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Pain Management Billing Services California, CA

Practicing in Pain Management could often entail coordinating with medical practitioners, clinical psychologists, physiotherapists, occupational therapists, and nurse practitioners. While such diverse composition really helps in improving clinical outcomes, it would invariably become tough to code and bill such composite services. As a result, despite your unwavering commitment to quality medical care, you may have to experience poor rate of medical reimbursement owing to inherent deficiencies in Pain Management medical billing. But having our billers to look after your entire billing process can help mitigate undesirable delay and denial of claims, and improve your bottom-line.

Outsourcing Pain Management Billing to MBC

Our billing affiliates – spread across the 50 states in the U.S – offer the right kind of mix, required to deal with complexities in coding and billing Pain Management services, and negotiate with Medicare, state-specific Medicaid, and multiple commercial payors. With our qualified and competent billing professionals overseeing their entire billing process, healthcare providers have been able to mitigate undesirable delay and denial of their medical claims, and improve their bottom-line. Being the largest consortium of medical billers in the US helps us to reach out a majority of practitioners, clinics, and hospitals.

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.

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 Allergy and Immunology 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.

The value of hiring such vastly qualified and competent Pain Management medical billing professionals can be far-reaching:

  • You can expect accuracy in coding as complex a procedure as implantable pump refills, brachial plexus injection, single femoral nerve injection, lysis of epidural adhesions multiple days, single or multiple trigger point injections on one or two muscles, epidurogram, cervical discography, catheter placement, occipital nerve block injection, tunneled epidural, or intrathecal catheter implantation.
  • Being served with suitable modifiers: modifier-25 for significant service which goes above and beyond the norm; modifier-26 for professional interpretation; modifier-50 for bi-lateral procedure: modifier-51 for reporting multiple procedures during same encounter; and modifier -58 for staged or related service by same physician during post-operative period.
  • Streamlined Pain Management Billing process, traversing across patient enrollment, insurance enrollment, scheduling, insurance verification, insurance authorizations, charge entry, coding, billing and reconciling of accounts, denial management & appeals and physician credentialing

While clinical advancements and billing reforms would continue to impact your reimbursements, we assure maximizing your revenues with prompt and compliant Pain Management medical billing practices.