Oral and Maxillofacial Billing Services California, CA
As in the case of other medical specialties, Oral and Maxillofacial specialty too has undergone radical changes in its approach to diagnosis and treatment procedures. Consequently, physicians – with access to advance and incisive medical technology – have come in for greater demand. Although they have been able to witness a swell in patient base, yet their medical billing realization percentage has been a cause of concern. The scenario has meant a responsible opportunity for our certified and experienced Oral and Maxillofacial billers and coders, who have an unblemished track-record of efficient billing and coding.
Value delivery to physicians
The physicians who have lent preference to our billing and coding competence – 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 reap the following value delivery:
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 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.
Simplification of revenue cycle
Appreciable increase in collection rates
More patient inflow and referrals
Increased avenue for research and development by physicians
Efficient ground work
Honest billing and error-free coding are precursors to denial-free and delay-free realization of medical insurance claims. Our tech-savvy Oral and Maxillofacial billing and coding professionals possess the following billing 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.
With such inclusive competence and experience, they have been able to ensure error-free coding, faster submission of bills, speedier and denial-free realization of physicians’ medical bills.
Encompassing the entire range of medical procedures
Our specialist medical billing professionals – having in-depth knowledge of the whole gamut of Oral and Maxillofacial services, and their apt codes – are uniquely poised to bill the entire range of medical procedures with a multitude of payors. Following is an exhaustive list of such procedures:
Diagnosis and treatment of chronic facial pain disorders, diagnosis and treatment of benign cysts and tumors, diagnosis and treatment of temporomandibular joint (TMJ) disorders, and diagnosis and treatment of dysgnathia (incorrect bite).
Dento-alveolar surgery, and pre-prosthetic surgery – providing better anatomy for the placement of implants, dentures, or other dental prostheses; and diagnosis and treatment oral & head, and neck cancer.
Medical Splint and surgical treatment of sleep apnea, surgery to insert osseo integrated (bone fused) dental implants, maxillofacial implants for attaching craniofacial prostheses and bone anchored hearing aids, and cosmetic surgery limited to the head and neck.
Notably, such procedures have successfully been billed and claimed with leading private insurance carriers such as Unitedhealth Group, Wellpoint Inc.Group, Kaiser Foundation Group, Aetna Group, Humana Group, HCSC Group, Independence Blue Cross Group, and public schemes such as Medicare and Medicaid.
Preferential choice of specialists
Impressed with our Oral and Maxillofacial billers and coders’ all-inclusive portfolios of services, individual physicians, clinics, multispecialty groups, hospitals, and diagnostic centers across the U.S. have retained them for their comprehensive medical billing needs. Significantly, with a thorough knowledge of diverse billing and coding, they can play pivotal role in realization of medical bills, physicians’ medical efficiency, and patient influx and referrals.