Wound Care Billing Services Illinois, IL
Wound care has acquired a new significance as a healthcare discipline and due to a growing aging population in the US; a sizable portion suffer from ailments that expose them to the risk of wounds that require protracted wound care treatment.
The challenge it presents to physicians, hospitals and also to patients is that all types of wound care are not covered by insurance and the ones that are covered require a series of administrative activities, like proper documentation with accurate detailing of medical details of the treatment episode to establish insurance eligibility, which also involves maintaining and furnishing details to establish that the treatment was administered upon the advice of a physician and carried out in the physician’s presence when required.
But even before starting this cumbersome process to prepare and submit claims, care providers have to determine whether the wound treatment they are claiming reimbursement for is covered by the insurance coverage policy framed by Medicare and Medicaid (CMS), which requires familiarity not just with medical necessities but also with insurance coverage.
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:
Credentialing of physicians
Follow up on claims and tracking
Verification on insurance benefits for patients
Pre-authorizations and Pre-certifications
Insurance claims processing
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 s ervice 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 Illinois by optimizing costs 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.
Outsourcing Wound Care Billing to MBC
MBC’s team of medical billers and coders are experienced in handling the entire cycle of activities ranging from determining insurance eligibility to submitting claims and performing routine follow-ups. However, wound care being a treatment that’s administered by care providers of all sizes and also independent physicians, choosing a billing and coding service model which is scalable enough to fit any size and need becomes a challenge for care providers.
MBC offers two types of service models, one an outsourced billing and coding and another revenue management consulting model:
The outsourced billing and coding services model enables care providers to completely ship out their billing and coding responsibilities to MBC and spend the time earlier spent on administrative activities on medical care.
Our revenue management consulting services, on the other hand, help streamline in-house revenue management by stripping out outdated processes, recommending appropriate software applications to replace the outdated ones and identifying areas for staff training and revenue leakage to help plug them.
Both the models have helped big and small care providers involved in wound care in all the states of the US to overcome the challenge presented by administrative activities to claim insurance improve their revenues and optimize their in-house resources: either by streamlining processes and training them such that the staff have a thorough knowledge of activities they have to perform and details handle to prepare and claim insurance accurately minimizing chances of claim rejections or by thoroughly sparing themselves the responsibilities to handle insurance administrative activities themselves.