LMS Medical Billing and Credentialing

09/15/2026

Today I found something that could help any provider who allows their billing company to "own" their billing software. Sometimes it works okay; however, in my 20+ years of experience, I found that most providers will change billing companies. Most of the time it is due to negligence, but sometimes it is due to a change of ownership, less expensive options, or even other reasons. 15 years ago, I worked for a billing company that "held the information hostage " and required $15000 (in 2010, mind you) before they would release patient information to the practice. I had to speak to the client daily for weeks and felt horrible. At that moment, I saw a vision. I created my own company a few years later with the vision of never doing this. I want a provider to stay with me because I do a good job and not because they can't leave. I have let people out of their 30-day termination clause because they want a cheaper option or because I can't provide what is needed. I have taken a performance penalty when I don't meet certain metrics, and every single time I learned. My mind is a sponge. When I don't know something, I ask and problem-solve. Anyway, today I found a company that can help those whose information is being held. I am so excited to partner with them! If anyone needs any help or finds themselves in the above dilemma, please let me know. The referral is free, and I hope that, should you need my help in the future, you consider LMS Consulting for your credentialing and medical billing needs.

09/10/2026

Recently, i have run into practices that allow their billing company to own their software. This is a horrible practice and typically results in major termination fees and the old company holding the providers billing information until that termination fee is paid. While i do understand that you may not use lms consulting for your medical billing and credentialing needs, please i beg of you, always retain ownership of your own software.

07/03/2026

If any provider in Arizona has had difficulty with no network need denials for ahcccs mco's please contact me. I'm currently putting together a project and would love some input. Or if you ever had to appeal and won, I'd also love to hear your story. Thank you.

01/17/2026

**Unlock Your Practice's Potential with Trusted Credentialing and Medical Billing Services**

Are you a healthcare provider looking to streamline your operations and maximize revenue? Look no further! With over 20 years of experience in credentialing and medical billing, we offer low-cost solutions tailored to your practice's unique needs.

**Why Choose Us?** - **Expertise You Can Trust**

Our team has two decades of hands-on experience, ensuring your practice receives top-notch services that adhere to the latest standards and regulations.

**Affordable Rates**

Quality services shouldn't break the bank. Our competitive pricing structure is designed to fit the budget of any practice, large or small.

**Comprehensive Services**

From insurance credentialing and enrollment to efficient medical billing and accounts receivable management, we handle it all so you can focus on providing excellent patient care.

**Personalized Solutions**

No two practices are alike. We offer customized plans that address your specific needs, ensuring optimal results.

**Dedicated Support**

Our commitment to your success extends beyond the initial setup. We provide ongoing support and updates to keep your practice running smoothly. Take your practice to the next level with our low-cost credentialing and medical billing services.

Contact us today for a free consultation and discover how we can help you improve profitability and efficiency!

11/18/2024

It is truly disheartening to hear about the negative experiences that many providers have had with 3rd party billers. As a medical billing company owner, I have taken steps to ensure that my team is trustworthy and reliable from the start, so providers can feel confident in outsourcing their billing needs to us.
Here are three reasons why a 3rd party biller is crucial for the success and growth of a medical practice:
1. Expertise and Experience: 3rd party billers are trained professionals who specialize in medical billing. They have the knowledge and experience to navigate the complex world of medical billing, ensuring that claims are submitted accurately and in a timely manner.
2. Cost-Effectiveness: Outsourcing your billing to a 3rd party can actually save your practice money in the long run. With a dedicated team handling your billing, you can avoid costly mistakes and delays that can impact your revenue stream.
3. Focus on Patient Care: By outsourcing your billing, you can free up valuable time and resources to focus on providing quality care to your patients. Letting a 3rd party handle your billing allows you to spend more time on patient care and less time worrying about the administrative side of your practice.
I am posting about the importance of hiring a 3rd party biller because I understand that some providers may have had negative experiences in the past. It is important to know that not all billers are the same, and there are trustworthy and reliable 3rd party billing companies out there that can help your practice succeed. Don't let past experiences deter you from outsourcing your billing - with the right team, you can streamline your billing processes and focus on growing your practice.

09/27/2024

Here are some dos and don'ts for credentialing:
• In order to get credentialed with insurance companies you must meet state licensing requirements
• Complete the credentialing process
The credentialing process varies by organization, but typically includes:
o Completing an application
o Providing supporting documents, such as medical licenses, malpractice insurance, and education history
o Follow up, Follow up, Follow up
o Wait for verifications to be completed
o Receive and sign contract
o Some companies have the application reviewed by a governing body
o Receiving approval to accept insurance
o Get written confirmation

• Revalidate credentials
It's important to revalidate credentials on time to avoid losing payments and having to restart the process. It's recommended to start the revalidation process about 3-6 months in advance.
• Avoid errors
Errors in submitted information can cause delays or rejections. For example, incorrect phone numbers for references or past employers can cause issues. Omitting past malpractice claims could be disqualifying.

09/10/2024

1. Medical Coding and Medical Billing are not the same thing. Medical Coding is the assignment of codes to patients’ conditions and the services/treatments that they have received from the medical provider. Medical Billing is the process of submitting medical claims and collecting payment for the services provided.

2. Medical Coders use the International Classification of Diseases (ICD-10) index. According to the World Health Organization,“ICD defines the universe of diseases, disorders, injuries, and other related health conditions, listed in a comprehensive, hierarchical fashion that allows for: easy storage, retrieval, and analysis of health information for evidenced-based decision-making; sharing and comparing health information between hospitals, regions, settings, and countries; and data comparisons in the same location across different time periods.

3. A successful medical coder and billing professional is an adept researcher and problem solver. Assigning the right code can involve research, discussions with doctors, patients, and insurance companies.

Send a message to learn more