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
Compliance to HIPAA and other rules and regulations