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Which part of your medical billing and credentialing process is leading to denied claims?
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What problems are resulting in those frustrating delays or non-payments?
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What issues are forcing your staff to spend too much time resolving claims, straining both your office and administrative staff, and increasing costs?
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What’s really preventing your practice from collecting the full amount owed, and ultimately reducing your cash flow and profitability?
Let's identify the root causes and help you maximize your claim reimbursement.
Every minute spent on complex billing issues takes you away from what matters most—your patients. Imagine resolving these challenges today! It could significantly increase cash flow, making your practice financially stable and more profitable.
If you’re seeking expert assistance, you’ve come to the right place. We specialize in providing comprehensive medical billing and credentialing services tailored for Physical Therapists, IOP and PHP Behavioral Health Providers, Mental Health and Psychiatric Services, and Home Health Care Facilities
Who Are We?
L & C Advanced Practice Management LLC, is a U.S-based outsourced medical billing and credentialing agency located in Los Angeles, CA. For more than a decade we have helped clients stay in business and achieve their financial objectives by helping them achieve 100% claims reimbursement while decreasing their payment cycle to 20 days or less.
We are revenue experts for medical practices of all sizes and specialties that accept health insurance and bill claims for reimbursement.
Partner with us to transform challenges into opportunities, ensuring timely payments and strengthening the financial health of your practice. Together, we’ll navigate the complexities of medical billing, ensuring your practice thrives!
What Do We Do?
We’ve perfected a proven approach to eliminate claim nonpayment, delayed payment and underpayments. With over a decade of experience serving hundreds of practices across various specialties, including Physical Therapy; IOP/PHP behavioral Health Providers; Mental Health and Psychiatric Services as well as Home Health Providers- We have the expertise to handle your unique needs.
Our comprehensive outsourced medical billing and credentialing services relieve you and your staff from the burdens associated with complex coding, billing, and reimbursement for all processed claims. We manage all credentialing and time consuming administrative tasks, allowing you to focus on patient care while enhancing cash flow, financial stability, and profitability. With our team of experienced professionals, we handle these complexities so you can concentrate on what matters most—your patients.
Credentialing
Healthcare providers typically face 10-20% claim rejections due to credentialing issues. Our specialists manage the often complex and labor-intensive provider credentialing process. This includes but is not limited to, initial credentialing and re-credentialing with desired insurance companies.
Eligibility Verification
15% of claims are denied due to issues with benefit checks; like lack of coverage and submitting claims to the wrong insurance company. Additionally, a significant number of these denials result from the lack of timely approvals for essential services. We mitigate this by verifying eligibility and coverage upfront to ensure accurate claims submission. Our management of prior authorizations ensures that patients receive timely approvals for essential medical services. This proactive approach eliminates unapproved visits being written off, protecting revenue.
Medical Billing
We ensure clean claim submissions for all claims we process Providers, and Home Health Services. With 15-30% of claims often impacted by medical billing issues errors, our meticulous process guarantees the right codes, the right units, and the right charge amounts are billed to the right insurance on the first submission. This accuracy minimizes denials and accelerates claims payments.
Accounts Receivable Management
Without the right procedures in place, 30-55% of accounts receivable remain unresolved for many providers struggling with not collecting enough from insurance claims. We meticulously track claim rejections and denials, ensuring that corrected claims, reconsiderations, and appeals are submitted within the payer's designated time limits. Our proactive approach reduces non-payment and partial payments, allowing you to enjoy quick revenue recovery for all services rendered. Our focus is on maximizing your revenue and improving cash flow for your practice.
Patient Billing
Our specialists manage patient billing by providing clear and accurate statements that enhance satisfaction and streamline payment processes. This proactive approach minimizes bad debt and significantly reduces year-end write-offs, which can account for up to 20-30% of uncollected revenue, ensuring your practice maintains healthy cash flow while fostering positive relationships with patients. Our goal is to simplify billing, making it easier for patients to pay.
