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Pathology Billing Services Florida, FL

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.

Our Florida billing service can help you to increase your revenue with the reduction in the number of denied and unpaid claims. Our billers present in all the major cities like Jacksonville, Miami, Tampa, St. Petersberg and Orlando can provide you with less paperwork and more accurate medical claims to improve the efficiency of your practice. Here are some of the services which our billers have shown their proficiency in:

  • Claims are processed on the same day
  • Analysis of accounts receivables
  • Weekly as well as monthly reports on productivity
  • Analysis of codes and procedures on a regular basis
  • Review of fee schedules for updates

Our billers in Florida have been tracking the rate of reimbursements which has been dipping in the state past a decade. They also have analyzed the solution to this dip, the answer lies in the state of Florida’s reimbursement statutes itself. These local Florida billers are the key to unlock blocked cash flows and can provide you with updated methods to improve the efficiency of your practice.

Value Our Florida Billers Bring:

The Florida medical billing and coding services that we provide are not just limited to cities such as major cities like Jacksonville, Miami, Tampa, St. Petersberg and Orlando. They also extend to almost all other towns and smaller cities in Florida. These medical coders and billers surpass HIPAA compliance and are also trained in preferred language such as Spanish. They have been recommended in their past engagements for their medical billing administrative skills, excellent Data Entry management, along with good written and oral communication skills.

Our medical billers and coders in Florida at medicalbillersandcoders.com perform specialized tasks such as reviewing encounter forms for accuracy in ICD-10 and CPT coding, maintain records of existing billing and coverage rules, posting charges and payments to accounts, make follow up calls to insurance companies to resolve any inconsistency in payments and to patients whose accounts were past due to set up a payment plan, report to physicians regularly, offer customer support by comprehending and elucidating insurance EOBs, co-pays, co-insurance and deductibles to patients and enter and revise patient demographics.

Our Specialties:

Florida medical billing specialists can not only assist in increasing your income but also guarantee suitable reimbursement, provide medical billing and coding services in specialties including Otolaryngology, Primary Care, Optometry, Family Practice, Hospitalist Billing, Cardiology, OB Gyn, Physical Therapy, Pediatrics, Internal Medicine, and Dental.

Our Software Experience:

Physician shortage would always be a problem in Florida and is not only affecting doctors but also bigger hospitals, hospices, nursing homes, nurses and resident doctors. The shortage would mean long working hours and more accurate medical coding and billing practices. However, implementation of EMRs is proving to be of immense help since most of the paperwork is diminished and doctors have real-time information about patients and other related data. Our coders and medical billers are expert in software such as Medisoft, Misys Tiger, Eclinicalworks, Advance MD, GE Centricity, and Altapoint.

Difficulties & Challenges Florida Physicians Face:

One of the unique challenges that physicians and healthcare provides face in Florida is dealing with Florida Medicaid Institutional Care Program (ICP) patients. This is because Florida has a large elderly population (65 years and older) which is projected to grow nearly to 26% of the state’s total population which is the highest among all states in the US.

The fact that these elderly patients are either disabled or are fighting chronic illnesses makes them frequent visitors to physicians’ offices and various hospitals. This fact coupled with the recent health care reform would ensure that health care providers would be required to ensure accuracy and compliance with legal guidelines in order to avoid a drop in revenue or negative legal repercussions. Our medical billing specialists ensure that problems such as inadequate reimbursement due to claim denial and other related factors do not take its toll on your practice.

Our medical billers and coders at medicalbillersandcoders.com can ensure an improvement in the efficiency of your practice by employing the best methods of optimally using your EMR, their exposure of various Practice Management Systems also provides greater collections for your practice.

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.