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Illinois, IL Gastroenterology Medical Billing Services

Tracing the growth of Gastroenterology

Over the years, gastroenterology has evolved into a highly lucrative practice. While path breaking advances in diagnostic and treatment procedures have helped physicians sustain higher level of clinical quality, progressive increase in patient visits may have made medical billing more stressful. This could have been the reason for frequent instances of your medical claims being delayed, denied, or underpaid for what your payors perceive to be billing errors or insufficient coding.

But, with our proven gastroenterology medical billing at your service, you can expect to mitigate those undesirable instances of delay, denial, or underpayment. Our certified and experienced billing experts are known to have ensured error-free coding, faster submission, and denial-free realization of claims from health insurance carriers across the 50 states in the U.S.

Did you know?

CPT code 43234 (Upper GI simple examination) has been replaced in 2013 by CPT code 43235 (Upper GI includes esophagus, stomach, & either the duodenum and/or jejunum as appropriate; diagnostic)
In 2013 CPT code 43206 is applied for similar purpose as CPT code 88375 (used for optical endomicroscopic imaging) but both are mutually exclusive
Our experts have updated themselves with CPT code 91111 (using capsule endoscopy) revised in 2013 by CPT code 91112 (using wireless capsule endoscopy with pressure measurements)

Our Illinois billers are specialized in accurate and timely filing of your claims and provide full practice management for your medical billing needs.

Our billers across Illinois in Chicago, Aurora, Rockford, Joliet and Naperville specialize in generating claims, updating payments made, analyzing pending claims and expert follow up on patient outstanding.

You can judge the level of servicing required for your clinic’s requirement by experiencing the services they provide in:

Patient demographics
Credentialing of physicians
Follow up on claims and tracking
Verification on insurance benefits for patients
Pre-authorizations and Pre-certifications
Insurance claims processing

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You can also match your requirements with the skills of our expert gastroenterology billers in your area.

MBC’s qualitative credentials

Our gastroenterology medical billing services are administered by professionals with a fine blend of qualification and experience. 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 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.

MBC billing and coding for diverse procedures

Impressed with pre-qualifications that match the best in the industry, majority of gastroenterology physicians have reposed their firm faith in our billing and coding competencies. Here is an elaborative list of diverse diagnostic and treatment procedures billed, coded, submitted, followed-up, and claimed with multiple health insurance payors:

Biliary malfunction such as acalculous cholecystitis, acalculous cholecystopathy, etc

Colon malfunction such as acute megacolon, amebiasis, angiodysplasia of the colon, bacterial gastroenteritis, etc

Esophagus malfunction such as achalasia, cytomegalovirus esophagitis, esophageal diverticula, etc

Intestinal malfunction afferent loop syndrome, ascariasis, balantidiasis, etc.

Liver malfunction such as acute liver failure, alcoholic fatty liver, alcoholic hepatitis, etc.

Pancreas malfunction such as acute pancreatitis, chronic pancreatitis, pancreatic divisum, pancreatic trauma, etc.

Stomach malfunction abdominal compartment syndrome, achlorhydria, acute gastritis, etc.

Systemic diseases such as antibiotic therapy for peritonitis, ascites, chylothorax crohn disease, etc.

Value delivery to physicians

The gastroenterology practitioners who lent preference to our billing and coding competencies – complete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards – have been able to witness simplification of revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and Increased avenue for medical research and development.

The essence of medical billing in Illinois is best judged by local billers having years of experience in servicing physicians and developing relationship across all payer networks. A deep understanding of Illinois Medicare and BCBS will help them to know various reasons for denial in the state and also helps them to negotiate better rates for physicians they service.

Our Billers in the state of Illinois are specialized to service medical practices as per the regulations of the state government. Their knowledge and experience has been acquired by years of efforts in perfecting medical billing procedures which they now leverage to help your practice collect more revenue.

The federal government’s effort to reduce healthcare cost can only be supported by physicians in the state of Illinoisby optimizingcosts and enhancing revenue. Letting a specialist handle your medical billing can help you improve collections by 20%.

Accurate Coding and code audit along with timely insurance follow up and account receivables are the basis on which thesebillers in Illinois guarantee higher profitability for your clinic. Their experience in various software and certification in the medical billing processes will support your practice to grow steadily.

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Client Testimonial

“I am a mental health counselor and was previously in a group practice for several years. During this time I put my complete trust in our billing professional without truly knowing the ins and out of billing process. So when I recently became an individual practitioner I was very nervous about having to possibly figure it all out on my own.

Medical Billers and Coders was recommended to me by a colleague who was also an individual practitioner. I was completely put at ease from the start after calling and inquiring about their services. Being able to find a comprehensive service that meets my needs by providing: insurance verification and eligibility; charge and demographic entry; denial management; account analysis and follow up; payment postings; and patient scheduling has been extremely stress relieving. I was pleasantly surprised to find out that their service rate is only 7% of my collections, which is much less than what I was paying in the group practice.

The Practice Mate system was confusing to navigate at first because I was just not used to it. However, the customer service representatives were able to train me quickly in mastering the system. I have been extremely pleased with all customer service individuals I have spoken with.

My personal billing specialist has been very genuine, professional, and attentive. He has taken the time to answer all of my many questions about the process and my patient accounts. I was surprised at how thorough he has been in emailing me the minutes of our phone conversations. He is always available for me to contact.

I would strongly recommend Medical Billers and Coders to any healthcare provider who wants to work with a comprehensive billing company and professional staff that gives great results.

Juxon Morgan Lankford
Licensed Professional Counselor
Wilmington, North Carolina

Med X Medical Management Services holds your company in the highest regard as far as customer service & expertise goes; it is exceptional & very knowledgeable in all aspects of the medical claims management industry. Our decision to contract your services had as much to do with your quick, accurate, & competent response to our question, as it did with the service itself. We would never hesitate in doing business with you!

-Glorisa Harvilla