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Hospitalist Billing Services California, CA

Welcome to our premier hospitalist medical coding and billing services, where a dedicated and competent team of billing experts endeavor to accomplish maximum payout for physicians’ claims. Our billing specialists’ rich-vein of experience in processing claims with Medicare, Medicaid, and a host of commercial health insurance carriers has contributed to a healthy success rate of converting claims into reimbursement. As a result, practitioners that have entrusted their medical billing to us have been benefited with steady flow of revenues, which in turn has had positive effect on their medical efficiency, patient influx and service referrals.

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.

Comprehensive medical billing services

We have specialist billing experts for the entire portfolio of hospitalist procedures. Complying with the prevailing standard codes applicable for amicably categorized hospitalist services, they can meticulously undertake claim processing for following categories: To start with, you can have them apply hospital inpatient service codes for billing the following inpatient services rendered by hospitalist physicians:

  • Initial hospital care
  • Subsequent hospital care
  • Hospital discharge services and inpatient consultations

Next, you can avail their services to appropriately code for billing the following observation services rendered by medical specialists:

  • Observation care discharge services
  • Initial observation care
  • Observation or inpatient care services (including admission and discharge services)

Finally, you can confer with them while applying codes for billing the following critical care services provided by medical experts:

  • Hospitalist services for critically-ill patients with central nervous system failure, circulatory failure, shock, renal, hepatic, metabolic, and/or respiratory problems)
  • Diagnostic services rendered to reflect criticality of situations above.
  • Coding for billing the inpatient stay during the treatment for conditions

It is significant that you will be supported with standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding – recommended and ratified periodically by CMS Such standard practices would be crucial in preventing undesirable delay or denial of your insurance claims.

Diverse specialty-specific billing and coding services

At MBC, we have billers that can cater to the growing number of hospitalist specialists. As these specialist hospitalist services have their own individualistic service categories, the services of specialist billing and coding professionals becomes crucial. Here is a list of such specialty-specific medical billing services carried out by us:

  • Pediatric services, which are rendered to children in groups of at least 10-20 patients in hospital
  • Surgical services, which are provided by a group of designated surgeons practicing in a hospital set-up.
  • Obstetrical services, which are administered in obstetrical hospitals
  • Neurological services, which are provided by designated neurologists in a hospital set-up

Delivering manifold benefits

Engaging our hospitalist medical billing service – capable of delivering the following manifold benefits to your hospitalist practices – would indeed be a prudent decision to maximize your revenue from reimbursements:

  • Substantial increase in collections of bills, and lower denial rates
  • Considerable reduction of days for account receivables
  • Substantial reduction in operating costs as a direct consequence of outsourcing billing and coding
  • Avenue for medical or clinical efficiency as most of your billing burden gets reduced.