my satisfaction?

We can meet with local physicians and selected staff upon request. For long distance clients, we can arrange a phone call or Zoom meeting to discuss any questions. We provide extensive, self-explanatory reports at the beginning of every month and can create customized reports upon request. We also provide annual comparative reports for up to the past three years of charges, collections, and outstanding balances to show the trend of your practice.

How do I make sure that patient information and data is secure?

CMM is a HIPAA-compliant billing and management company. We follow secure data protection policies, and our data is securely backed up multiple times every day.

Who answers medical billing service questions that patients might have?

The staff at CMM answers all billing-related phone calls and questions. A toll-free number will be provided on all claims and patient statements.

How do you charge for your billing and management services?

CMM does not get paid unless you get paid. Our fees are percentage-based and proportional to your receipts. The percentage charged is based on many factors, including specialty, practice size, and customized services offered. There is a one-time, nonrefundable setup fee for new and established practices. Credentialing services can be provided on an hourly basis or per project. Please contact CMM for more information.

Can I revoke or cancel my agreement with you?

Your contract with CMM is nonbinding and can be cancelled with 90 days’ prior notice and a written agreement from each party.

How do I get started?

We will send you a service contract to review and sign. We can start entering your data as soon as the agreement is signed, and the appropriate information is available. For more information please submit through our contact form or schedule a free consultation.

Laboratory Credentialing

The U.S. Clinical Laboratory Tests Market Is Expected To Reach USD 109.09 Billion By 2029 From USD 95.89 Billion In 2023, Growing At A Cagr (Compound Annual Growth Rate) Of 2.17% During The Forecast Period. (Ref. Artizon Advisory & Intelligence)

At CMM, we know that laboratory credentialing and enrollment with the right payers is the foundation of every lab’s growth and revenue. Don’t miss the opportunity to take advantage of a fast-growing industry, getting credentialed with government and commercial insurance carriers, ensures your lab is recognized, reimbursed, and trusted.

We understand the complexity of federal and state-specific credentialing guidelines. Our expertise allows us to navigate these requirements seamlessly, so your lab can focus on delivering accurate testing and patient care. Since most laboratories are non-par, credentialing is critical to ensure insurance companies pay for services not patients.

Credentialing is more than paperwork; it’s a quality assurance mechanism that verifies your lab meets strict standards for proficiency testing, quality control, and compliance with regulatory guidelines. It strengthens patient confidence, reduces administrative delays, and opens the door to expanded access across government, commercial, PPO, and HMO networks.

With CMM’s professional credentialing team handling the complicated, time-consuming process, you can rest assured that every detail is managed. We handle the workload for you, connect you with the highest number of payers, and ensure every document is prepared before starting allowing you to focus fully on delivering safe, reliable, and outstanding care to your patients.

CMM’s Laboratory Credentialing Process:

1. Initial Assessment

Review your laboratory’s services, specialties, and payer list.

Identify government, commercial, PPO, and HMO carriers relevant to your growth goals.

Ensure readiness by checking NPI, tax ID, licenses, CLIA certification, CAP, and compliance documents.

2. Documentation Preparation

Collect all required paperwork including state licenses, CLIA certificates, liability insurance, and ownership details.

Verify accuracy to avoid delays.

3. Application Submission

Submit credentialing applications to government and targeted payers.

Track submission status and confirm receipt with each insurance company

4. Rigorous Follow-Up

Maintain ongoing communication with payers, especially when panels are closed for specialty labs.

Monitor openings and re-submit applications promptly when opportunities arise.

Resolve requests for additional information quickly.

5. Compliance Verification

Ensure labs meet payer and federal/state guidelines for proficiency testing, quality control, and regulatory standards.

Address any discrepancies before approval.

6. Approval & Enrollment

Secure credentialing approval and enroll the lab into payer networks.

Confirm network participation details, reimbursement rates.

7. Ongoing Monitoring

Keep credentialing current with renewals and revalidations.

Monitor payer updates and maintain compliance to avoid interruptions in reimbursement.

Why Choose CMM:

Specialized Laboratory Expertise: CMM understands the unique credentialing requirements for CLIA, CAP and other documents ensuring accurate and compliant submissions.
Faster Payer Enrollment: We streamline applications with Medicare, Medicaid, and commercial payers, reducing delays and helping labs begin billing sooner.
Proactive Follow-Up & Compliance: CMM monitors every step of the process, responds quickly to payer requests, and ensures all documents, licenses, and certifications remain current.
End-to-End Management: From initial credentialing to ongoing maintenance and revalidation, CMM handles the entire lifecycle so your lab stays fully enrolled and operational.

Laboratory Credentialing

CMM’s Laboratory Credentialing Process:

1. Initial Assessment

2. Documentation Preparation

3. Application Submission

4. Rigorous Follow-Up

5. Compliance Verification

6. Approval & Enrollment

7. Ongoing Monitoring

Why Choose CMM:

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