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Pediatrics Billing Services Florida, FL

Pediatrics, which leads other specialties in terms of patient population, and patient-physician ratio, offers both opportunities as well as challenges to leading medical billing consortium like MBC – while the influx of pediatric physicians seeking medical billing and coding management is a matter of opportunity, owning and executing clients’ medical billing and realization amidst stringent insurance environment is equally challenging.

MBC Offer Billing & Coding Expertise

MBC professionals scrupulously upgrade the competencies that ensure efficiently executed comprehensive Pediatric Medical Billing Solutions; certification from the American Association of Professional Coders (AAPC), proficiency in using advanced medical billing softwares such as Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc., and latest coding softwares such as EncoderPro, FLashcode and CodeLink, and expertise in applying standard CPT, HCPCS procedure and supply codes, and ICD-9-CM diagnosis coding as per CMS guidelines and HIPAA compliant report generation, and the acumen for processing medical claims with several private carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid bear testimony to our commitment to competent and compliant medical billing management.

 

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.

Pediatric Medical Billing Across Multiple Specialties

Medicalbillersandcoders consistently deliver cost minimizing and revenue maximizing solutions to a gamut of diverse Pediatric Services such as:

  • General Pediatrics
  • Pediatric Endocrinology
  • Pediatric Diabetes
  • Pediatric Gastroenterology
  • Pediatric Cardiology
  • Pediatric Pulmonology
  • Pediatric Nephrology
  • Nutrition Services
  • Pediatric Infectious Diseases
  • Clinical Genetics
  • Behavioral Psychology
  • Pediatric Neurology
  • Pediatric Oncology
  • Child Life Program

Enabling Accurate and Precise Medical Billing

Additionally, our Pediatric Billing Specialists’ ingenuity in applying accurate codes for complex pediatric services such as:

  • CPT 31500 for intubation, endotracheal; emergency procedure,
  • 62270 for spinal puncture, lumbar, diagnostic;
  • 36660 for catheterization, umbilical artery, newborn;
  • 36620 for arterial catheterization or cannulation;
  • 92551 for screening test, pure tone, air only;
  • 51702 for insertion of in-dwelling bladder catheter;
  • 36011 for central venous catheterization or cannulation;
  • 54150 for circumcision, using clamp or other device;
  • 99141 for sedation (conscious sedation); intravenous, intramuscular or inhalation;
  • 90782 for therapeutic, prophylactic or diagnostic injection;
  • 90788 for intramuscular injection of antibiotic;
  • 92950 for cardiopulmonary resuscitation;
  • 92567 for tympanometry (impedance testing);
  • 36400 for venipuncture, under age 3 years;
  • 99173 for screening test of visual acuity, quantitative, bilateral;
  • 94200 for maximum breathing capacity, maximal voluntary ventilation, etc.

Apart from handling the coding for above services, our experts also infuse suitable modifiers which are crucial to mitigating undesirable audit checks, delay, denial, and resubmission of medical claims with insurance carriers.Multiple benefits in managing RCM.

Conducting a sequential medical billing management process – Patient Enrollment, Insurance Enrollment, Scheduling, Insurance Verification, Insurance Authorizations, Charge Entry, Coding, Billing and Reconciling Of Accounts, Denial Management & Appeals, and Physician Credentialing – punctuated with competent qualifications mentioned earlier, our Pediatric Billing Specialists are known for delivering superior quality pediatrics medical billing services for individual physicians, physician groups, multi specialty groups, clinics, acute care facilities and hospitals. Consequently, physicians, along with an intense focus on the core medical issues, are able to witness:

  • Substantial Reduction in Operational Expenditure
  • Increased Revenues
  • Faster Realization of Account Receivables
  • Compliant and Efficient Billing Practices
  • Regular QA Checking
  • Reduced Audit Risks

Equipped with the demands of the ICD-10 and HIPAA 5010 Version of coding and medical reporting compliance, Medicalbillersandcoders.com presents a pro-active outlook to opportunities and challenges in Pediatric Medical Billing Management.