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Pulmonology Billing Services Maine, ME

With pulmonology, which earlier used to be an associative branch of medicine, gradually evolving into a dedicated specialty for diagnosis and treatment of diseases related to chest and respiratory system, the onus on physicians too has got bigger. As a result, physicians, who do not want to risk their clinical efficiency, have no alternative but to seek recourse in professional medical billing services for seemingly complex and high-cost patient services.

How can MBC support your billing & coding?

Ideal for varied billing needs, our professional pulmonology medical billing services are built into a sequential set of system of medical billing management, comprising patient enrollment, insurance enrollment, scheduling, insurance verification, insurance authorizations, charge entry, coding, billing and reconciling of accounts, denial management & appeals, and physician credentialing. Additionally, we also support HIPAA-compliant patient privacy reporting on any EMR software of your choice for error-free medical billing, and coding culture that ensures apt coding of diagnostic and treatment procedures.

Our medical billing specialists in Maine have been delivering quality and responsive medical billing services to physicians and hospitals for more than 12 years. Though a small state, physicians across Maine are experiencing a shortage of trained Medical Billers and Coders, but the number of billers available with us defies this point.

These Billers are located in major cities of Maine like Portland, Lewiston, Bangor, South Portland and Aubum. Billers from these cities manage to cover the entire states’ requirement of specialist physicians and display excellent skills across the following services:

  • Patient demographics entry
  • Physician and Nurse credentialing
  • Charge entry
  • Electronic filing of claims
  • Payment posting
  • Follow up on aging claims
  • Appeals and re- submission of corrected claim

Our billers have been meeting specific physician requirements, demanding needs of different specialties and providing them excellent collections in Maine. They generally keep the practice updated about any laws and regulations affecting their collections.

The knowledge and focus of these billers has helped many practices improve collections and optimize their revenue cycles, it is the attention to detail which has helped physicians to concentrate on patient care while they rely on these billers for collections.

Our Billers in the state of Maine 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 Maine 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 Maine 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.

MBC’s scope of billing & coding services

Our expert billers, who can diligently source the data from your electronic medical recording (EMR) systems, can undertake coding for the whole range of pulmonology medical services such as:

  • 94010 for expiratory spirometry only
  • 94060 for pre and post spirometry
  • 94375 for flow volume loop performed
  • 94150 for slow vital capacity
  • 94375 for flow volume loop performed
  • 94200 for mvv when given alone w/o a standard spirometry
  • 94240 for lung volumes
  • 94720 for diffusion study (dlco)
  • 94070 for multiple challenge tests
  • 94350 for helium equilibration time
  • 95831 for lung mechanics
  • 95070 for administration of challenge agent
  • 94664 for administration of bronchodilator
  • 94260 for thoracic gas volume,
  • 93720 for total body plethysmography

Suitable modifiers are also applied wherever necessary to negate undesirable audit issues, denial or delay by insurance carriers.

Value delivery to physicians & hospitals

Owing to such best practices in pulmonology medical billing management – a compliant electronic medical recording system, coding regimen conforming to CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis codes, and technology interface for billing and coding – our services attract majority of individual physicians, clinics & hospitals. We can successfully negotiate your insurance claims with Medicare, Medicare, and leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, etc.

Thus, our medical billing management – which ensures competitive advantage through medical billing report in electronic form, analyzing denied claims and making follow-ups for efficient claim realization, provision of daily, weekly and monthly pulmonary medical billing reports including ICD and CPT code analysis reports, coverage of all leading major health insurance providers, and arranging weekly meeting to discuss clients’ work status – is the prescription for maximizing clients’ collections, lower operating cost, and improving medical efficiency.

Additionally, along with the pre-qualifications for the prevailing system of medical billing management, our pulmonology medical billing specialists are pro-actively equipped to help you make a smooth transition to the ensuing ICD-10 system of coding compliance, and HIPAA 5010 compliant data privacy and security.