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Sleep Disorder Billing Services California, CA

Sleep disorder is a common ailment in the US with the number of people afflicted with it increasing daily and to respond to this healthcare need, there has in turn been an increase in clinics dealing with sleep disorder in all the states of the US.

However, treating sleeping disorder, which enjoys insurance coverage under Medicare, is beginning to give sleepless nights to these physicians and hospitals, because treating increasing number of people suffering from sleeping disorder means having to deal with mounting administrative responsibilities by hospitals and physicians to realize their fee via insurance claims which involves a lengthy process starting from claim preparation to submission. This not just leaves hospitals and physicians with less time for patient care but also to claim rejections leading to unrealized account receivables.

For a clinic treating sleeping disorder to run profitably, a sound revenue management system is an absolute necessity. Our medical billing and coding services account for the entire billing and coding process, starting from claim preparation through electronic claim submission to follow-ups.

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.

Some of the most common sleep disorders which require medical billing procedures are as follows:

Sleep apnea — Seen from a reimbursement standpoint, sleep apnea is no more viewed independently but as falling under the tutelage of Obstructive Sleeping Apnea (OSA) which comes under the insurance coverage of continuous positive airway pressure devices (CPAPs). Therefore, successful claim preparation for sleep apnea involves accounting for medical and regulatory details (from preliminary diagnosis through a long cycle of treatment and recovery which involves the use or otherwise of the CPAPs device) required to establish compliance of all regulatory criteria. We cover the entire range of sleep apnea billing and coding activities available both through a consulting and outsourcing model to ensure the physician is solely occupied with curing sleep disorder of the patient without causing him any disturbance in his revenue cycle.

Insomnia — Being among the sleeping disorders that are covered by Medicare and whose treatment involves devices and tests under continuous positive airway pressure (CPAP), insomnia involves the use of appropriate Medicare codes and an elaborate process for preparing and submitting claims. This is where our comprehensive billing and coding services carried out by a team of specialists can help you to not just spare yourself the nonclinical activities involved in reimbursements and compliance related to insomnia but also improve your finances through reduced claim denials and optimized staff utility.

Narcolepsy — Narcolepsy is also among the sleeping disorders that come under Medicare coverage and involves an elaborate process for claim filing which includes accounting for a variety of compliance activities during diagnosis and later treatment. With an experienced team of billers and coders networked across all the states of the US, we bring an end-to-end service model for physicians and clinics treating narcolepsy which ensures accurate preparation and submission of claims, methodical follow-ups for reimbursements.

Restless legs syndrome (RLS)/Periodic limb movement disorder (PLMD) — RLS and PLMD are commonly found afflictions in the US and have recently seen a spurt due to lifestyle issues causing clinics and physicians sleeplessness not due to increase in patients but due to increasing administrative work involved in preparation and submission of claims. With our services marked by accurate coding, methodical follow-ups etc, we ensure appreciable incr ease in collection rates and other benefits that help medical care providers improve their revenue and spend more time on treating RLS and PLMD.

Other disorders - Similarly, we have medical billing and coding services for other disorders —including snoring, hypersomnia, sleepwalking, night-terrors, REM behavior disorder, rhythmic movement disorder, delayed sleep phase syndrome and advanced sleep phase syndrome.

Due to the lifestyle irregularities, sleep disorder clinics have been mushrooming, but the fact that for a profitable sleep disorder clinic revenue management is quintessential.

Sleep Disorder can have an exhaustive medical billing and coding process, which not just leaves hospitals and physicians with less time to spend on their patients, but also leads to claim denials due to minor errors, resulting in mounting unrealized account receivables. This requires a sound billing and coding process which will help care providers to prepare and submit claims accurately and be reimbursed timely.

We offer medical billing and coding services that account for the entire billing and coding process, starting from claim preparation through electronic claim submission to follow-ups. Our options include billing for rented and sold CPAP devices, whose involvement in treatment requires extensive and accurate documentation to establish their necessity for successful reimbursement, and other Sleep disorder specifics which give the Sleep Medicine Specialist time to attend to his patients and sleep a little as well. For Sleep Disorder Medical Billers and coders, browse through profiles in your city and state.