Pathology Billing Services California, CA
There is hardly any medical specialization that can function without a full-fledged Clinical Pathology. As it is a precursor to all medical procedures, it is the foundation on which diverse medical specialties function. Specific to each of the diverse medical specialties, there are as many dedicated divisions such as general, anatomical, clinical, dermato, hemato, oral and maxillofacial, forensic, psycho, molecular pathology, and many more.
Why do you Need to Outsource your Pathology Medical Billing?
Pathologists, having to consistently keep the highest level of clinical efficiency, have often reported the medical billing part as cumbersome and detrimental to their clinical efficiency. With the internal medical billing failing to deliver the desired results despite substantial investments on resource mobilization, outsourcing seems to be the only way out.
Making their search easier, Medicalbillersandcoders.com – the largest consortium of medical billers in the US – has strategically spread its medical billing across all the 50 states in the US. With easy accessibility to expert medical billing services, practitioners are beginning to realize the benefits of forging alliance with our billing professionals. Amongst notable benefits, achieving billing, coding, and claim submission in congruence with the compliant standards stands out as the most significant.
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.
Extensive Coverage of Pathology Procedures
Combining suitable CPT codes for various pathology procedures: cyto - 88104 cyto - 88141,cytopathology - 88142, diagnosis - 88172, 88173, flow cytometry - 88180, flow cytometry - 88182, level 1 surgical - 88300, level 2 surgical - 88302, level 3 surgical - 88304, level 4 surgical - 88305, level 5 surgical - 88307, level 6 surgical - 88309, decalcification procedure - 88311, special stains - 88312, consultation during surgery - 88329, frozen section - 88331, frozen section with each additional tissue block - 88332, DNA ploidy - 88358, tumor immunohistochemistry - 88161, genetic probes - 88165, etc. with amicable modifiers for ensuring claims adjudication to the correct percentage for the component billed, our medical billing services facilitate preparation of claim sheets conforming to the best practices in medical claim submission.
Combination of qualification and experience
MBC’s medical billing professionals, known for their ability to ensure pathology billing, coding, and claim submission in congruence with the compliant standards for medical claim submission, are adequately qualified and experienced.
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.
With a streamlined billing management cycle in practice – patient enrollment, insurance enrollment, scheduling, insurance verification, insurance authorizations, charge entry, coding, billing and reconciling of accounts, denial management & appeals and physician credentialing –you can expect your medical bills to be easily processed with a portfolio of leading private insurance carriers as well as public healthcare schemes.
Thus, when you avail our comprehensive medical billing management services, you can expect to drastically minimize operating cost and maximize revenue through delay-free and denial-free reimbursement of medical claims. Combining successful-track record with a proactive outlook to the ensuing ICD-10 compliant coding and reporting, our specialist pathology medical billing services are poised to play a significant role in a healthcare environment that is perennially prone to radical reforms adversely impacting practitioners.