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The FIRM provides professional claims billing services for individual providers, clinics and facilities. We service all disciplines of practice, i.e., medical, dental, diagnostic testing, chiropractic, physical therapy, optometry/ophthalmology, mental health, chemical dependency, and durable medical equipment.

We offer specialty services such as consultation, collections and appeals, contracting and credentialing, verification and preauthorization and personal injury settlement negotiating. We offer form development and revision services, office reorganization and personnel training.

We have extensive experience in all areas of commercial insurance, Workers Compensation, personal injury, Third Party Administrators, Medicare, Medicaid, and other state and federally funded programs. We offer personalized services designed specifically to meet your needs.

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January 1, 2014 Is one of your goals for the new year to be more proactive about your health? If so, the Affordable Care Act is making it easier to stick to your resolution this year. New health insurance plans cover most preventive care services with no added cost to you. That means you can visit your doctor for your yearly physical exam and get the preventive care screenings you need without having to pay anything additional out of pocket, so long as he or she is in your health plan's network. Going in to see your doctor for a wellness exam or preventive screenings is one of the best ways to manage your health. Preventive care often leads to identifying health problems early, when your chances for treatment and cure are better. And now that these services are covered by all new health plans, it's just that much easier to stay healthy in 2014. Here are some of the preventive care tests and screenings that will be covered by your health insurance plan* under the new health care law: For Adults •Blood Pressure — For all adults Starting at age 18, you should have your blood pressure tested every two years. High blood pressure or hypertension has no signs or symptoms, so the only way to know if you have it is to get tested. •Cholesterol — For adults over certain ages and those at risk High cholesterol can lead to heart disease or a heart attack, and so it's important to get your cholesterol levels checked. Men over the age of 35 and women over the age of 45 should get their cholesterol tested. Men under 35 and women under 45 who have [...]

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Listen Up, Doctors—You Really Need to Know This The Buck Starts Here! By Cara Smith And that goes for you, too, dentists, optometrists, podiatrists—indeed, all healthcare professionals, whether you’re an average medical practice, urgent care facility, or large multi-specialty clinic; or a solo practitioner just starting out. Chris and Tia Aspra, who, along with partner Pam Kendricks, own and operate the medical billing,  credentialing, and consulting powerhouse that is The FIRM, have some critical words of wisdom about insurance credentialing—that murky, agonizing quagmire—that they really want you to hear. First, though, it’s worth pointing out just how important insurance credentialing really is, and what makes The FIRM so great (in addition to their flexed up resources and decades of combined experience, of course). It’s quite simple, explains Tia. “Credentialing—that is, your contracts with insurance companies—directly impacts your collections. If there’s a problem, you won’t be able to collect,” she says. “We realized long ago that billing and credentialing were inextricably linked, and that’s why we created The FIRM. We all understand both processes, which is what allows us to get maximum results for our clients.” With that in mind, let’s turn to some all-important truths about credentialing Tia would like to share, starting with the first: credentialing is extremely complicated. “All too many providers think it’s a mere matter of sending a few faxes,” says Tia. In fact, it’s a multi-stage, multi-tiered process, which needs to be done correctly and tracked meticulously every step of the way; even worse, every insurer has different requirements. In other words, your office manager, no matter how competent, may soon be in over her head. “We make sure nothing falls through the cracks,” says  Tia. “And while we can’t [...]

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