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Rehab Billing Services California, CA

Components & challenges of Rehab Billing:

Although rehab is among the most commonly used line of care in the US, there is no separate insurance plan available for rehab billing which makes way for several ambiguities and challenges both for care providers and patients.

Not being covered by any exclusive insurance plan, rehab billing forms a part of an insurance plan and one that insurance providers prefer to be a little vague about concerning the amount of coverage the insured is entitled to for rehab treatment. What further adds to uncertainty about coverage is that states are not very specific about how much coverage is compulsory for insurance providers to give drug detox.

Partial coverage and ambiguity of insurance plans on rehab treatment – together leave care seekers as well as providers confounded, perhaps setting them up to start the process of preparing insurance claims for rehab treatments on a wrong note, which means inaccurately identifying the coverage of a patient eventually leading to waste of the time spent on preparing such claims and mounting account receivables.

However, even after entitlement or coverage has been identified accurately, a care provider post identification (accurate or otherwise) needs to follow a series of procedural activities, including documenting and applying appropriate codes, where a single miss-step can again revive the specter of eventual claim rejection.

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.

Outsourcing to MBC:

MBC’s billers and coders combine the knowledge of insurance procedures with medical intricacies to provide care providers with an end-to-end solution for insurance billing and coding, starting from accurate identification of coverage through preparation and submission to post submission follow-ups to ensure timely payments.

  • The rehab billing process involves some amount of interaction with the patient to acquire medical facts and our billers and coders are skilled in handling interactions with distressed patients with the sensitivity and care they require.
  • Additionally, to keep up with industry trends and changes in regulations, MBC’s billers and coders not only keenly follow such parts of the industry as they are individually responsible for but also acquire training and certifications to constantly update and examine their skills and awareness of the industry.

Our billing and coding services are available in two flexible service models so that you can choose the exact model that works for the size and nature of your rehab centre. Since rehab centers are generally big set ups, you may already have an in-house billing and coding team which could do with some streamlining of processes they are following, some software applications that are in sync with their work environment and help them transact data with greater efficiency and ease, and some cross-competency training so that one member going on leave doesn’t cause downtime with another member stepping in to keep the process going. We will be able to such streamline your revenue management process through our Revenue Management Cycle (RCM) consulting services which involve a thorough study to stop areas of revenue leakage, assess efficiency of software applications in use and identify needs for training.

Whereas our outsourced billing and coding services enable you to fully ship out your billing and coding responsibilities to us so that you can solely concentrate on healthcare.

MBC, the largest billing and coding consortium in the US, has helped care providers from across the 50 states of the US to improve their finances and boost the quality of care by helping them meet with successful reimbursement of claims and spending more time on healthcare.