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Pulmonology Billing Services California, CA

With pulmonology, which earlier used to be an associative branch of medicine, gradually evolving into a dedicated specialty for diagnosis and treatment of diseases related to chest and respiratory system, the onus on physicians too has got bigger. As a result, physicians, who do not want to risk their clinical efficiency, have no alternative but to seek recourse in professional medical billing services for seemingly complex and high-cost patient services.

How can MBC support your billing & coding?

Ideal for varied billing needs, our professional pulmonology medical billing services are built into a sequential set of system of medical billing management, comprising patient enrollment, insurance enrollment, scheduling, insurance verification, insurance authorizations, charge entry, coding, billing and reconciling of accounts, denial management & appeals, and physician credentialing. Additionally, we also support HIPAA-compliant patient privacy reporting on any EMR software of your choice for error-free medical billing, and coding culture that ensures apt coding of diagnostic and treatment procedures.

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.

MBC’s scope of billing & coding services

Our expert billers, who can diligently source the data from your electronic medical recording (EMR) systems, can undertake coding for the whole range of pulmonology medical services such as:

  • 94010 for expiratory spirometry only
  • 94060 for pre and post spirometry
  • 94375 for flow volume loop performed
  • 94150 for slow vital capacity
  • 94375 for flow volume loop performed
  • 94200 for mvv when given alone w/o a standard spirometry
  • 94240 for lung volumes
  • 94720 for diffusion study (dlco)
  • 94070 for multiple challenge tests
  • 94350 for helium equilibration time
  • 95831 for lung mechanics
  • 95070 for administration of challenge agent
  • 94664 for administration of bronchodilator
  • 94260 for thoracic gas volume,
  • 93720 for total body plethysmography

Suitable modifiers are also applied wherever necessary to negate undesirable audit issues, denial or delay by insurance carriers.

Value delivery to physicians & hospitals

Owing to such best practices in pulmonology medical billing management – a compliant electronic medical recording system, coding regimen conforming to CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis codes, and technology interface for billing and coding – our services attract majority of individual physicians, clinics & hospitals. We can successfully negotiate your insurance claims with Medicare, Medicare, and leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, etc.

Thus, our medical billing management – which ensures competitive advantage through medical billing report in electronic form, analyzing denied claims and making follow-ups for efficient claim realization, provision of daily, weekly and monthly pulmonary medical billing reports including ICD and CPT code analysis reports, coverage of all leading major health insurance providers, and arranging weekly meeting to discuss clients’ work status – is the prescription for maximizing clients’ collections, lower operating cost, and improving medical efficiency.

Additionally, along with the pre-qualifications for the prevailing system of medical billing management, our pulmonology medical billing specialists are pro-actively equipped to help you make a smooth transition to the ensuing ICD-10 system of coding compliance, and HIPAA 5010 compliant data privacy and security.