THRIVE BIZ CONSUTANT

WHY CHOOSE US?

Focus on care: Spend more time focusing on your patient satisfaction and providing quality care to your patients.

Increase productivity: We will help you reducing the burden placed on your front office staff by outsourcing can increase productivity, efficiency, and employee morale. It can also increase patient satisfaction by improving patient flow. Your patients will be happy because they will receive uninterrupted courteous and professional assistance for their billing questions or issues.

Uninterrupted: Billing interruptions ultimately affect the timeliness of reimbursements and your cash flow especially when you have an absentee employee. Using a medical billing service allows a continuous, steady flow of claims going out and cash coming in. A steady cash flow is important for your bottom line and the success of the medical office.

Increase revenue: With the reduction in overhead costs, the timely submission of medical claims and the increased reimbursements, a higher profit is another advantage outsourcing can provide to the medical office. This allows the medical office the ability to provide the best quality services using the best technology and products and the best staff.

Stay Current: Health care is an ever-changing industry and insurance companies are partly to blame. We help you stay up-to-date on the latest changes in regulations and requirements in order to maintain compliance and ensure the submission of clean claims.

Clarity & Consistency: Clear, concise, fair billing documentation backed by thorough, consistent explanations.

Clarity has added benefit of improving our customer service experience

Communication: Clear, effective, organized communication is key success of thrive biz consultant. We understand that It’s important to your success that communication related to any assignment should be handled promptly.

We help our client to maximize productivity, promote efficiency and consistency, and increase revenue effortlessly.

ABOUT US

WHY CHOOSE US?

Thrive Biz Consultant LLC is a woman owned business with over 20 years of experience in healthcare industry; including billing, credentialing services, DME accreditation and other administrative services. We consult for different industry and specialty practice providers across USA. Thrive Biz Consultant’s biggest strength is same core management team for past 20 years. Thrive Biz Consultant is not limited to any specific Practice Management System, we tailor your need according to your preference. We work with both small businesses and large scale industry.

Thrive Biz Consultant is proud to announce that we are certified as a Women's Business Enterprise (WBE) through the Women's Business Enterprise National Council (WBENC), the nation's leading third-party certifier of businesses owned and operated by women; and has the appropriate structure and strategic business planning and implementation in place. By including women-owned businesses among your service providers, suppliers, corporations and government agencies demonstrate our commitment to fostering diversity and the continued development of diversity programs, which in turn empowers women as leaders and brings about a more diverse, balanced and sustainable economy.

We take pride for being one of the best consultancy firm located in Atlanta Georgia, USA

Credentialing and Re-Credentialing

Completion of all enrollment forms (including EFT and contract paperwork) Facilitation of entire process from start to finish.

New practice setup in all 50 states.
Credentialing Services for both Private and Govt. Payer - Medicare & Medicaid CMS and PECOS Enrollment /
Reassignment, New Enrollment of all specialty healthcare provider with all insurances.
NPI, PECOS set up. EDI, ERA, EFT and Clearing House Setup.
CAQH maintenance, Availity, Pay-Span, Insurance provider portals registration.
Medicare, Medicaid and all Commercial payers Credentialing and re-validation
Credentialing of all types of specialty physicians and NP, PA
Demographic Updates include: Updating information from address, phone number, fax number, etc. Tax ID and NPI updates Facilitation of entire process

Credentialing Services Requirements

Credentialing and Re-Credentialing

The credentialing process ensures that the provider meets the standards of the organization and the organization’s payers, identifying risk factors early and reducing the risk of adverse outcomes.

The requirements depends on payers but mostly consistent across the board and these are:

Malpractice claims history (suspensions, revocations)
License to practice and primary source verification
NPI number & DEA license •
Medical school name and year of completion
The state license to practice, etc..

