Going by the recent statistical result 208 million visits to family physicians each year the relevance of family medicine to the U.S. health care system had never been more pronounced. Family Physicians delivering a range of acute, chronic and preventive medical care services have a patient base unmatched by any other medical specialty. Family Medicine enormous reach entails judicious billing and coding for optimum reimbursement of medical bills, absence of which will adversely impact physicians revenues and medical efficiency, and the healthcare system at large.
Fortunately, Family Physicians can fall back on qualified and experienced billers and coders – certified by AAPC (American Academy of Professional Coders), well versed in ICD-9, CPT and HCPCS coding based on CMS and AMA guidelines, and HIPAA privacy compliance– to mitigate such an adverse scenario. Our billers and coders, who fit the bill, have been favorites of a majority of leading Family Physicians, clinics, diagnostic centers, and hospitals.
Did you know?
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Family Practitioners using consultation CPT Codes 90241 to 99248, will be accepted by commercial payers but not be accepted by Medicare; hence Family Practitioners engaging Medicare Patients should be aware of this fact to avoid denials.
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Family Practitioners providing an office visit take a decision of surgery on the same day; need to use modifier 57 for the decision of surgery in order to be reimbursed.
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E&M Modifiers 24, 25 and 57 if used accurately provide 100% reimbursement- to Family Practitioners providing any additional service to patients along with an office visit. Hence Family Practitioners can benefit with maximum reimbursements; by making optimal use of these modifiers.
Our Iowa medical billers with an experience of more than 10 years in practice management have successfully converted medical procedure into revenues for physicians across Des Moines, Cedar Rapids, Davenport, Sioux City and Iowa City. They have been able to suggest cost cutting strategies and increasing revenues. They are a skilled billers who can get themselves familiar with any specialty or software your practice uses. Our medical billers and coders bill for multiple specialties and also provide a wide range of services.
Some of the functions of medical Billing in which they have shown their expertise are:
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Electronic submission of claims
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Regular follow up on claims
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Mailing patient invoices and statements
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Customized monthly financial reports
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Efficient Denial management
Comprehensive Medical Billing Services in Iowa
Our medical billers in Iowa have over 25 years of experience in practice management. We successfully have helped manage revenues for physicians in cities like Des Moines, Cedar Rapids, Davenport, Sioux City, and Iowa City. Our team is highly adaptable, and capable of mastering any specialty or software your practice uses.
Our skilled MBC billers and coders cater to multiple specialties, offering a comprehensive range of RCM services to enhance your practice’s revenue cycle.
Some of the key functions they specialize in include:
- Electronic submission of claims
- Regular follow-up on claims
- Mailing patient invoices and statements
- Customized monthly financial reports
- Efficient denial management
Maximizing Cash Flow & Revenue for Iowa Medical Practices
As Iowa has one of the lowest numbers of physicians per 100,000 people, physicians' time is a precious asset. MBC experts understand this and ensure that physicians can focus on patient care while being confident their collections are being handled efficiently. Our billers track fee schedules, reimbursement policies, and state regulations, keeping physicians informed about any changes that could impact their revenue cycle.
Our medical billers in Iowa specialize in adhering to state regulations and have expertise through years of refining medical billing practices, which helps your practice collect more revenue. Outsourcing your medical billing services can improve your collections significantly, reduce costs, and enhance profitability.
With accurate coding, detailed code audits, and timely insurance follow-ups, our billers ensure steady growth for your practice. Additionally, our proficiency in various billing software and certifications supports the optimization of your operations.
Ideally Phasing Family Medicine Medical Reimbursement Cycle
Traversing the comprehensive procedures involved in billing and coding, our Family Medicine reimbursement experts have been known for their ideal phasing of reimbursement process into:
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Primary Phase
Patient enrolling, insurance verification and authorization are carried out.
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Secondary Phase
Billing Family Physicians’ diverse services are translated into honest bills using advanced medical billing softwares like EHR Software: NextGen Healthcare, Epic, Cerner, AthenaOne, NueMD, TherapyNotes, DrChrono, eClinicalWorks, Allscripts, Athenahealth, Practice Fusion, TherapyNotes etc.
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Tertiary Phase
Family Medicine billing and coding experts translate aptly billed diverse services – acute, chronic and preventive medical care services; diagnosis and treatment of internal illness, preventive care, including routine checkups, health-risk assessments, immunization and screening tests; personalized counseling on maintaining a healthy lifestyle; treatment of chronic illness, often in coordination with other subspecialists; and prenatal care services – into complying codes (as per AMA and CMS guidelines)for error-free, denial-free, and optimum reimbursement of Family Physicians’ Medical bills.
There has also been diligent application of suitable modifiers to mitigate undesirable return of claimsform insurance carriers. Consequently, there has been a successful track-record of processing Family Medicine bills with the leading private insurance carriers such as Unitedhealth, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid as well.
MBC Objective
With the sole objective of achieving maximum end-to-end Family Medicine services claim reimbursement, our Family Medicine Coding and Billing Specialists set themselves high standards in professional efficiency. Having to meet the Family Medicine Practitioners’ expectancy level amidst stringent coding and billing system, our professionals continually upgrade their competence to match ‘best practices in medical coding and billing’ for Family Medicine services.
Family Medicine physicians who opted for outsourcing their medical billing with our efficient billing and coding services, have stood to gain in terms of revenues, patient influx and referrals, and benchmarking their medical efficiency.