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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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Obamacare 2017 enrollment hits record, despite Trump’s threat to repeal

Will Obamacare survive?   CNN Money by Tami Luhby @Luhby December 21, 2016: 5:19 PM ET Although President-elect Donald Trump has vowed to repeal Obamacare next month, a record number of people have signed up for coverage for 2017. Nearly 6.4 million Americans have selected Obamacare policies through the federal exchange for coverage starting Jan. 1, federal officials announced Wednesday. That's 400,000 more than had selected policies a year ago. The number of people opting for Obamacare is under more scrutiny than usual this year, since Congressional Republicans have pledged to dismantle it soon after Trump takes office on Jan. 20. Even before the election, there were concerns that customers would be deterred by price hikes -- the average premium for the benchmark silver plan soared 22% for 2017 -- and the fact that some insurers pulled out of the exchanges. However, administration officials sought to portray Obamacare as strong and crucial. Even if Trump and Republican lawmakers repeal the health reform law, they are likely to keep it in place for at least two to three years while they formulate an alternative. "Today's enrollment numbers confirm that some of the doomsday predictions about the marketplace are not bearing out," said Health Secretary Sylvia Burwell. "American people don't want to go backwards. They don't want to gamble with their healthcare during a repeal and delay." The pace of enrollments picked up closer to the deadline for coverage starting January 1, which was extended four days to Dec. 19 to accommodate demand. President Obama called attention to the fact that a record 670,000 people selected policies last Thursday. One worrisome sign is that fewer new consumers rushed to the exchanges than a year ago, when 2.4 [...]

42 States Extend Deadline to Sign Up For Obamacare

Will Obamacare survive in 2017? GIZMODO- Eve Peyser- 12.16.16- 11:27pm On Thursday night, federal regulators announced that they were extending the midnight deadline to sign up for health insurance starting January 1, 2017 through the Affordable Care Act on Healthcare.gov. The deadline has been extended four days to December 19. 39 states use Healthcare.gov as their health insurance marketplace. (The states that do not use Healthcare.gov are California, Connecticut, Colorado, Idaho, Maryland, Massachusetts, Minnesota, New York, Rhode Island, Vermont, Washington state, and Washington D.C.) Officials attributed the deadline extension to the “extraordinary volume of consumers” trying to sign up for health insurance. Healthcare.gov CEO Kevin Counihan said that many consumers were asked to wait before signing up for health insurance both online and over the phone. “Nearly a million consumers have left their contact information to hold their place in line,” he said in a statement late Thursday night. “Our goal is to provide affordable coverage to everyone seeking it before the deadline, and these two additional business days will give consumers an opportunity to come back and complete their enrollment for January 1 coverage.” Connecticut and New York also extended their healthcare sign-up deadlines today, and California did so yesterday. The updated deadlines for health insurance sign-up, by state: Colorado, District of Columbia, Idaho, Maryland, Minnesota, Vermont: Thursday December 15 Healthcare.gov states (Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, Wyoming):Monday December 19 California, Connecticut, New York: Saturday December 17 Massachusetts, Rhode Island, Washington State: [...]

Study: ‘Obamacare’ Repeal-Only Would Make 30M Uninsured

Will Obamacare survive? By RICARDO ALONSO-ZALDIVAR, ASSOCIATED PRESS WASHINGTON — Dec 7, 2016, 2:03 PM ET Repealing President Barack Obama's health care law without a replacement risks making nearly 30 million people uninsured, according to a study released Wednesday. Separately, a professional group representing benefit advisers warned congressional leaders of the risk of "significant market disruption" that could cause millions of Americans to lose their health insurance. Republicans dismiss such dire scenarios, saying that they are working on replacement legislation for a President Donald Trump to sign. Nonetheless, the complex two-stage strategy the GOP Congress is contemplating has raised concerns not only among supporters of the law, but also industries like hospitals and insurers. The plan is for Congress to first use a special budget-related procedure to repeal major portions of the Affordable Care Act, or ACA, next year. The effective date of that repeal would be delayed by months or even years to give lawmakers time to write replacement legislation. The replacement law would presumably do many of the same things that "Obamacare" does, such as subsidizing coverage and protecting people with health problems. But it would not involve as much federal regulation, and it would eliminate a highly unpopular requirement that most Americans get health insurance or face fines. The new study from the nonpartisan Urban Institute looks at a scenario where "repeal" goes through, but "replace" stalls. It predicts heavy collateral damage for people buying individual health insurance policies independent of government markets like HealthCare.gov. Though nonpartisan, the Urban Institute generally supports the goal of extending coverage to all Americans. Previously it has criticized some of the subsidies provided under Obama's law as insufficient. The new analysis warns that repealing [...]

Why Obamacare Might Not Die So Quickly

The law was enormously difficult for Democrats to pass, and Republicans are discovering it might be just as hard to repeal. The Atlantic- RUSSELL BERMAN 4:50 AM ET 12.2.16 Don’t be so quick to kiss Obamacare goodbye. Yes, the election of Donald Trump and Republican majorities in Congress will in all likelihood signal the death knell for the Affordable Care Act—eventually. But as Republicans confront the complexity in policy and politics of replacing the law, they are leaning toward a strategy that would actually leave it on the books for as many as three more years. Conservatives in the House have been touting the plan since the first days after the election, and it was confirmed by Senator John Cornyn of Texas, the second-ranking Republican, in an interview with Politico. It goes like this: The House and Senate would repeal most, though not all, of Obamacare with simple majority votes in January as soon as Trump takes office, but they would set the date of enactment starting in 2019 or even 2020. The delay would allow for a semi-orderly transition for the health insurance market, and it would buy time for Republicans to coalesce around a replacement package and—they hope—persuade at least eight Senate Democrats to cross party lines, break a filibuster, and pass it into law. This is a potentially perilous strategy for several reasons, each of which illustrate why overhauling an industry that comprises one-fifth of the American economy is an enormously difficult task. The Politics of Repeal Itself The Affordable Care Act has been unpopular for most of its brief existence, but the idea of repealing it has always been even less popular. That continues to be the case even after the [...]