Benefits of out-sousing your credentialing

Updates on credentialing status within 24 hours

On-time payments from third-party payers

Dedicated team to navigate the paperwork in a timely manner

We help you safe cost and stay up-to-date on new compliance

Medical Coding: We provide detailed error-free charge entry to ensure first-time approved claim submission. We take the demographics and charge info for each patient from you. Our billers enter the charges daily for the claim processing.
Charge Entry: We confirm every patients’ insurance eligibility to streamline your process, shorten account receivable days, and avoid denials.
Charge Entry Checking: Our billing experts and scrubbing process make sure clean claims are submitted. If there are any rejections, after corrections, re-submission is done the same day.
Claim Submission: ERAs and EOBs are verified and posted on time. The remaining balances are posted to the patient’s account. We verify to make sure appropriate payment is made on each claim.
Customized Report: Custom reporting presents a single source of data and metrics, that allows you to assess and compare billing and collection performance trends in a more effective way.

Payment Posting: After confirmed appropriate payment from all payers, if the remaining balance is owed by a patient, a detailed statement is generated to send to the patient showing the due balance.
Denial Management: In case of a denial, our A/R specialists work on the cause of denial to resolve the problem and process the due payment.
Account Receivable: ERAs and EOBs are verified and posted on time. The remaining balances are posted to the patient’s account. We verify to make sure appropriate payment is made on each claim.
Patient Statement: After confirmed appropriate payment from all payers, if the remaining balance is owed by a patient, a detailed statement is generated to send to the patient showing the due balance.

CGM ACCREDITATION Service

Meet CMS requirements policy and procedure manual
Meet state DMEPOS supplier regulations.
Ensure DMEPOS Supplier Medicare Reimbursement.

We provide you with simplification and clarity required to improve your services and maximized your reimbursement.”

WHY CHOOSE US?

CGM ACCREDITATION Service

Organization Customized, compliance-centered accreditation process.
Dedicated Account Advisors
Achieve operational efficiencies and productivity.

We are dedicated to provide all the tools you need to be accredited in 30 days.

OTHER SERVICES

SELF PAY & COLLECTION

CUSTOMER SERVICE / VIRTUAL ASSISTANT

WHY CHOOSE US?

Accelerate your reimbursement and increase payment cash flow.

Engage early in the revenue cycle and Educate your customers about their responsibility

Make your billing effortless and Provide easy access to payment processing by Mail, Online and through our dedicated team

Provide efficient process with follow-up phone calls and managing patient questions and complaints.

Reduce your overhead cost with our dedicated team.

CUSTOMER SERVICE / VIRTUAL ASSISTANT

Live Answering services with fastest pickups:

Appointment scheduling

After hours calls, Break-time roll out etc.

Fully HIPAA compliant for healthcare professionals

Reliable, professional and courteous

Customizable programs that fit your business needs

Small - Medium – Big Business – High call volume

PHYSICIAN STATE LICENSING

OTHER ADMINISTRATIVE SERVICES

Thrive Biz consultant handles all the administrative work and the licensure application process that takes between 2 mons – 3 mons. Our process are quick and seamless and we will stay in constant communication with you throughout the process to keep you informed of the application status.

OTHER ADMINISTRATIVE SERVICES

Prior-Authourization
Insurance Follow-up
Project Management
Hiring & Staffing
Account Receivable Audit & Follow-up
Website design and Management
General office support and maintenance

benefits of outsourcing TO THRIVE BIZ CONSULTANT

OUTSOURCING MEDICAL BILLING SAVES MONEY: By outsourcing your medical billing, you could save thousands of dollars in annual salaries and benefits; office supplies and furniture; and purchasing, upgrading and maintaining billing software and computer equipment.

We only charge a flat rate per claim or a percentage of the reimbursement on each claim which is less costly than paying medical billing staff to provide the same exceptional services that are provided by us.

OUTSOURCING MEDICAL BILLING ALLOWS MORE FOCUS ON PATIENT CARE: Spend more time focusing on what you do best—concentrating on patient satisfaction and providing quality care to your patients. This is specifically advantageous for smaller physician groups that cannot afford a large medical office staff. Physicians cannot be efficient at providing excellent patient care if they are bogged down by the financial side of running a practice.

