Your software
ModMed billing services
ModMed billing services from Remitwright start where the ModMed specialty note ends: with the codes it suggested and whether the documentation supports them.
See where claims are getting stuck. No patient data needed.
A dedicated biller works in ModMed Practice Management, reviewing procedure counts, sites and modifiers before a claim is created, clearing the claim scrubber's edits and clearinghouse rejections, posting remittances, working bundling denials against payer policy and following the A/R by payer. ModMed builds for 11 specialties, dermatology, ophthalmology, orthopedics and gastroenterology among them, and each brings its own code families. See the full list of billing software we work in, by type.
Independent: Remitwright is not affiliated with or endorsed by ModMed. ModMed 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 ModMed every day
- Read the codes the EMA or gGastro note suggested before a claim exists: lesion counts and sizes in dermatology, laterality and levels in orthopedics, the number of polyps and the technique in gastroenterology, and the modifier each one needs
- Query the clinician in the chart when the documentation does not support a procedure count, a site or a modifier, so the record is corrected before anything goes to a payer
- Clear the edits ModMed's customizable claim scrubber raises before payer submission, release the batches, and add a rule each time a payer rejects on logic the scrubber did not have
- Work clearinghouse rejections as they return and trace repeat reasons to the provider record, the payer setup or the fee schedule
- Post electronic remittances, read bundling and modifier denials against the payer's published policy, and queue each with its reason and an owner
- Follow the aging by payer and by age, noting every action on the claim, and move anything with an appeal window into appeal before the window closes
- Statements go to patients only when the posted remittance shows they owe something, and the biller answers the questions that come in afterwards
- Read the standard ModMed reports and assemble the weekly one-page report, defining every number so the comparison holds from week to week
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 ModMed
- ModMed stays licensed to your practice and the data stays your data; the biller is one user you create in ModMed Practice Management with the billing role
- Multi-factor authentication protects the biller's login, which appears in your user administration where you can revoke it whenever you want
- No chart, claim or payment data is moved to a system Remitwright operates; claims leave for the clearinghouse and nothing else does
- Nothing is set up until the business associate agreement is signed
Where the biller steps in
What ModMed does not do, and the biller does
A specialty note suggests codes fast, and the speed is the risk: whether the documentation supports each procedure and modifier is a reviewer's question, and a denial for an unsupported count or modifier begins with that question going unasked
Payer bundling and modifier policies the scrubber does not carry, which differ from payer to payer, are kept by the biller in your payer notes
What a payer paid against what your contract says is only visible once contracted rates are loaded and each line compared; the biller does the loading and the comparing
Appeals with operative or pathology notes attached, peer-to-peer scheduling and payer portal work happen outside ModMed and are recorded on the claim
Questions
Questions about billing in ModMed
Do we need the vendor's billing service to use you?
Can you review the codes the note suggests?
Which specialties is ModMed built for?
What access do you need?
Which reports do you use?
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 ModMed.
- 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).