Your software
CollaborateMD billing services
CollaborateMD billing services from Remitwright assign a dedicated biller to your practice who works inside CollaborateMD under a user you control.
See where claims are getting stuck. No patient data needed.
Claims go out through CollaborateMD's built-in clearinghouse after Level 2 edits for CCI code pairs, NCD and LCD coverage and modifiers. The biller resolves what those edits catch by reading the note, works the rejections and the denial and aging worklists, checks ERA posting and reads the reports with you. See the full list of billing software we work in, by type.
Independent: Remitwright is not affiliated with or endorsed by CollaborateMD. CollaborateMD is a trademark of its owner, named here to describe the system we work in.
Last reviewed by the Remitwright billing team. Editorial policy
- EHR and practice management
Every day
What your biller does in CollaborateMD every day
- Resolve the Level 2 edits on each claim before it leaves: a CCI code pair, a coverage conflict with an NCD or LCD, a missing or mismatched modifier, each settled from the visit note rather than overridden to get the claim out
- Compare the units on every line with the medically unlikely edit limit for that code, and confirm in the note that a high unit count was really delivered on that date
- Run real-time eligibility before visits and correct the registration while the patient is still reachable, instead of learning about a lapsed plan from a denial
- Watch the acceptance and rejection notices for every batch, use the plain-language rejection explanation as a starting point, and correct the patient, payer or provider record behind it
- Review automated ERA posting for what it could not settle: partial payments, adjustments worth appealing, and money that matched no claim
- Work the worklists that rank aging claims, denials and payment exceptions, leaving a dated note on the claim for each call, portal check or corrected claim
- Send patient statements only for balances that match the remittance, and answer the questions they raise
- Pull clean-claim rate, denial trends and days in A/R by payer from the reports, and set them out in a one-page written summary with each number defined
Access
Access and security
Your data, your systems
Patient data stays in your systems. Your biller works inside your own software, clearinghouse and payer portals and never exports, downloads or stores claim files, remittances or patient lists on Remitwright devices or systems.
- BAA signed before any access
- A user you create and can remove
- MFA on every login that supports it
- No claim files or patient lists exported
In CollaborateMD
- Your CollaborateMD subscription and your data stay yours; the biller works on a user your administrator creates and can remove at any time
- CollaborateMD lets an administrator set each user's permissions, limit log-in hours and review activity logs, so you can see what the biller's user did and when
- A signed BAA comes before the user is created, and the login uses multi-factor authentication wherever your account offers it
- Claims, remittances and reports stay in CollaborateMD; none of them are exported into tools of ours
Where the biller steps in
What CollaborateMD does not do, and the biller does
Level 2 edits flag CCI code pairs, coverage conflicts and modifier problems; they cannot read the visit note. Medicare denies the second code of a CCI pair unless a clinically appropriate modifier is reported, and whether that modifier is honest depends on the documentation, so the biller reads the note and sends unsupported lines back to the provider
A plain-language rejection explanation tells you what the payer objected to. The fix still has to be made in the patient, insurance or provider record, or the next claim built from it rejects the same way
Worklists put aging claims and denials in order, but every item on them still needs a phone call, a portal check, a corrected claim or an appeal, and that work is the biller's
Posting records what a payer paid, not what your contract says it should have paid. The biller keeps your fee schedules by payer and flags short payments for appeal
Medical-record appeals, reconsideration requests on payer portals and calls to provider services happen outside CollaborateMD; the outcome is noted back on the claim
Worked example: a code pair the edits stopped
A small urgent care clinic builds a claim in CollaborateMD with two procedures from the same visit. The Level 2 edit holds it: the two codes form a CCI procedure-to-procedure pair, and under Medicare's rule the second code is denied unless a clinically appropriate modifier is reported with it.
The biller does not add the modifier just to clear the edit. The biller opens the note first. Here the second procedure was performed on a separate site and documented in its own section, so the modifier is supported and the claim goes out with it. A second claim with the same pair has a note describing one site only. On that one the biller removes the second line and tells the provider why.
On a different claim, the biller's own check of the units against the medically unlikely edit limit finds a line billed above it for a single date of service. The note shows a keying error rather than extra treatment, so the units are corrected before the claim is released.
Questions
Questions about billing in CollaborateMD
Do we need a separate clearinghouse to use you?
Will you just override the edits to get claims out faster?
What do the Level 2 edits cover?
Can you work from CollaborateMD's reports?
What access do you need?
Next step
See where claims are getting stuck. No patient data needed.
Three quick questions. No patient data. A billing specialist reads every request and replies in writing, with notes on how the work would run inside CollaborateMD.
- Three questions, about two minutes
- No patient data, no software to buy
- A written reply from a biller, not a sales deck
You answer three questions
A billing specialist reads them
A written reply by email
Prefer email? sales@remitwright.com
Request received
Thanks. Your review request is in.
Reference . Quote it if you write to us about this request.
- A billing specialist reads your answers and replies by email.
- If a look at real claims makes sense, we agree read-only access under a BAA first.
- You get a written summary of what is worth working and what it would take. No commitment.
While you wait: see the sample weekly report or read how switching works. You can also download the sample weekly report (PDF).