OUTSOURCING MEDICAL BILLING REDUCES BILLING ERRORS & ENSURE COMPLIANCE:

As an experienced, professional medical billers, we ensure that your claims are accurately submitted in a timely manner. Not only will this reduce the number of denied and rejected claims due to billing errors, but will also provide feedback to assist in maximizing reimbursements on future claims. Health care is an ever-changing industry and insurance companies are partly to blame. We help you stay up-to-date on the latest changes in regulations and requirements in order to maintain compliance and ensure the submission of clean claims.

OUTSOURCING MEDICAL BILLING IMPROVES CASH FLOW: Billing interruptions ultimately affect the timeliness of reimbursements and your cash flow expecially when you have an absentee employee. Using a medical billing service allows a continuous, steady flow of claims going out and cash coming in. A steady cash flow is important for your bottom line and the success of the medical office.

OUTSOURCING MEDICAL BILLING IMPROVES PATIENT SATISFACTION: The ability to offer excellent customer service is what we provide best to all patients. However, it can be quite difficult to juggle the demands of treating patients and handling billing issues. The medical receptionist is responsible for greeting patients and answering the telephone. Reducing the burden placed on your front office staff by outsourcing can increase productivity, efficiency, and employee morale. It can also increase patient satisfaction by improving patient flow. Your patients will be happy because they will receive uninterrupted courteous and professional assistance for their billing questions or issues.

OUTSOURCING MEDICAL BILLING INCREASES REVENUE: With the reduction in overhead costs, the timely submission of medical claims and the increased reimbursements, a higher profit is another advantage outsourcing can provide to the medical office. This allows the medical office the ability to provide the best quality services using the best technology and products and the best staff. Patients are becoming more knowledgeable about health care and are making choices based on which provider can offer them the best services. For this reason competition in health care has grown quickly over time and to stay in business health care professionals must maintain a competitive advantage. Ref: verywell

maximize PRODUCTIVITY and increase YOUR revenue effortlessly

WHY CHOOSE US?

WHY CHOOSE US?

WHY CHOOSE US?

ABOUT US

WHY CHOOSE US?

WHY CHOOSE US?

CREDENTIALING SERVICE

Credentialing and Re-Credentialing

Credentialing and Re-Credentialing

Credentialing and Re-Credentialing

Credentialing Services Requirements

Credentialing and Re-Credentialing

Credentialing and Re-Credentialing

MEDICAL BILLING SERVICE

DME CGM ACCREDITATION SERVICE

CGM ACCREDITATION Service

CGM ACCREDITATION Service

CGM ACCREDITATION Service

WHY CHOOSE US?

CGM ACCREDITATION Service

CGM ACCREDITATION Service

OTHER SERVICES

SELF PAY & COLLECTION

CUSTOMER SERVICE / VIRTUAL ASSISTANT

CUSTOMER SERVICE / VIRTUAL ASSISTANT

CUSTOMER SERVICE / VIRTUAL ASSISTANT

CUSTOMER SERVICE / VIRTUAL ASSISTANT

CUSTOMER SERVICE / VIRTUAL ASSISTANT

PHYSICIAN STATE LICENSING

OTHER ADMINISTRATIVE SERVICES

OTHER ADMINISTRATIVE SERVICES

OTHER ADMINISTRATIVE SERVICES

OTHER ADMINISTRATIVE SERVICES

OTHER ADMINISTRATIVE SERVICES

Private Physician Practices & Medical Group Specialties

Private Physician Practices & Medical Group Specialties

Private Physician Practices & Medical Group Specialties

Laboratory

Private Physician Practices & Medical Group Specialties

Private Physician Practices & Medical Group Specialties

Telemedicine

Private Physician Practices & Medical Group Specialties

Telemedicine

Insurance Credentialing

Durable Medical Equipment

Insurance Credentialing

Hospital

Durable Medical Equipment

Insurance Credentialing

Durable Medical Equipment

Durable Medical Equipment

Durable Medical Equipment

benefits of outsourcing TO THRIVE BIZ CONSULTANT