02 Nov Medical Billing for Outpatient Procedures
Complex requirements can make the entire process of coding and billing for primary care difficult. Adherence to these requirements, along with keeping up with state regulations, is imperative for ensuring reimbursement for the office. If you need help with your medical billing for outpatient services and procedures, Medical Practice Management Resources is the company you want!
If there is one field of medicine that requires professional billing services more, it is primary care. There are hundreds of outpatient procedures, medications, and services, which means primary care medical billing can be complicated and time consuming. Our billing and coding professionals have a tried-and-true system that streamlines your procedure and service billing so you receive adequate compensation for your work.
Sound Credentials and Advanced Technology
For competent, efficient medical billing, we have a number of staff members who specialize in primary care services and procedures. Because of voluminous operations, the fees associated with medical billing are costly. Physicians need to achieve operational efficiency and revenue maximization through delay-free and denial-free realization of their claims. Medical Practice Management Resources offers 24/7 support for our clients, so you can call anytime with questions.
We pride ourselves on the quality of our medical billing management, which involves sound credentials and advanced technology, including:
- Application of technology interface comprising the use of the latest medical billing softwares, such as Misys, Lytec, Medisoft, and NextGen. In addition, we have the newest coding softwares, such as FlashCode, EncoderPro, and CodeLink.
- Certification from the American Association of Professional Coders.
- Proficiency in applying standard HCPCS supply codes, CPT procedure codes, and ICD diagnosis coding as per CMS guidelines and HIPAA compliant medical reporting.
- Processing a successful track record of processing healthcare bills with leading private and government insurance carriers, such as Aetna, HCSC, Medicare, and Medicaid.
Improving RCM through Pro-Active Intervention
Infusing qualitative elements to a sequential and comprehensive methodology in billing management involves complete and total knowledge of primary care and outpatient procedures. These elements include insurance enrollment, insurance verification, patient enrollment, insurance authorizations, coding, charge entry, billing of accounts, denials and appeals management, and physician credentialing.
Along with the pre-qualification for the current systems in medical billing, our coding and billing professionals are pro-active with the ICD-10 system, HIPAA 5010 for medical record reporting, and ever-changing codes for outpatient procedures and services. With our billing company, you get:
- Faster realization on account receivables.
- Reduction in operational expenditure
- Increased revenues
- Compliant and efficient billing
- Reduce audit risks
- Regular QA checking
Statements and Patient Payments
One of the main focus of medical billers is collection of payments. Once the biller receives the report from the payer, we issue a statement for the patient. The statement explains all procedures and services provided by the doctor. After making necessary adjustments, the remaining amount is passed on to the patient. In some cases, the biller will include an explanation of benefits (EOB) with the statement, which describes coverage and benefits regarding what was covered and what was not.
The final phase of the billing process is making sure bills get paid. Our medical billers mail out timely and accurate medical bills to the patients. Once the bill is paid, that information is placed into the system. If the patient is delinquent in his/her payment, or if they do not pay the full amount, our billers contact the patient and send follow-up statements.