OUR MEDICAL BILLING SPECIALTIES

Medical Billing
ER MEDICAL BILLING

 

  • Undocumented patients require special documentation to be billed at Medicare rates.

  • Pass throughs/Carve outs must be tracked properly to be presented to the Hospital for maximum reimbursement.

  • Correcting inproper insurance information at the time of service is more paramount than other specialties.

  • Managing collections firmly and respectively is important in minimizing chatter in the hospital.

  • The volume and diversity of patients, diagnosis' and procedures requires vigorous and constant attention to effectively maximize reimbursement.

Medical Billing
ACCUPUNCTURE MEDICAL BILLING

 

  • Accupunture can sometimes be billed as units or must other times be reported on seperate line items with the proper modifiers depending on the carrier.

  • Medicare denials may pave the way for payment from secondary payers if handled correctly.

  • With stim or without stim.

Medical Billing

HOSPITALIST MEDICAL BILLING

 

  • Level of care should be documented and trendlines must be tracked and analyzed.

  • Ailment information and dates can cause denials when not submitted properly.

  • It is important to maintain a good relationship with the Hospital.

  • Referral tracking can help you build your Practice.

Medical Billing

RADIOLOGY MEDICAL BILLING

 

  • Linking dx and cpt codes accurately

  • Managing interface with hospital for patient information

  • Follow up on incorrect patient information received from hospital

  • Tracking pass throughs and carve outs accurately and reporting to the hospital for maximum reimbursement

  • Proper use of dx and modifiers for multiple procedures

  • Managing collections effectively to minimize hospital chatter while minimizing bad debt.

Medical Billing

NEPHROLOGY MEDICAL BILLING

 

  • Monthly dialysis must be billed timely as it represents a good portion of your cash flow.

  • Billing based on the correct number of visits and age.

  • Visiting dialysis

  • Correct modifier usage for same day office and hopital visits.

Medical Billing
SURGICAL MEDICAL BILLING

 

  • Tracking global periods

  • Properly linking cpt and dx codes

  • Using the correct modifiers under different conditions

  • Referral tracking

  • Negotiating Par vs Non-Par reimbursement

Medical Billing
INTERNAL MEDICINE MEDICAL BILLING

 

  • Home health certifications and re-certifications can add up to additional revenue when handled efficiently.

  • Ancillary procedures such as injections, prothrombin time, BP monitoring, breathing capacity test, cerumen removal, flu shots and more require proper dx and cpt linking along with proper modifier usage.

  • Level of care trends and support.

  • Office visits at the time of Physicals.

  • Some ancillary procedures require additional copays.

Medical Billing

NURSING HOME MEDICAL BILLING

 

  • Monthly and Annual visits.

  • Sick visits.

  • Hospice billing information.

  • Linking dx to cpt and proper use of modifiers.

Medical Billing

PATHOLOGY MEDICAL BILLING

 

 

  • Professional vs Technical components

  • Billing correct units and verifying reimbursement

  • Professional component of clinical lab

  • Accession tracking and footing

  • Pass thoughs and Carve out tracking and reporting for hospital reimbursement

  • Educating patients about Pathology

  • Interfacing with Hospital systems for patient information

  • Following up on incorrect information received from hospital.

  • Billing for off site and in-office histology labs

 

Medical Billing

OSTEOPATHY MEDICAL BILLING

 

  • Billing modalities

  • CPT to dx linking

  • Patient insurance coverage

  • Referral tracking

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