• Philosophy

  • Our founder, who guides our company and oversees all processes, has ten years experience in the healthcare industry. Drawing on his education, our founder has applied advanced MBA-level techniques to healthcare, through which we have developed the tools that help our clients maximize their revenue.

  • Our staff members are fully trained and certified, ensuring that your claims are handled by experts.

  • Years of consulting in private practice management (a service available through our sister company, Faber Healthcare Solutions, LLC) have helped us understand how the insurance companies operate, and we utilize that knowledge to ensure that our clients get every dollar they are entitled to.

  • We utilize state-of-the-art technology to process our clients' claims and payments, all but eliminating human data entry error and ensuring that every single code gets processed according to our strict guidelines.

• We offer client education that is second to none, teaching the office staff how to handle office visits to maximize income, helping the physician owners understand how to amplify their revenue, and reviewing reports with office managers to make sure they have all our tools available as needed.

• Our staff have a long history of dealing with insurance companies, including involvement with contract negotiation (a service available through our sister company, Faber Healthcare Solutions, LLC).

• Revenue enhancement

  • With our service, clients experience an increase in reimbursement together with lower expenses.

  • We'll help you establish a defensible fee schedule, one of our standard services.

• We recommend and bill for all HCPCS and J codes, and recommend ones that our clients are not yet using.

• Aggressive appeals

  • Appealable denials will be handled within four business days (provided the client's staff speedily sends us requested records).

• We utilize cutting-edge technology

  • Our software is always state of the art, with the latest capabilities, and compliant with current regulations, ensuring that our clients' claims are processed and handled in the most advanced manner possible.

  • We use a proprietary system that ensures insurance companies pay our clients their contracted rates, and appeals every single underpayment. (Want to keep insurance companies happy? We can also notify payers of overpayments, at our clients' instruction.)

  • Our staff obtains progressive reporting on up-to-the-minute insurance payer policies, and we notify our clients about policy changes that relate to their specific practices as insurance companies post them, minimizing revenue losses. We know about these policy changes weeks before the competition, protecting our client's revenue that much longer.

• Client education

  • We don't just generate reports, we provide analysis, explanation and discussion to our clients.

  • Custom reporting is always available.

  • We will survey our clients semi-annually to determine their satisfaction with our services, and will make those uncensored results available on our website as they become available.

  • More advanced and sophisticated in-office analysis is available through our sister company, Faber Healthcare Solutions, LLC.

• Security

  • Our software, our offices and our staff comply with HIPAA regulations.

  • Client data is encrypted, backed-up and stored offsite, for the ultimate in electronic security.

  • Checks still go straight to the doctor's office, both for EOB checks and patient balances. Our staff does not touch clients' money, an added layer of protection.

• Ethics and Regulatory Compliance

• Clean Bill of Health, LLC not only adheres to strict ethical and legal, we but also have additional contractual guidelines that we adhere to. In addition, we are certified by the State of New Jersey as a third party billing service, which mandates adherence to these stringent established and documented quality standards, including quality assurance, internal audits, data protection and much more. By using our services, you can rest assured that your billing will be in compliance with all applicable laws and regulations.

• There's more!

  • We provide an annual coding audit on 20 randomly selected charts, upon request.

  • We are pleased to offer medical billing services anywhere in the USA.

  • Patient statements are easy to read and patient-friendly. They are also colored, printed on a colored background, increasing the likelihood of patient review and payment.

  • Patients are offered a toll-free number to call with questions, increasing the likelihood of collection.

  • Patient payment plans can be structured for large balances, upon client direction.

  • Our services are performed by native English speakers.

  • We will happily work with any size practice, from a solo practitioner to a large multi-specialty group.

• Reasonable and competitive rates

  • We offer our clients an option of how they would like us to structure our fees.

    • The first -and most common - option, is a percentage of revenue collected. This arrangements means that we have a stake in how well we perform, incentivizing us to work hard for our clients. With this arrangement, we don't get paid until you get paid.

    • The second option is for us to charge either a flat monthly fee for our services, or a per-claim fee. While this arrangement lacks a conventional incentive, it minimizes the risk (from other, less ethical services) that a biller would falsify coding in order to generate higher revenues.

      • In New York and Illinois, where fee-splitting is prohibited by law, we will charge exclusively on a per-claim or per-month basis. (Charging a percentage of revenue collected is considered a violation of fee-splitting regulations in those states, and doctors who engage in fee-splitting risk having their licenses to practice medicine revoked.)

Our Guarantees

• At Clean Bill of Health, LLC we are always striving to be the best medical billing service available. Our experienced professionals are dedicated to providing premium services, support of your needs, in-depth reporting, open communication, transparency, and patient support.

• Our billing services include daily claims generation for faster reimbursement, and daily EOB review with immediate followup on secondary claims and appeals.

• We follow up on 100% of claims.

• Out goal is satisfactory resolution of all claims.

• We comply with regulations: We maintain a comprehensive compliance program, meeting HIPAA requirements, State of New Jersey requirements, and support OIG recommendations.

Why not use other companies?

• There's no comparison. Our years of experience and competitive edge, as above, trumps the unsophisticated cookie-cutter services offered by most competitors.

• Rates

  • Low quality services try and hook clients with extremely low rates, down near 4%, which looks cheap but costs you in the end. Established services charge more, telling doctors that they "get what they pay for" and happily charge north of 10%, but while those doctors end up paying more, they don't often get a return on that extra money.

  • We are a top-of-the-line service, and are so confident that our service will return a high reimbursement to our clients, that we charge midlevel rates - we are so confident that we can increase our clients' revenue that we join our clients on their ride to success, making more money not by charging more, but rather by improving productivity.

• Our services are just plain better

  • We don't just offer canned reports, we work together with our clients to offer the reports they need.

  • We have hands-on, practical practice management experience.

• Paperwork transfer is smooth and easy

• Most other services require costly messengers, and that cost is passed on to the clients.

• We accept communication via fax, phone, and secure FTP, for faster real-time contact.

• Transparency

  • With in-house billing, there are many places for your employees to fudge: they can work slowly while still collecting an hourly salary, they can hide their own errors when you are not looking, they can write off legitimate balances of money you are owed, and they are trained at cookie-cutter facilities with an unsophisticated approach to claim collection.

  • Other billing companies report regularly and are paid based on productivity, but they issue reports with data they control, provide information on paper which may or may not be generated by their software system, and report monthly at best.

  • Our system allows clients to check up on us any time, day or night, 24/7/365. With online access to our system reports, clients can see exactly what we are up to, instantly. There are no surprises, nothing hidden, only pure, comprehensive and honest answers.

• Truth in advertising

  • Many other companies try and look better by misleading clients. What do they mean by 95% claim settlements? Only that this percentage of claims are responded to by insurers, but not necessarily paid or appealed. But it looks like they are saying that their clients get paid 95% of what they bill. Rather misleading. And why are they not settling 5% of the claims?! Our services deal with third party payers aggressively, garnering our clients a higher reimbursement rate, and we promise to contact insurers about all unpaid claims, meaning that 0% of your claims are neglected.

  • Other companies tell you that their insurance adjustment rate is below the national average of 35%, so they must be great. The real truth is that insurance companies adjust off the difference between what doctor's charge and what the contracted rate is, so any biller can 'fake' a lower rate simply by lowering your fee schedule. At Clean Bill of Health, LLCwe work with you to establish a defensible fee schedule that is appropriate for fee-for-service patients, and make sure insurance companies pay you the contracted rate, instead of chasing mythological benchmarks.