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.
For years together physicians in Kentucky have been showing tremendous faith in our medical billers and coders, they have not just provided excellent medical billing skills but also provided top class medical billing consultations.
These billers based in Kentucky have kept physician requirements in the forefront and the interest of the medical practice is of prime importance to them. Our billers are spread across all major locations of this state including Louisville, Lexington, Owensboro, Bowling Green and Covington. They know their job thoroughly and implement all medical billing processes with timelines. Their knowledge across the following will help you analyze their specialization:
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Demographic entry of patients
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Coding with CPT, ICD-9, and HCPCS
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Payment posting, manual as well as electronic
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Accounts receivables follow up
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Analysis of rejection and denials
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Tracking Fee Schedule updates
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Eligibility Verification of benefits
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Electronic and paper claims submission
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Credentialing with all carriers
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