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.

Medical Billing And Coding Services Texas

We ensure a 99% first-pass clean claims rate, maximizing efficiency and reimbursements for your practice

We are Medical Billing and Coding company in Texas. We specialize in providing comprehensive Medical Billing and Coding Services designed to improve your practice’s revenue cycle, reduce administrative burdens, and ensure timely reimbursements. Whether you’re a small to medium-size practice, we offer customized solutions that streamline your billing process and ensure compliance with the latest healthcare regulations. We offer customized solutions that streamline your billing process and ensure compliance with the latest healthcare regulations.

Since 2007, we have been trusted by healthcare providers to deliver accurate, efficient, and cost-effective billing and coding services, allowing you to focus on delivering exceptional patient care while we handle the financial aspects of your practice.

We use specialized coding classification systems to create standardized codes which correspond to a physician’s diagnosis, procedure, drug, or other services. Current Procedural Terminology (CPT) for procedures, International Classification of Diseases (ICD-10-CM) for diagnosis, and Healthcare Common Procedure Coding System (HCPCS) for hospital and DME/DEMPOS. These codes are used to communicate with insurance providers, government agencies, and other healthcare stakeholders for what services are rendered to patients.

Our expert team ensures that your claims are processed accurately and efficiently, so you can focus on patient care while we manage the paperwork. Our seamless billing process consists of:

Clean Claim Submission : We process claims quickly and correctly, including all required documentation to prevent delays. We make sure:

The information on the insurance card is up to date.
Patient information, address, phone number on the super bill is correct.
Patients have valid coverage on the date of service.
Preauthorization was obtained by the provider prior to the service, if needed

Accurate Diagnosis and Procedure Coding : We ensure accurate and compliant coding for all services rendered. Our experienced and certified coders use the latest ICD-10, CPT, and HCPCS codes to ensure your claims are processed correctly the first time.

Electronic Claim Submission : All claims are submitted electronically through clearing house. Paper claim is submitted if electronic submission is not allowed by the payer.

Prompt payment posting and reconcile with your bank account : Payments received from insurance carriers, patients, and attorney are posted promptly and reconciled daily.

Claim Denial Management : Identify the root cause of denials and categorize them based on payer trends, coding errors, and missing documents. Implement corrective actions to resolve/resubmit the claim.

Why choose CMM:

Experienced Professionals – Our skilled team understands the nuances of medical billing.
Faster Reimbursements – We minimize errors to ensure 99% claims are paid in 30 days, hence, prompt payments.
HIPAA-Compliant – Your data security is our top priority.
Custom Solutions – We tailor our services to fit your practice’s needs.

Contact us to discover how we can maximize your revenue while reducing administrative burdens.

Medical Coding

Precision Coding for Optimal Reimbursements

At CMM, we provide comprehensive medical coding services that ensure accuracy, compliance, and efficiency in your revenue cycle. Our experienced and certified coding professionals help healthcare providers maximize reimbursements, reduce claim denials, and maintain compliance with industry regulations.

Our Medical Coding Services Include:

Inpatient & Outpatient Coding - Accurate coding for hospital stays, emergency visits, and outpatient procedures.

Specialty-Specific Coding - All claims are submitted electronically through clearing house. Paper claim is submitted if electronic submission is not allowed by the payer.

Risk Adjustment & HCC Coding – Optimized coding for value-based care models and risk adjustment.

Medical Coding Audits – Identifying errors and ensuring compliance through thorough audits.

Denial Management & Coding Reviews – Resolving coding-related denials and improving claims acceptance rates.

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Why Choose Our Medical Coding Services?

Experienced and Certified Coding Experts : Our team includes AAPC and AHIMA-certified coders with expertise in various specialties.

Compliance & Accuracy : We strictly adhere to ICD-10, CPT, HCPCS, and payer-specific guidelines to ensure clean claims and reduce denials.

Revenue Optimization : Our coding accuracy helps maximize reimbursements and minimize revenue loss.

HIPAA-Compliant Process : We prioritize data security and patient confidentiality at every step.

Scalable Solutions : Whether you are a small practice or a large healthcare organization, we offer tailored coding solutions to meet your needs.

Boost Your Revenue Cycle with Expert Coding

With our professional medical coding services, you can focus on patient care while we handle the complexities of coding and compliance. Contact us and learn more about our customized medical coding solutions.