365 Medical Billing Services
Seamless Medical Billing and Revenue Cycle Management

Tenacity Prevails

Success in life and business requires a specific mentality; the ability to persevere and overcome obstacles while managing it all with grit and passion. Becoming a mother at 17, Robyn Jones knew she needed to roll up her sleeves and dive into something that would provide for her and her young family. Every opportunity to gain experience, lead, and understand ideas and processes pulled her into the intricate field of medical billing.

365 Medical Billing Services (365mbs) was established in 2013 by Jones at her kitchen table. If you ask her what has made all the growth, sacrifice, late nights, and weekends worth it—it is the support from her family and team. Jones genuinely believes she was put on this earth to love and serve people, and it shows in the care she provides for her family, team, and clients across the country.

Jones has built, trained, and hired an experienced, accountable, and solutions-based team with extensive knowledge and passion for their field. Each member is given the opportunity to grow, learn, and choose the area where they would like to continue their journey. It is standard practice at 365mbs for the staff to cross-train in areas of their choosing, decreasing turnover and increasing staff morale and longevity. The team has become a family that communicates effectively, holds itself accountable for achieving goals and offers interdepartmental support.

365mbs offers clients an established and growing team with over 50 years of combined PT/OT, orthopedic, and durable medical equipment experience. The recipe for 365mbs was one of integrity, personal resolve, limitations and failures, prayer, optimism, solutions, and tenacity. Many of the early years for Jones were built on layers ofthe same optimism and tenacity that makes up 365mbs today. This has helped her navigate challenges and adversity, and with that grit, Jones has overcome it all.

One of her favorite quotes at 365mbs is by Quincy Jones, “I don’t have problems, I have puzzles.” When it comes to medical billing and coding, companies often find themselves in the middle of puzzles. Is that bundled? Unbundle this: Does this documentation meet the requirements for successful adjudication? There is so much that goes into revenue cycle management; it is not true that anyone can bill a claim. They must understand the modifiers, CPTs, HCPCS, and diagnoses, and accurately code the claim and tell the story to the carrier.

Onboarding for Excellence

“On our website, www.365mbs.com, we have a form that assists with onboarding new relationships. Our goal is to collect as much information as possible upfront so we can hit the ground running. While compiling, inputting, and processing data from our worksheet, we set up weekly calls to ensure we all understand the roles, responsibilities, and objectives and have a path forward to show successful outcomes,” says Jones, owner of 365mbs.

Through a comprehensive process, transparency, teamwork, and shared goals, 365mbs streamlines processes and increases the bottom line. Extensive planning and care are put forth to ensure the success of each account, leaving the client feeling confident and able to turn their attention to providing exemplary care to their patients.

Clients no longer have to onboard and train new employees to keep their reimbursements running smoothly. 365mbs takes the pressure off the office and physicians by providing each client with a team of highly trained, competent individuals who streamline the workflow, making it possible to focus on patient care.

Staying Solutions-Oriented

In the last 15 years, there has been an over 22 percent swing in what it costs to run a practice. Practices are underestimating how this can affect their reimbursements and billing strategies. It can be quite scary to look at such a considerable number while taking into consideration how hard it is to retain a workforce trained on the latest changes in rules and regulations, as well as stay current in billing, AR, patient statements, collections, privileging, and credentialing.

We have the expertise and ability to manage everything, including credentialing, verification of benefits, accurately completing prior authorizations, billing, and ar. we take pride in building a program that works best for each client we serve

All of this can be intimidating and make it nearly impossible to feel great about where the practice is headed. The goal during med school should be to provide exceptional patient care, grow their practice, and take care of their family. Most often, practices come to 365mbs because they realize their reimbursement and billing are at a critical level.

“We are seeing multiple hospital systems buying practices out and offering cumbersome contracts to providers after a few years, and we don’t want this to be the future of healthcare. We want our providers to maintain successful self-maintained, compliant, and profitable practices,” says Jones.

365mbs offers multiple options regarding everything a practice needs to thrive. From billing and coding to credentialing and offering a ‘virtual office’ feature, it can cover a practice from beginning to end. It even provides after-hours education and consulting to ensure new physician assistants, nurse practitioners, physical therapists, and physicians are knowledgeable and equipped to handle all that is new to them.

Most recently, 365mbs started offering a hybrid model to take some stress off tenured billers. The firm works within its system or a client’s and functions as the backend for their billers. It can work the aging, educate on denials, complete resubmissions, and take over the coding. At 365mbs, the goal is to curate a custom plan that is specific to the needs of the practice. It takes pride in growing with its providers and ensuring they feel supported at every stage. As client needs change, 365mbs will be there every step of the way.

Prioritizing Patient Care

The 365mbs staff is well-versed in more than just commercial insurance. Its clients see a wide variety of patients, including worker’s compensation, commercial, auto, and self-pay. In line with this, it strives to provide the best care possible to all patients, no matter the circumstance. 365mbs welcomes the challenges each situation brings, as it teaches how to accept the next obstacle head-on. Its providers are located all over the country, enabling it to become experts in the field. When taking on a new client, the client base is just as much of a focus as the associated providers. The staff welcomes the opportunity to gain experience in the regulations and worker’s compensation laws, and as the account progresses, so does the expertise. Clients can rest assured that their patients will receive topnotch care.

The Post-Pandemic Scenario

We are in a post-pandemic world, and some things are still uncertain. 365mbs is experiencing a high turnover rate with carriers, many of whom have offshored their employees, making it difficult for office staff to obtain prior authorizations, speak to someone regarding denied charges, resolve issues with clearing houses, rejections, licenses, certifications, and various must-dos to keep a practice smoothly and efficiently running. “We live for the fight and the successful outcome and have proven results,” says Jones. A solutions-based company, it strives to provide answers for all the struggles currently plaguing practices and evolve to keep up with the everchanging world.

Recently, 365mbs’ relationship and support enabled one of its clients to grow from a one-practice operation to seven locations in just 12 months and thrive. Jones and the team set them up with a Pod comprising multiple associates, each with their role and a high degree of follow-through. While each Pod member has their specialty, they all have the same goal. When 365mbs receives requests, work orders, or claims, it completes them as if they were its own business and patients. The Pod also reviews the practice flow and ensures processes are successful and streamlined with the Lean method. When there are improvements to be made, the team works quickly to ensure it always provides the best possible service to clients, making it possible for them to pass that care on to their patients.

“All this is possible because we have the expertise and ability to manage everything, including credentialing, verification of benefits, accurately completing prior authorizations, billing, and AR. We take pride in building a program that works best for each client we serve,” states Jones.

2023 and Beyond

365mbs’ goals for the remainder of 2023 and beyond are to become the trusted source for providers and practices across the country. Its team’s wide range of knowledge and expertise makes it possible to predict upcoming trends and face them head-on with solutions. In a time when other businesses struggle to maintain employees and clients, 365mbs has shown growth. Its staff is a well-rounded, competent team that shares the same solution-based belief system that makes it possible to seamlessly care for patients. The company intends to keep its focus on Ortho, DME, and PT/OT and looks forward to its next chapter of growth to ensure the success, development, and sustainability of clients.