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.

Vascular Surgery

Credentialing & Billing Services for General Surgeons

Vascular surgery is a highly specialized field that requires precise credentialing and accurate billing to ensure surgeons are properly reimbursed for their expertise. Because vascular procedures often involve complex coding and high-value claims, credentialing with insurance carriers must be handled carefully to avoid delays in patient access and payment. Our credentialing services streamline enrollment with payers, keeping providers in-network and compliant. On the billing side, we apply specialized knowledge of vascular CPT and ICD-10 codes, submit clean claims, and manage denials proactively to maximize revenue. By managing both credentialing and billing, we help vascular surgeons focus on patient care while maintaining a strong financial foundation for their practice.

Credentialing & Enrollment

Prepare and submit applications to insurance carriers : We handle all paperwork and documentation required for credentialing, ensuring applications are complete and accurate before submission.

Track progress and follow up until approval is confirmed : Our team monitors each application closely, communicates with payers, and provides updates until the credentialing process is finalized.

Secure contracts with insurance payers : We work directly with insurance payers to make sure your provider contract is finalized. This step confirms that your practice is officially recognized and approved to deliver services under their network.

Secure and confirm in-network effective date from payers : Once the contract is complete, we ensure the payer provides an official in-network effective date. This date is critical because it marks when you can begin seeing patients covered by that insurance and receive reimbursement for services.

Ensure smooth transition into payer networks : By securing both the contract and effective date, we eliminate delays and confusion. This ensures your practice can start billing payers right away and patients can access care without interruptions, and supports the growth of your practice.

Revenue Cycle Management

Accurate Coding & Billing

Apply correct CPT and ICD-10 codes specific to vascular surgery : We use precise codes tailored to vascular procedures, reducing errors and ensuring compliance with payer requirements.

Minimize errors that lead to claim denials : Careful coding and billing practices prevent costly mistakes that delay payments or reduce reimbursements.

Ensure full reimbursement for every procedure performed : Accurate coding guarantees that providers receive the maximum allowable payment for their services.

Claims Submission & Tracking

Submit clean claims promptly to avoid delays : Claims are prepared with complete and accurate information, then submitted quickly to payers. This reduces the chance of errors, rejections, or requests for additional documentation. By ensuring claims are clean and timely, reimbursements are processed faster, helping maintain steady cash flow for your practice.

Monitor claim status with payers until processed : We track each claim closely with the payer from submission until it is fully processed. This ensures no claim is overlooked and payments are received without unnecessary delays.

Resolve flagged or delayed claims through proactive communication : We actively follow up with payers to address flagged or delayed claims. By communicating quickly and clearly, we resolve issues faster and ensure payments are processed without unnecessary delays.

Denial Management

Investigate reasons for claim denials : We carefully review each denied claim to identify the exact reason for rejection. This includes checking payer policies, coding accuracy, and documentation requirements. By understanding the cause, we can correct issues quickly, prevent future denials, and protect your practice’s revenue.

Resolve issues and resubmit claims promptly : We quickly address any discrepancies and resubmit claims to ensure your practice receives the revenue it deserves without unnecessary delays.

File appeals when necessary to recover lost revenue : When claims are denied, we prepare and submit detailed reconsideration/appeals with supporting documentation. This helps recover payments that would otherwise be lost and protects your practice’s financial stability.

Identify patterns to reduce future denials : We analyze claim denials to spot recurring issues or trends. By addressing these patterns, we improve claim accuracy and reduce the chances of future rejections.

Payment Posting & Reconciliation

Record all payments from insurance companies and patients : We accurately track and document every payment received from payers and patients. This ensures your financial records stay complete, organized, and up to date for smooth revenue management.

Match payments against claims for accuracy : We carefully compare each payment with the original claim to ensure amounts are correct. This process helps identify discrepancies quickly and keeps your financial records accurate ensuring nothing is missed.

Identify discrepancies and correct them promptly : We review payments and claims to spot any mismatches or errors. By fixing issues quickly, we ensure accurate records and prevent delays in reimbursement.

Maintain clear financial records for the practice : We keep all payment and claim information organized and up to date. This ensures accurate reporting, easier audits, and a clear view of your practice’s financial health.

Reconcile payments with the bank : We regularly match recorded payments against bank statements to ensure accuracy. This process keeps financial records reliable and helps quickly identify any discrepancies.

Patient Billing & Collections

Clear Patient Statements : We provide transparent billing statements that clearly outline balances after insurance payments. This helps patients understand exactly what they owe without confusion.

Flexible Self-Pay Management : Self-pay accounts are managed with flexible payment options and timely reminders. Patients can choose plans that fit their budget while staying on track.

Patient Education on Financial Responsibility : We explain to patients what their insurance covers and what costs they must pay out of pocket. This clear communication helps avoid confusion, makes it easier to collect payments, and builds trust in the billing process.

Compassionate Communication : Our team ensures billing discussions are handled with empathy and respect. This maintains patient trust while securing payment for services rendered.

Reporting & Analytics

Track collections, revenue trends, and outstanding claims : We create clear, organized reports that highlight key financial metrics. These easy-to-read summaries give you quick insights into your practice’s performance and support better decision-making.

Offer insights to support better business decisions : We analyze financial and operational data to highlight key trends and opportunities. These insights guide smarter decisions that strengthen your practice’s growth and long-term success.

Provide regular updates to keep you informed about revenue cycle status : We share timely updates on claim progress, payments, and denials. This keeps you fully informed about your revenue cycle and helps you make proactive business decisions.

Why Choose Us

Specialized Expertise : Experienced in credentialing and billing for surgical specialties, including vascular and general surgery.

End-to-End Support : From credentialing to claims management, we handle the entire revenue cycle for you.

Accuracy & Compliance : Precise coding and thorough documentation to reduce denials and ensure maximum reimbursement.

Proactive Communication : Regular updates and follow-ups with payers so you’re always informed.

Focus on Patient Care : We take care of the administrative work, allowing you to dedicate more time to your patients.

Data-Driven Insights : Clear reporting and analytics empower smarter business decisions and long-term practice growth.