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Gastroenterology Billing Services California, CA

Tracing the growth of Gastroenterology

Over the years, gastroenterology has evolved into a highly lucrative practice. While path breaking advances in diagnostic and treatment procedures have helped physicians sustain higher level of clinical quality, progressive increase in patient visits may have made medical billing more stressful. This could have been the reason for frequent instances of your medical claims being delayed, denied, or underpaid for what your payors perceive to be billing errors or insufficient coding.

But, with our proven gastroenterology medical billing at your service, you can expect to mitigate those undesirable instances of delay, denial, or underpayment. Our certified and experienced billing experts are known to have ensured error-free coding, faster submission, and denial-free realization of claims from health insurance carriers across the 50 states in the U.S.

Did you know?
  • CPT code 43234 (Upper GI simple examination) has been replaced in 2013 by CPT code 43235 (Upper GI includes esophagus, stomach, & either the duodenum and/or jejunum as appropriate; diagnostic)
  • In 2013 CPT code 43206 is applied for similar purpose as CPT code 88375 (used for optical endomicroscopic imaging) but both are mutually exclusive
  • Our experts have updated themselves with CPT code 91111 (using capsule endoscopy) revised in 2013 by CPT code 91112 (using wireless capsule endoscopy with pressure measurements)

Running a medical practice in California can be quite challenging when it comes to medical billing and coding. Our billers and coders in all the major cities of California including Los Angeles, San Diego, San Jose, San Francisco, Fresno can help you settle your requirements here are some of the services which our expert medical billers and coders specializes in:

  • Tracking and follow-up on unpaid claims
  • Preparing Patient statements and payment posting
  • Customizing billing reports for better control
  • Primary and secondary insurance claims filing

Value Our California Billers Bring:

Our medical billers and coders are not limited to just the big cities such as Fresno, San Francisco, and San Diego but also all other smaller cities and towns in California. Moreover our billers are compliant with HIPAA guidelines and are updated with all industry updates through medicalbillerandcoder.com. This makes sure that your practice is run in the most efficient and legally safe conditions. Our Billing specialists also ensure that your patients are hassle free and their billing queries are answered well.

The expertise of our billers is vast and includes but is not limited to Past Due Collections, Electronic Medical claim filing, Medicare Audit Protection, coding and diagnosis analysis for maximum allowable reimbursement, customized accounts receivable and revenue cycle financial analysis, electronic claims submissions, denials management and payment posting, dedicated and relentless insurance follow-up, patient statements and patient-centric support, provider enrollment support, and standardized reporting.

Our Specialties:

Our medical billing specialists are committed to improving your productivity by utilizing finest processes and health care information technology such as Electronic Medical Records. These medical billers and coders maximize your revenue, ensure timely compensation, and offer medical billing and coding services in specialties including Family Practice, mental health , pain management, Physical Therapy, radiology, Internal Medicine, neurology, orthopedic, and numerous other areas.

Our Software Experience:

The fact that physician shortage is set to quadruple in the next decade according to AAMC (Association of American Medical Colleges) makes it vital that physicians utilize professional and accurate medical billing and coding services. The various software that we provide in addition to the value added services mentioned above ensures that physicians are capable of keeping up-to-date with the healthcare IT sector reforms and improvements. Some of the medical coding and billing software that our billers have experience on include Medisoft, Misys Tiger, Eclinicalworks, Advance MD, GE Centricity, and Altapoint.

Difficulties & Challenges California physicians Face:

The most common challenges faced by physicians in big cities such as San Jose and Los Angeles are underperforming accounts receivables or collections and claims denial. Both these situations along with other errors may lead to decreased revenue. Our billers provide the solutions to these problems by making the denial management efficient and offering services such as integrated medical billing with EMR along with numerous other value added services like sending patient statements and processing refunds to Medicare in order to preserve your practice from RAC audits.

As a physician in California, it becomes difficult to keep track of all the changes taking place in the legislation related to your practice. This is where the expertise and experience of our medical billing specialists can be of immense help. It almost seems that payers are in the business of claim denial and can afford to make mistakes at your expense. Although the new HIPAA guidelines would ensure a smoother process, the amount of patient-doctor encounters would increase in the future making it difficult to extract time for coding, billing, claim denial and compliance with HIPAA regulations. Specialized medical billers and coders such as ours can ensure that your practice not only flourishes but is also HIPAA compliant.

MBC’s qualitative credentials

Our gastroenterology medical billing services are administered by professionals with a fine blend of qualification and experience. Here is quick glance of our affiliates’ credentials:

  • Certification from The American Association of Professional Coders (AAPC)
  • Familiar with medical billing software such as Lytec, Medic, Misys, Medisoft, NextGen, and many more
  • Trained on coding software such as EncoderPro, FLashcode, CodeLink, etc.
  • Being able to apply standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding as per CMS guidelines
  • Successful track-record of processing medical bills with leading commercial carriers such as United health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, etc.
  • Ability to negotiate successfully with Medicare and state-specific Medicaid policies.

MBC billing and coding for diverse procedures

Impressed with pre-qualifications that match the best in the industry, majority of gastroenterology physicians have reposed their firm faith in our billing and coding competencies. Here is an elaborative list of diverse diagnostic and treatment procedures billed, coded, submitted, followed-up, and claimed with multiple health insurance payors:

  • Biliary malfunction such as acalculous cholecystitis, acalculous cholecystopathy, etc
  • Colon malfunction such as acute megacolon, amebiasis, angiodysplasia of the colon, bacterial gastroenteritis, etc
  • Esophagus malfunction such as achalasia, cytomegalovirus esophagitis, esophageal diverticula, etc
  • Intestinal malfunction afferent loop syndrome, ascariasis, balantidiasis, etc.
  • Liver malfunction such as acute liver failure, alcoholic fatty liver, alcoholic hepatitis, etc.
  • Pancreas malfunction such as acute pancreatitis, chronic pancreatitis, pancreatic divisum, pancreatic trauma, etc.
  • Stomach malfunction abdominal compartment syndrome, achlorhydria, acute gastritis, etc.
  • Systemic diseases such as antibiotic therapy for peritonitis, ascites, chylothorax crohn disease, etc.

Value delivery to physicians

The gastroenterology practitioners who lent preference to our billing and coding competencies – complete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards – have been able to witness simplification of revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and Increased avenue for medical research and development.

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