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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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Showing panic over Obamacare repeal, GOP senators release replacement plan that (almost) makes sense

Will Obamacare survive? LA Times - Michael Hiltzik - January 24,2017 2;25pm If you’re following the health insurance debate—and since the coverage of more than 20 million Americans is under threat from the Trump White House and the Republican congressional majority, you should be—you’re going to be hearing a lot in the coming weeks about Cassidy-Collins. That’s an Obamacare replacement plan just introduced by Sens. Bill Cassidy (R-La.) and Susan Collins (R-Maine). Dubbed the Patient Freedom Act, It’s the first such proposal that indicates that the GOP is becoming increasingly panicked about the political price of repealing the Affordable Care Act outright, and increasingly desperate to reassure voters that the provisions of Obamacare they actually value can be retained without a break. These include Obamacare’s protection of coverage for pre-existing conditions, its ban on lifetime and annual limits for benefits, and coverage of certain preventive services without co-pays. It also keeps coverage of mental health services and guarantees black-lung benefits for coal miners. The federal exchange, healthcare.gov, will continue to operate. Dependents still will be permitted to stay on their parents’ employer-sponsored plans until age 26. The measure kills the employer mandate and individual mandate, though it substitutes a “continuous coverage” system for the latter, which we’ll explain in a bit. The other [Republican] bills have said, Let’s just get rid of Obamacare. This one seems to be offering options. — Karen Pollitz, Kaiser Family Foundation The goal of Cassidy-Collins is to shift the the decision of whether to keep Obamacare, dump it entirely, or come up with an alternative system to the states. (A three-page section-by-section summary is here.) “When you speak to Americans,” Cassidy said Monday on the Senate floor, “they [...]

How Large Employer Health Plans Could Be Affected By Obamacare Overhaul

Will Obamacare survive? Kaiser Health News- January 19, 2017 5:00 AM ET MICHELLE ANDREWS If you think that you wouldn't be touched by a Republican overhaul of Obamacare because you get health insurance through your job at a big company, think again. Several of the law's provisions apply to plans offered by large employers, too (with some exceptions for plans that were in place before the law passed in March 2010). It's not yet clear how President-elect Donald Trump and congressional Republicans plan to revamp the federal health law, known as the Affordable Care Act or Obamacare. They have not agreed on a plan, and they do not have enough votes in the Senate to fully repeal the current statute. So they are planning to use a budgeting rule to disassemble part of the law, which will limit what they can change. But they also may seek revisions in important regulations and guidance that have determined how the law is implemented. Nonetheless, as tensions grow in Washington over the future of the health law, it is important to understand some of its effects on large-group plans. No copays for preventive services The health insurance offered by big companies is typically pretty comprehensive, the better to attract and keep good employees. But Obamacare broadened some coverage requirements. Under the law, insurers and employers have to cover many preventive services without charging people anything for them. The services that are required with no out-of-pocket payments include dozens of screenings and tests, including mammograms and colonoscopies that are recommended by the U.S. Preventive Services Task Force; routine immunizations endorsed by the federal Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices; and a range of [...]

Senate Takes First Step To Repeal Obamacare — So What’s Next?

Will Obamacare survive? NPR -January 12, 20175:04 AM ET Heard on Morning Edition - Danielle Kurtzleben / Alisa Chang -With reporting from Susan Davis. At about 1:30 a.m. on Thursday, Republicans moved one step closer to repealing a law they have railed against since the moment it was passed nearly seven years ago. By a final vote of 51-48, the Senate approved a budget resolution that sets the stage for broad swaths of the Affordable Care Act to be repealed through a process known as budget reconciliation. The resolution now goes to the House, where leaders are hoping to approve it by the end of the week. The powerful tool sets up a fast track for repealing large parts of Barack Obama's major domestic achievement; the best guess is that the Senate is still several weeks away from largely repealing Obamacare. But as the process continues, large questions still loom over how — and when – Republicans will replace the health care law. An expedited repeal, starting with a vote-a-rama The vote took place during a session known as a "vote-a-rama." These all-night vote-fests happen surrounding budget resolutions, which allow senators to propose unlimited amendments, as the New York Times' Thomas Kaplan explained this week. The passage of the resolution kicks off the budget reconciliation process. That process is special because a reconciliation measure cannot be filibustered, meaning it allows the Senate to pass a bill with a simple majority (as opposed to needing 60 votes to overcome a filibuster). That's good for Republicans, who hold 52 of the Senate's 100 seats. Once the House approves the measure, which could happen as soon as Friday, committees from both chambers will meet to create [...]

Obamacare: Five Things You May Not Know About the Health Care Law

Will Obamacare survive 2017? NBC NEWS MAGGIE FOX DEC 30 2016, 10:11 AM ET As Republicans prepare to take over the White House and both houses of Congress next month, they've got President Barack Obama's signature legislation squarely in their sights. Some GOP leaders say they want to repeal the 2010 Affordable Care Act as soon as possible and figure out how to replace it later. Others say they may want to move more cautiously, changing certain aspects while keeping others. What's clear is that big changes are in the works — even as the majority of Americans say they'd like to keep most of what the law offers. Here are five important things to know about Obamacare: It isn't just health insurance Most of the news about the Affordable Care Act, widely known as Obamacare, focuses on the health insurance exchanges, which are a major part of the law's goal — to help get health insurance to people who don't already have it.  But the law also has provisions aimed at making sure health care is better overall. One big objective is to encourage doctors to not only treat people when they are sick, but to take an active role in keeping them well. Some of the tools the law employs include changes in the way doctors are paid and the establishment of Accountable Care Organizations — groups that help hospitals and doctors work together in ways that cut down on mistakes and keep patients healthy. The overall aim of the legislation was to bring down costs and improve the health of Americans. It's not government insurance Many people believe Obamacare is government insurance. But there is no new government health insurance [...]