Coding and Billing Audits
Our comprehensive coding and billing audits ensure compliance with industry standards, minimizing billing errors across all healthcare providers. With 10-20% of claims often impacted by billing errors, we identify discrepancies and ensure accurate coding practices to help safeguard your revenue and enhance operational efficiency. This proactive approach not only reduces the risk of denials but also supports improved financial performance for your practice.
Why Us?
Revenue Focused
Fast claims processing improved cash flow through our Reimbursement Optimization.
Customized Solutions
We tailor our services to meet the unique needs of your practice, providing a personalized approach that “fits”.
Track Record of Success
Serviced over 100 practices of various sizes.
Years of Collective Experience
Claims Processed Annually
Providers Served Daily
Insurance Companies Billed Monthly
Success Stories
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Brought Back from the Brink of Bankruptcy
L&C saved a Physical Therapy Practice in Chino Valley, AZ, from shutting down and declaring bankruptcy. This practice had been serving patients since 1987. Initially plagued by a 35% error rate and a daunting 65% claim rejection rate, the revenue and cash flow were so dire that the owner had to take out loans to keep the business afloat while seeking solutions to resolve the crippling financial situation. Within the first six months we increased the claims submission rate to 100%, and within 60 days, we boosted the clean claim rate to 85%. Within 120 days, the denial and rejection rates were reduced to an impressive 15% on original claims. In just six months, the practice was able to deposit $180,000 into its bank account that had previously gone uncollected. Ultimately, this enabled the business to continue meeting the Physical Therapy needs of its existing patients and increase patient volume due to the new scalable solutions implemented. -
Resolving Backlogged Claims Unlocked Stifled Cash Flow
A Behavioral Health Practice in Phoenix, AZ, partnered with L & C Advanced Practice Management. This BH Practice was reliant on a 3rd party EHR/Billing Service for almost 3 years. While proficient in timely claims submission the service struggled with Denials Management, due to billing errors such as submitting claims to incorrect payers and failing to follow the Coordination of Benefits (COB) order. Additionally, the service took too long to resolve rejections and denials, forcing many claims to be rejected for failing to meet Timely Filing Limits. As a result, the Behavioral Health Practice faced a high rejection and denial rate of 42%. With each claim holding substantial value and a monthly claim volume nearing 2000, losses mounted to over $100,000 monthly. In just 90 days of partnership, with our meticulous benefit checks and prior authorization protocols and coding review prior to submission, we were able to reduce the rejection and denial rate by 95%. Within six months of our partnership, total revenue surged from $125,000 monthly to $225,000—and within one year skyrocketed to an astounding $350,000 in monthly revenue collection. -
Maximizing Reimburse with Precise Initial Billing
A specialized Mental Health Practice offering Intensive Outpatient Programs in Spokane, WA, was transformed by the expertise of L & C Advanced Practice Management. For nine months, incorrect claims submissions to over ten Managed Care Organizations (MCOs) in Washington left this practice with nearly 10,000 unpaid and improperly processed claims. Leveraging our extensive experience with State Medicaid and MCOs, all 10,000 backlogged claims were successfully submitted within 45 days of service commencement. This pivotal intervention resulted in significant collections: $50,000 in the first month, $85,000 in the second month, and an impressive $110,000 within just 90 days of partnering with L & C Advanced Practice Management.
Ready to Collect Every Dollar You Earned? Contact Us Today!
FREE First Month of Service
Enjoy a free introductory month with our services
FREE COST Analysis
Take advantage of our complimentary billing review and uncover loss revenue and potential savings.
FREE Access to Billing Software
Schedule a demo of our user-friendly system – see how it streamlines
Get Started Now!
No more worrying about delayed payments or complicated billing processes. Partner with us today for seamless medical billing and credentialing that empowers your practice to thrive!
- 818 539 7584
- billing@lcmedpractice.com