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Medical Billing Services

Claims Submission and Edits

Let us file and manage your claims for you. The claims submission and edit process includes the following services:

  • Medical billing & coding
  • Filing claims with insurance companies
  • Claim edits and resubmission
  • Denial management
  • Insurance company follow-up
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Start seeing more profitability in as little as 5 days

One phone call is all it takes to identify whether our services are right for your practice. We can start serving you in as little as one week.

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(888) 394-7815

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    Our Claims Submission and Edits Services

    Our claims submission services range from coding to filing claims with insurance companies and making edits to claims as needed. We monitor claims through every stage of the billing process so we know when further action is required.

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    Accurate Medical Billing and Coding

    Accuracy is essential to maximizing your collections and reducing the risk of claims getting denied by insurance companies. Outsourcing your claims filing is one way to improve the accuracy of the CPT codes but also make them more specific, which can help to increase your overall collections.

    Daily Claims Audit

    We audit all of our active claims on a daily basis. This lets us know when a claim is in need of a follow-up with the insurance provider, if a claim has been denied, or if one needs to be edited and then resubmitted to the insurance company.

    Claims Denials Management

    Even with our efforts to reduce the risk of an insurance company denying a claim, the risk isn’t zero. This means that some claims will still be denied. When this occurs, we can either appeal the denial or we can make edits to the claim and then resubmit it to the insurance company.

    Insurance Company Follow-up

    Another service included in our claims processing is following up with insurance companies. If there’s a delay at the insurance company’s end, we’ll follow up with them to check the status of each claim. If a claim has been denied, then we’ll take the appropriate action to either appeal the denial or make changes to the claim and then resubmit.

    Get a more profitable practice

    Increase collections by 15%

    Inhouse Medical Billing

    $1,200,000 revenue

    – $45,000 biller salary

    – $40,000 secondary biller salary

    – $23,750 Benefits and Overhead @ 25% of salary

    – $3,000 Cost of software and hardware for billers

    – $1,200 Cost of Postage


    $1,087,000 in net collections

    Average billing expense of 10.25% of collected revenue

    Outsourced Medical Billing

    $1,400,000 17% increase in top line collected revenue

    – $77,000 5.5% of collected revenue


    $1,323,000 in net collections

    Average billing expense of 5.5% of collected revenue plus the added collective revenue from outsourcing

    Benefits of Claims Submission and Edits

    Having a professional billing company handle your claims process has a number of benefits. Not only will you free up your own time to take on more patients, but you’ll also minimize the risk of claims denials and maximize collections.

    Maximize Collections

    To maximize the amount you can receive in collections, try outsourcing your claims submission process. We’ll file on time with more accurate CPT codes and manage any denials that may occur. This involves editing claims and then resubmitting when necessary.

    Receive Collections Faster

    When you outsource your claims submission process, you can also receive collections much faster. On average, claims are in A/R up to 19 fewer days with Quest National Services. This means that you’ll receive collections due to you much sooner than you might otherwise.

    Reduce the Chances of a Claims Denial

    If a claim is denied, we’ll make the necessary changes to it and then resubmit it to the insurance provider. However, outsourcing in the first place can help to reduce the risk of a denial by eliminating many of the more common causes, such as lateness or incorrect coding.

    Testimonials

    What our clients are saying

    "I would recommend Quest without reservation."

    "We were a busy Urological group with four clinicians and had just been informed by our Medical Billing Service that they were closing their operation. We needed to associate with a new service quickly. We heard about Quest through our IPA, an organization where I am on the board. Quest was interested in working with more practices in our area and had a very good local and national reputation.
    Adam and his team promptly visited with us. We had also met with other services but it became clear that Quest would be our choice. Quest was knowledgeable, hands-on, transparent, flexible, and ready to move ahead quickly. As promised, things did move ahead quickly and seamlessly.
    Things have continued to work out well. In retrospect, Quest has been far superior to our previous billing service. It has been a pleasure to work with Adam and his team. I would recommend Quest without reservation."

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    Roderick Crocker, MD

    Urologist, Cambridge Urological Associates

    "They did a great job with our billing."

    Dr. Duncan Gill

    "…saving our practice tens of thousands of dollars."

    "Quest National Services and Adam have been vital to the success of the Highland OBGYN practice. Quest National was able to take on our account in a very quick manner and has transitioned our practice from one software to another with little down time ultimately saving our practice tens of thousands of dollars. The team at Quest National have been the partners my growing OBGYN practice has needed. Most important for me is their ability to provide us redundancy when we otherwise wouldn’t have it. I couldn’t be more thankful for their dedication to our practice."

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    Mark Lowney

    OB/GYN, Southcoast Health

    "Worked with our existing software so that we didn’t have to make expensive changes"

    "My husband and I have a small practice but we were looking for a medical billing company to consult us. We originally started with a local company with some satisfaction. However, our biggest problem was that they wanted us to change our existing EMR to software that they worked with. Quest National Services worked with our existing software so that we didn’t have to make expensive changes to our infrastructure. That saved us a lot of time and headache. I would definitely say that was one of the main reasons for why we switched and why we continue to work with Quest. As a small practice, they helped us without draining our resources."

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    Adriana C.

    "I was impressed almost immediately by their transparency and consistent communication"

    "As an administrator of a multi specialty clinic, I was looking for a service that provided timely and consistent communication. I found in prior engagements with our prior 2 billing companies neither provided the level of communication or transparency our principals expected. When I was introduced to Quest I was impressed almost immediately by their transparency and consistent communication. We've been with them now 5 months and are so happy we made the move."

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    Roger P.

    "Quest has made the process so transparent and allowed us to increase our profits"

    "Our company made the decision to outsource our medical billing to Quest and we have been incredibly pleased with the results. The knowledge, dedication, and customer service provided by their team is truly first class!
    When we came to Quest, we had a hard time recovering our A/R and ensuring the accuracy of our billing. Quest has made the process so transparent and allowed us to increase our profits, while also pointing out and assisting in areas of improvement.
    I really appreciate the work of Nancy and her team, and the responsiveness of the CEO, Adam. They both always find the time to address any questions or problems we are having!"

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    Joseph D.

    "Quest lowered our time in accounts receivable by close to two weeks"

    "Quest has made a huge difference in our business, even within the limited amount of time that we’ve been using their services. We kept our current EMR and, in less than six months, Quest lowered our time in accounts receivable by close to two weeks! I couldn’t believe it. We’ve been very pleased with the services and responsiveness of their staff so far. We were able to get reimbursed faster which was so important. Moreover, Quest took over the burden of dealing with aging receivables so we could focus more on business. They offered so many options and services and we were able to find the perfect solution for us. Thanks to Adam and everyone at Quest!"

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    Peter H.