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Internal Medicine Billing Services California, CA

MBC is a unique platform for outsourcing your Internal Medicine billing and coding management cycle. Whether you are an individual practitioner or institution, our objective-oriented coding and billing cycle management -- complete with accurate charge capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance program operations – offers you value added reimbursement solutions.

Our expertise includes-

  • A team of highly qualified Certified Medical Reimbursement Specialists (CMRS)
  • Applying compliance coding such as ICD9, CPT4 and HCPCS Coding standard, and data privacy norms as required by HIPAA
  • Relieving Internal Medicine physicians of a non-core activity, and help concentrate on core medical practice
  • Ensuring optimum realization of medical claim bills
  • Enhancing professional efficiency, patient influx, and service referrals

You can also match your requirements with the skills of our expert billers in your area:

Did you know?

  • CPT code 90471 is used to report one immunization, for either single or combination vaccine, where as CPT code 90472 is used in conjunction with 90471 to report each additional immunization.
  • Medicare does not cover immunizations and most local payer computer systems are programmed to reject codes 90471 and 90472, hence providers need to check patient eligibility before providing service.
  • CPT codes 96360-96379, 96401, 96402, 96409-96425, and 96521-96523 are not intended to be reported by the physician in the facility setting.

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.

Applying quality credentials to diverse Internal Medicine specialties

An extensive coverage of billing and coding for Internal Medicine sub-specialties– endocrinology, gastroenterology, geriatric medicine, hematology/oncology, infectious diseases, nuclear medicine, allergy/immunology, cardiology, critical care medicine, nephrology, pulmonology, rheumatology, adolescent medicine, and sports medicine – has been pivotal to our billers and coders who have extensive experience of working with leading physicians and institutions of all sizes.

Impressed with our billers and coders’ all-inclusive portfolios of services, individual specialist and institutions across the U.S. have retained our billers and coders for their comprehensive billing and coding needs.

Technology Interface

Devising technology interface in billing and coding -- proficiency in using billing software such as Next Gen, Medisoft, Eclipse, Lytec, Inception, and Misys; and encoding diagnosis and treatment procedures documents into compliant codes (ICD-9-CM, CPT & HCPCS codes) on advanced technology platforms such as EncoderPro, FLashcode and CodeLink– has been the key to our billers and coders’ impressive conversion rates. Outsourcing your Internal Medicine billing and coding needs to our tech-savvy billers and coders’ can ensure error-free coding, faster submission of bills, and speedier and denial free realization of bills.

Delivery of Value-Added Services in Billing and Coding

Combining a value-chain of diverse competencies – thorough knowledge of billing and coding; coding integrity that matches ‘the best practices in Internal Medicine coding’; scrupulous handling of ‘Incident to Services’ and ‘Uncovered Services’; and applying suitable modifiers for reclaiming the returned claims – our billing and coding specialists have been able to deliver a unique set of value-added services.

  • Internal Medicine Specialists – with singular focus on patients, not administrative functions – can maintain higher level of efficiency in providing services.
  • Reduction in account receivables to negligible percentage; completion of claim cycle within 60 days.
  • Decrease in clients’ overhead and operating costs, consequent to outsourcing our experts’ billing and coding services.
  • Continual research on coding regulations and changes to have claims reimbursed without interruption.
  • Application of suitable modifiers to have the denied claims reimbursed.

Our -Internal Medicine billing and coding specialists have had a successful track record of processing their clients’ medical bills with the leading private insurance carriers such as United health, Wellpoint, Kaiser Foundation, Aetna, Humana, Blue Cross Group, etc. as well as government sponsored Medicare and Medicaid.

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