Accurate medical coding and billing solutions for specialty physicians and surgery centers benefit them in a number of ways. These solutions are available for a wide range of medical specialties including cardiology, pain management, physical therapy, family practice, obstetrics and gynecology, otolaryngology, allergy and sleep medicine, dermatology and gastroenterology. They help free up more time for healthcare practices to dedicate to their patients. Factors like the presence of certified and up-to-date coders and billers, a three tiered quality control process and the use of advanced technology help the service provider achieve outstanding accuracy.
Medical Billing and Coding Services Provided
The healthcare entities can benefit from a number of services including:
• Demographic information
• Charge entry
• Insurance collection
• Insurance verification
• In-patient coding
• CPT medical coding
• ICD-9 coding
• Emergency room e-code assessment
• Backlog coding resolution
• Cash posting
• Old AR follow-up
Advantages of These Services
As mentioned earlier, the benefits of these medical coding and billing services are many:
• Facilitates Precise Reimbursement – Precision in documentation enables the insurance payer to comprehend the treatment the patient received so that the healthcare service provider can be properly paid for it.
• Proves that Treatment Was Essential – Coding confirms that a particular treatment was medically necessary. Supporting documents would give details about the kind of services that were provided to the patient.
• Useful for Insurance Assessments – Insurance vendors frequently carry out arbitrary reviews to ensure that the charges are indeed applicable. Accurate coding would help to validate the charges.
• Reduces Claim Denials – Insurance service providers may reject claims if they are of the opinion that the treatment was not obligatory or that the claims were incorrectly coded. In such a situation, the healthcare center can provide substantiating coding records that would elucidate why particular codes were made use of for claiming compensation.
• HIPAA Compliance – Some of the measures that the medical coding and billing company would take for the purpose are 24/7 manned security, minimum 128 bit AES encryption, password protection of computers, ensuring that anti-virus software is up-to-date, making staff sign non-disclosure and confidentiality agreements, monthly backups of computer data, random checks and fire extinguisher and smoke alarm.
• Increases Revenue – Owing to fewer claim rejections and faster clearance of claims, the chances of physicians being denied their rightful payments would also come down. In this way, the revenue of the physicians and surgery centers would improve.
• Patient Satisfaction Increases – When a physician gives more of his time and care to his patients, they would be satisfied and feel like visiting him again.
• Free Trial – The company’s free trial would help you determine whether its services are really as accurate as claimed to be.
A Boon
Accurate medical coding and billing is indeed a boon for specialty physicians and surgery centers.
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