Business consultant and CompliantCare founder James Bowen, J.D., had spent years working with hundreds of small medical practice offices. He worked to improve corporate structure, institute proper accounting and documentation, and ensured compliance with health care and IRS regulations. This work resulted in more compliant, efficient and far more profitable offices.
James found in-house billing to be the source of many problems within providers’ offices. Incorrect coding, improper claim submission, lack of follow-up and staffs’ inability or unwillingness to collect receivables, resulted in medical practices not being properly compensated for the work performed.
When he considered the direct and indirect cost of office billing staff, office politics, and the reliance upon a single staff person, combine all this along with the current climate of medical audits that are (resulting in six-figure fines from non-compliant operations and billing), and the need for a good, out-sourced billing service was made clear.
The problem he had was finding a professional, efficient, legally compliant service to recommend. James looked for over two years for a service that understood the medical practice, offered a layer of legal compliance oversight and cared more for the Docs than their profits. He never found one that met their his standards of excellence and caring. So he started his own – CompliantCare, LLC.
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