Capital Billing Services and Practice Management

Category: Medical billing service

Address: 751 James P Brawley Dr NW #2, Atlanta, GA 30318, USA

Phone: +18776145227

Opening hours

Sunday: Closed

Monday: 9AM–6PM

Tuesday: 9AM–6PM

Wednesday: 9AM–6PM

Thursday: 9AM–6PM

Friday: 9AM–6PM

Saturday: Closed

Reviews

Nikki McDonald

Apr 13, 2022

The credentialing process was expensive (as was expected) and took way longer than necessary. We started the process in October/November of 21 and were still having to email their representative and ask for information into February of 22. Communication was poor. I know the process is lengthy, but had coworkers start the process several weeks after me (with other companies) and finish several weeks before me. Once I was credentialed, I have had nothing, but problems with insurance companies telling me I'm still not in network with them. In late February, I found the company, Headway. I was able to recredential under them, at no cost to me. Within 8 weeks I was fully credentialed with six different insurance companies. I am still fighting with insurance companies to get claims paid that were filed before Headway took over. It is very frustrating, especially to see the other reviews in which people had a much different experience.

Thomas Biddle

Feb 23, 2021

James and his team work their hardest to make sure your practice has a seamless experience with your billing and practice management. His team is a trusted advisor in everything related to billing and EHR software, providing constant updates and the latest in coding changes. Our billing partner, Dione was exceptional to work with. She stayed on top of our rejections and provided timely feedback on our claims processing. Very trustworthy company and partners in practice management!

Jada Elliott

Sep 28, 2020

James and his staff were very professional and handled our claims quickly. The staff was prompt to reply to phone calls as well as emails. The claims for my company were outstanding for well over 6 months and with Capital Billing they were paid in less than 30 days. I highly recommend this company.

Telisa Horne

Sep 18, 2020

Working with Capital Billing has been great for our Hospice Company. Capital Billing Company is very knowledgeable regarding Medicaid updates and completing Medicaid application.Staff is always available to answer questions. We will continue to work with Capital Billing Service!!!!!

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Questions & Answers

What are some of the more popular insurance companies?

Leonard Parker | Oct 20, 2021
Capital Billing Services and Practice Management | Oct 20, 2021

The popularity of insurance companies also depends on location. However, some of the most popular and largest insurance companies are. This list is just a few of them main payors. > Medicaid and CMOs (Amerigroup, Caresource, Centene programs) and many others. > Medicare > Aetna > Blue Cross / Blue Shield /Anthem > Cigna > Humana > Tricare (East/West) > United Healthcare > Multiplan > Kaiser

Who is credentialed?

Leonard Parker | Oct 20, 2021
Capital Billing Services and Practice Management | Oct 20, 2021

Practitioners who are independently responsible for patient care by virtue of their license and hospital authority must be credentialed. > Credentialed providers include: > Physicians > Dentists > Podiatrists > Ophthalmologist > Advanced Practice Nurses > Physician Assistants > Therapists - Physical / Occupational (Limited to some insurances and areas) > Mental Health providers.

Will the insurance companies backdate the Effective date?

Leonard Parker | Oct 20, 2021
Capital Billing Services and Practice Management | Oct 20, 2021

This is based on the insurance company’s policy. We verify with each payor before we begin the process.

Can a physician or other practitioner work before completing the credentialing process?

Leonard Parker | Oct 20, 2021
Capital Billing Services and Practice Management | Oct 20, 2021

CBS recommends all practitioners to make sure the credentialing process is completed, and the provider has been approved to see patients. Until the process is completed, and the insurance company issues an effective date, claims will be processed as Out of Network.

Will CBS guarantee to get on the panels I choose?

Leonard Parker | Oct 20, 2021
Capital Billing Services and Practice Management | Oct 20, 2021

If you are fully licensed, we should have no problem identifying enough insurance companies and third-party payers for you to be credentialed with. However, in some areas, some panels can be very selective or closed. The final decision will depend on the insurance company.

Does CBS have experience credentialing providers in my area and specialty?

Leonard Parker | Oct 20, 2021
Capital Billing Services and Practice Management | Oct 20, 2021

Yes, CBS has credentialed hundreds of providers across the United States, including providers as far as Puerto Rico and with different specialties. We can get you credentialed regardless of where you are and what you practice.

How long does the credentialing process take?

Leonard Parker | Oct 20, 2021
Capital Billing Services and Practice Management | Oct 20, 2021

It depends on the insurance company. The process can take anywhere from 60-120 days, this is only if all the information required is provided the first time. Any additional information or documents requested can delay the process.

What will I need to begin the process?

Leonard Parker | Oct 20, 2021
Capital Billing Services and Practice Management | Oct 20, 2021

Click here to see our Credentialing checklist.

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