Serving Lubbock Texas and small rural communities, along with clients Nationwide.

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Evolution Consultants
Evolution Consultants
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    • Home
    • Services
      • Medical Billing / RCM
      • Credentialing & Contracts
      • New Practice Startups
      • Auditing
      • Practice Management
      • Practice Clean-Ups
      • Concierge Medicine
      • Compliance
      • Dragon Medical One
      • EHR
      • Marketing
      • Medicare Opt-Out
    • Downloads
    • About Us
      • Who We Are
      • Testimonials
      • Careers
      • Contact Us
      • FAQ

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  • Home
  • Services
    • Medical Billing / RCM
    • Credentialing & Contracts
    • New Practice Startups
    • Auditing
    • Practice Management
    • Practice Clean-Ups
    • Concierge Medicine
    • Compliance
    • Dragon Medical One
    • EHR
    • Marketing
    • Medicare Opt-Out
  • Downloads
  • About Us
    • Who We Are
    • Testimonials
    • Careers
    • Contact Us
    • FAQ

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Medical Billing & Full-Service Revenue Cycle Support

Demographics & Securing of Money

Evolution provides ongoing support with a communication feedback loop from your revenue cycle for practice management support.


CPT Selection & Charges

Charge capture is scrubbed for proper documentation with the support of certified coders. Questions and feedback sent to the provider. Charges submitted timely. Billers are trained in their specialties as each specialty carries nuance and requires experience and knowledge.


Posting & Accounts Receivable (AR)

Discerning posting. This is where money can really be lost. If you believe what the insurance tells you on and EOB, you are losing money. Many treat posting as a clerical role, but not at Evolution. Billers are cross-trained on the full revenue cycle so they are aware of how services should be billed, fee schedules, and what services are payable and why. This way they don't adjust them off at posting.


Denial Management

We address denial management in multiple avenues. First line of defense is "fix on post", or fast turnaround of items such as medical records request. Second, we carve out an entire "fix" workflow centered around denied claims. Third, we conduct deep research to denials to "verify fix". Lastly, we will conduct multiple appeals on payable services including ERISA language, MAP plan guidelines, and grievances.


Custom Reporting Options

As each specialty is different so are the reporting needs. Standard reporting allows for easy production and cash flow trends as well as emphasis on important month close details. In addition, we offer custom reporting to provide clients with data to monitor special lines of business or details unique to their practice.

We believe that well-rounded billing knowledge protects the cashflow.

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Medical Billing & Revenue Cycle Management

Trusted Partner for Comprehensive Revenue Cycle Management Support

 At Evolution, we understand that efficient billing is the backbone of a successful practice. Our team delivers end-to-end revenue cycle management solutions designed to streamline your financial operations, improve accuracy, and maximize reimbursements. From claims submission and payment posting to denial management, reporting, and proactive follow-up, we handle every step of the process with precision and care. By identifying trends, addressing inefficiencies, and staying ahead of regulatory changes, we help reduce lost revenue and keep your practice financially healthy. With Evolution as your partner, you gain more than just billing support — you gain a dedicated team committed to optimizing your revenue cycle and allowing you to focus on what matters most: providing exceptional care to your patients. 


We spend a lot of time educating client on the difference between medical billing and revenue cycle management.  They are not created equal and do not mean the same thing.  A bit of history, back in the day, the term revenue cycle management ("RCM") was not even a term.  All outsourced healthcare billing was called "medical billing" and medical billing companies carried negative contations.  They had earned it.  Many of those companied were about quantity and not quality.  They did not fight for hard collections and took the easy money each month.  When Evolution was founded and due to the background of the founding partners, Evolution was designed to be different and to treat the billing the way a practice administrator would treat the cashflow.  


Then about a decade ago, the new term RCM started hitting the healthcare marketplace confusing the difference, but over the years the difference has become clear.  Medical billing is the art of getting your claims out and payment in.  True RCM is what you do with the data.  Is anybody looking? Analyzing trends, problems, doing research, reporting back to the practice for cashflow improvement?  If not, they should not be calling themselves RCM companies, but they do.  Now days, most every EHR software company has an RCM component that only do medical billing.  There are also people working from home with limited experience that call their services RCM. 


If you are looking for a cashflow partner and better insight into your cashflow, ask the right questions, look for the service and know what you are getting when you sign up with a 3rd party.  Outsourced billing can be an ideal solution for most practices when you find the right partner.

Got a Medical Billing Questions?

 Evolution maintains strong relationships with our client's internal billing teams, and their staff often reach out when they encounter unfamiliar challenges or just have questions. 


We’re here to support and back up your billing team whenever needed. 


Have questions? Click here

Frequently Asked Billing Questions

Read Now

Medical Revenue Cycle Support for ACO performance

Evolution maintains strong relationships with ACOs and has a proven track record of improving practice performance with proper medical billing support. 


Looking to perform better for your ACO? Reach Out! 

Find out more
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Medical Billing Clean-Up

Boost your medical practice's financial health with Evolution Consultants' expertise in medical billing clean-up, particularly during software transitions or when transitioning accounts receivable from internal billing to another third party. Our seasoned team validates the collectability of outstanding AR and diligently works toward resolution.


Leverage our extensive experience in claim clean-ups to provide your practice with the peace of mind that all loose ends are addressed. Navigating these complex transitions can be challenging, but with our focused medical billing clean-up services, you're in capable hands.

Medicare Opt-Out Billing

Navigating Medicare opt-out can be complex and filled with potential liability, but Evolution Consultants is here to help. Our expertise in Medicare opt-out transitions ensures your practice benefits from proper form usage, template guidance, and safeguarded liability. We excel in implementing processes within your software to accurately account for revenue.


Leverage our valuable understanding of patients' rights for a seamless and effective Medicare opt-out revenue process, making your practice's transition both efficient and secure.

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Workers Compensation Billing

Optimize your Workers' Compensation billing with Evolution Consultants. Our expertise in Workers' Compensation Billing Guidelines ensures effective collection from Workers' Compensation plans. We maintain constant communication with carriers regarding outstanding bills and collaborate with your internal staff and providers to secure funds in compliance with guidelines.


Trust our skilled team to streamline your Workers' Compensation billing process, maximizing revenue and efficiency for your practice.

Top Billing Questions

Do you offer billing cleanups?

What specialty billing do you offer?

What specialty billing do you offer?

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Yes, we take clean-ups with outstanding A/R from old software and billing relationships.

What specialty billing do you offer?

What specialty billing do you offer?

What specialty billing do you offer?

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Yes, we specialize in Workers' Compensation, Medicare-opt out, and primary care ACO compliance billing along with other various surgical specialties. 

Do you know my EHR software?

Do you work with rural doctors?

Do you work with rural doctors?

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Yes, we will work with your existing EHR software! And if we're not familiar, Evolution will learn your EHR.  We have been implementing EHR software for two decades and our experience makes learning new software quick and painless.

Do you work with rural doctors?

Do you work with rural doctors?

Do you work with rural doctors?

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Yes, we find great joy in working and if needed traveling to rural areas! Our love for small-town doctors stems from our own small-town origins and the need in those markets for private practice access to care for the residents.  Often access to qualified staff and staffing consistency represent challenges that Evolution is designed to fill.

More General FAQ?  Click Below.


General FAQ

Evolution Consultants, LLC

301 Main Plaza, Ste. 398

New Braunfels, TX 78130


Physical:

1672 Independence Dr., Ste. 150

New Braunfels, TX 78132


P: (866) 819-2816

F: (830) 632-6568 

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