About Us

KMK Medical Billing has over 13 years experience in the business and has raised revenues anywhere between 12-23% (average of about 15%) depending upon specialty. Every client that we have has had multiple in house and outsourced billers before us. Now they no longer have to worry. All are extremely happy and you could be too. We’re just a phone call away.

. No start up fees or mailing fees.
. Your account can be set up in as little as 2 days.
. All payments still go directly to you. Just forward original eobs and patient payment stubs.
. There is no lapse in revenue for your practice when switching to us.
. All data is entered into our system which you’ll have access to.
. We DO NOT charge anything more than our agreed upon fee (please call for rates) when collecting any older accounts receivable you might have (dates of service before us). Most billing companies will charge anywhere between 15-30% for this.
. We do not charge you for copays collected at time of service, just what we collect.
. Start planning what you’re going to do with the increased revenue!

Consultation is free. We don’t even have to meet for this! Give us the info below and you will receive a rough estimate of the increased revenue your practice is to expect.

. SUPERBILL/CHARGE SHEET. The reason to see this is to see what codes are on the practice’s superbill. Very possibly there are codes that you are doing and not billing. In this instance, not only can you bill the codes in the future, you can back bill them depending on the time limits of the various insurance carriers. We have made a ton of money for various practices doing this. As an example, 2 Urological practices were not billing certain codes for both biopsies and urodynamics procedures while performing them. The combined revenues from these codes added around $50-60k per year alone!

. AGING REPORT. What percent of your aging is over 90 days old? Over 180 days old? All of our clients have 90+% of their aging 0-90 days old. This report is an absolute barometer of how well the practice’s billing is. There should hardly ever be more than 10% over 90 days. If your aging looks good, then we want to see your………(see next line)

. WRITEOFF REPORT. Every software should have this report. There should be write-off reasons as well as to why something was written off. For instance, if you’re a specialist and you see a patient in the global period of a procedure and the visit is denied as being in the global period, you would write this off (under write-off reason GLOBAL or something like that). These write-offs should be tracked and exported into a report for any given time frame. At KMK, we have seen horror stories. Horrendous looking aging and write-off reports at the same time. This means that in addition to the aging looking horrible, alot of money was written off that should’ve been collected as well. One practice actually had an “Oxford Write-off”. The practice participated in the insurance, but NEVER collected an Oxford payment. There was an error in the electronic set-up from the get-go with Oxford, with Oxford never receiving the claims. So they just simply created a write-off reason and wrote it off. We have also caught practices with a decent looking aging report and an off the charts write-off report.

. COPIES OF EOBS. We want to see copies from your top 5 carriers (about 5-6 nice sized eobs) to see your fee schedule, what exactly is being billed and if any modifiers are or are not being used. Fee schedules should be at least 2 times the Medicare rate so you’re sure not to be undercharging any insurance company. About 4 years or so ago, one of our Urological practices was charging the exact Medicare fee schedule to Medicare. The problem with this was that this fee schedule was from 3-4 years BEFORE that! The practice was losing money on every visit and every procedure that they were billing Medicare because of an outdated fee schedule. The practice saw an average of $15k/month just by inflating the fee schedule to roughly 2 times of what they charge.

We also GUARANTEE that you or your practice will receive 100% of the revenue from your practice’s insurance carriers. If for ANY REASON the insurance company doesn’t pay because its our fault, we will reimburse you 100% of what the insurance company would’ve paid you (Note….We have not yet had to pay a single dime on this). The one thing that we cannot guarantee (nor can anyone) is patient balances. After receiving 2 statements delinquent patients will go to collection upon physician approval.

PATIENT COLLECTION PROCESS:
. The patient statement is printed out
. It is then written off in the system under the write-off reason “COLLECTION TO PHYSICIAN”. The reason it is written off is that the system will continue to print out this statement every statement run unless we get it out of there. As explained previously, all write-offs are tracked and exported into a report. So if a physician wanted a report to see how much “COLLECTION TO PHYSICIAN” was written off in any given date span, we can provide it instantly.
. If the physician gives his/her approval, the account will go to collection. We will than undo the “COLLECTION TO PHYSICIAN” write-off and change it to “PROFESSIONAL RECOVERY”. Professional Recovery Associates, located in Levittown, NY is run by Steve Castaldo (516-579-2230) and is our collection company. They do an excellent job. The account will now be in collection. At any given time, a physician can call us and ask us how much is currently in collection? A simple write-off report under “PROFESSIONAL RECOVERY” will give us a quick answer.
. If the physician simply wants to write the patient balance off, we will undo the write-off and change it to “DOCTOR REQUEST”.
. If we don’t hear anything from the physican/office, the “COLLECTION TO PHYSICIAN” write-off will remain until we do.
. The collection company sends us the checks each month, one per practice. Attached to each check is the report of what they collected minus 30% (their fee). The check is made out to your practice in c/o KMK Medical Billing. Upon posting payments, your check will be mailed out to you, usually the same day.
. Rinse, repeat every 4-5 weeks.

All of the above has led to at least an average of 15% boost in revenue for various practices and specialties. As you can see, we are very thorough in our process and take our business and your money very seriously. Let our references tell you that you won’t get a better job anywhere else. Heck, we’ve even put their addresses and phone numbers there for you. We’re not afraid of any other billing company soliciting them because they aren’t going anywhere. Neither will you once you join us.