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.

New Practice Set Up Consultancy Services Texas

Effortless Practice Setup Consultancy-designed For Growth, Built For Success

Starting your own practice can be overwhelming due to the workload. A stable start provides a strong foundation and long-term financial stability, but if you don’t follow the right steps, you will find yourself in a bind. We can lay out a roadmap to help you start your practice seamlessly and run uninterrupted.

We understand the complexities and challenges that come with setting up a successful medical practice. With years of experience in healthcare consulting, our team of experts provides step-by-step support, from initial planning to operational excellence. Whether you’re starting a new practice or looking to optimize an existing one, we guide you through the entire process to ensure long-term success.

Our Practice Set Up Consultancy Services Include:

Medical Practice Setup and Planning : We guide you through the entire process of setting up medical practice, including site selection, office design, and practice model development. We ensure your practice is designed for maximum efficiency and patient care.

Regulatory Compliance and Licensing : Navigating healthcare regulations can be challenging. We assist with acquiring the necessary licenses, understanding regulations (e.g., HIPAA, OSHA), and ensuring your practice is fully compliant from day one.

Practice Financial Management : From budgeting and financial planning to insurance credentialing and reimbursement optimization, we help set up a solid financial foundation for your practice. We also help with startup capital strategies and cost-effective solutions.

Medical Software and Technology Integration : We help you select and implement the right practice management and Electronic Health Record (EHR) systems. Streamline operations, improve patient care.

Staffing : We assist with recruiting and training the right staff for your office, ensuring you build a team that aligns with your practice goals.

Marketing and Patient Acquisition : We develop customized marketing strategies to help you attract and retain patients. Our services include website development, social media strategies, search engine optimization (SEO), and local advertising campaigns.

Billing and Revenue Cycle Management:

Optimized Billing Infrastructure – Implementing efficient billing processes that ensure accurate claim submissions and timely reimbursements.

Revenue Cycle Strategy – Designing a seamless end-to-end revenue cycle to minimize denials, maximize reimbursements, and improve financial stability.

Insurance & Claims Management – Setting up systems for eligibility verification, coding accuracy, and claim tracking to enhance revenue flow.

Compliance & Regulatory Guidance – Ensuring adherence to payer requirements, HIPAA regulations, and industry standards to mitigate financial risks.

Billing Software & Automation – Integrating advanced technology solutions for automated billing, reporting, and revenue tracking to streamline operations.

Financial Health & Growth Planning – Establishing long-term revenue cycle strategies to optimize financial performance and scale the practice successfully.

Ongoing Support and Optimization :

We don’t just help you set up your practice, we provide ongoing support to ensure that your practice operates smoothly. From troubleshooting operational issues to providing strategic growth advice, we’re with you every step of the way.

Services

Reach Out to Us Today!

Call Us

Mail Us

Working Time

Book An Appointment

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.

Launch your practice with confidence

Cosmos Medical Management for expert setup consultancy that streamlines operations, optimizes revenue, ensures long-time success, reduces administrative burden so you can focus on patient care and practice growth.