For any business that chooses to outsource their billings and collections, not being in the know is a big concern. At MedUSA, we understand the importance of being able to check on the status of your claims, payments and financials in real-time. That’s why our business and operating model is based on complete transparency. With...

LCD (Local Coverage Determination), NCD (National Coverage Determination) and LMRP (Local Medical Review Policy) define Medicare, Intermediary, and/or Insurance Carrier guidelines as to whether a specific procedure will be covered based on medical necessity and/or utilization (frequency).

Avoid Negative Medicare B Payment Adjustments resulting from non-participation! The Physician Quality Reporting System (PQRS) applies to Physician Fee Schedule (PFS) services furnished to Medicare Part B Fee-for-Service (FFS) beneficiaries (including Railroad Retirement Board and Medicare Secondary Payer). The program goal is to encourage eligible health care professionals (EPs) to incorporate and report on specific...

At client request, MedUSA will assist in maintenance and re-validation of practice registrations on the various credentialing websites as well as respond to any carrier requests for credentials. ABS also offers guidance and assistance needed to initiate and/or renew participation agreements, add new providers to the group, and monitor and correct errors in carrier information...

In order for MedUSA to provide timely billing and follow up for services, it is critical that documentation forwarded by the practice – whether patient demographics/coverage, charges, payments or special requests – be legible, accurate and complete. MedUSA works with practice staff to maximize the quality and timeliness of documentation.