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Maryland, MD Plastic Surgery Medical Billing Services

Components & challenges of plastic surgery billing

Although plastic surgery is generally indentified as a looks-enhancement medical procedure, in many cases it’s done to address genuine health concerns. And often a singular treatment episode may include both: measures to address health concerns (reconstruction) and improve looks (cosmetic). This tangled nature of plastic surgeries often presents a considerable challenge to patients and surgeons as surgeries done purely for cosmetic purposes are not covered under insurance while the ones performed to address genuine health issues are.

This leads to incorrect verification of insurance entitlement often leading to time spent on preparing claims for surgeries that don’t enjoy insurance eligibility or oversight of components of a surgical treatment that come under insurance coverage. Both instances affect the revenues of the plastic surgeon or the clinic of which he/she is a part.

Our billers and coders in Maryland work with the sole purpose of providing quality medical billing services to physicians. They are dedicated to providing you regular cash flow for your practice since they have an overall understanding of the dynamic nature of healthcare insurance. This knowledge and understanding has come to them as a result of years of training in the state of Maryland.

These billers believe in being close to their physicians to resolve any issues that may spring up and therefore are present in all cities of Maryland like Baltimore, Rockville, Frederick, Gaithersburg and Columbia. Besides they have the required expertise to successfully operate with different specialties across all healthcare practices. Some of the services which our medical billers specializes in are:

Coding with CPT and ICD-9
Electronic submission of claims
Accounts receivable management
Patient billing and collections
Customized reporting
Compliance to HIPAA and other rules and regulations

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Outsourcing to MBC:

MBC’s medical billing and coding services cover the entire range of insurance-claim-related requirements for plastic surgery, starting from eligibility verification of the patient to claim submission and post submission follow-ups. With years of experience in dealing with plastic surgery cases in particular and insurance claim preparation and submission in general, our medical billers and coders understand the nature of your organization, its size and scale and bring to you an approach that’s customized to your specific needs. It helps you meet your administrative and technical responsibilities involved in claim preparation and submission and improve your finances.

MBC delivers this both through a consulting model where it helps you to streamline your revenue management cycle by recommending appropriate software applications, helping plug sources of revenue leakages and trainings where required, and also outsource your entire billing and coding responsibilities to MBC.

Some of the popular procedures that our billers and coders recommend could be problem areas in your revenue leakage:

Breast Reconstruction : Although a type of plastic surgery, it is for the most part a complex reconstructive or health-related procedure, where, if the attendant health risks are not adequately addressed, the patient would go through long suffering and be faced with serious health hazards. This being the nature of the surgery, it often presents the physician with the challenge of separating the parts of the procedure that are covered by Medicaid and the parts that aren’t. Our medical billers are coders are adept in handling these complexities and helping you prepare an air-tight claim with minimal chances of denial.

Palatoplasty : A surgery to repair cleft palate, this procedure involves parts that are not purely cosmetic but reconstructive presenting the challenge to physicians or clinicians to identify such parts of the procedure as would be eligible for insurance reimbursement. Our medical billers are coders are skilled in helping you conclusively separate the parts of the procedure that have reconstructive character and therefore insurance eligibility from parts that don’t.

Blepharoplasty : A procedure to correct hooded eyelids, even though it’s cosmetic in nature, it is a surgical correction of a defect with the potential to damage a body part – the eye – and therefore reconstructive in parts at least. We help you identify the reconstructive areas of the procedure to ensure you are reimbursed for them.

Rhinoplasty (nose job): It involves correction of a part of the nose that, if not properly aligned, can affect the functioning of the nose. However, as Rhinoplasty is broadly cosmetic in nature, physicians often overlook this reconstructive element which is eligible for reimbursement.

MBC’s billing and coding professionals have helped health care providers involved in plastic surgery bring down their insurance denial rates substantially leading to timely payment of their services and optimal use of their staff either by helping them to focus solely on healthcare or by providing consultancy services so that they handle their revenue management responsibilities more effectively with the help of appropriate software applications and smoother and easy-to-follow processes.

MBC will help you perform the perfect plastic surgery by taking over what MBC does best so that you have to only do what you do best – surgery.

Our medical billers and coders can remove the excess burden of your multi-tasking staff thus increasing profitability and productivity in your practice. Their skills in designing billing patterns and workflow will help your practice streamline processes within weeks.

No billing professional understands Maryland healthcare reforms and updates like these billers. They have always been servicing local physicians and prefer to do so, their relationships across all public and commercial carriers will help your practice see efficiency in all processes.

Tracking expert Medical Billers and Coders in Maryland as per your requirement with specialty, experience and software knowledge was never this simple.

Our Billers in the state of Maryland 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 Marylandby 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 Maryland 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