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Plastic Surgery Billing Services Michigan, MI

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 medical billers in Michigan can specifically customize their billing processes to meet your requirements. We have a reach in almost all the major cities of Michigan such as Detroit, Grand Rapids, Warren, Sterling Heights and Flint.

It has always been the goal of our medical billers and coders to provide better Medical Billing Services which exceed your expectations. They can provide you with a platform for electronic medical billing and also suggest easy to use software. Installing a Practice Management Software and help you set up your workflow so that you can keep a track of your billing. Some of the services which they specialize in are:

  • Patient demographics entry and insurance verification
  • Account receivables management
  • Physician credentialing where required
  • Customized reports on revenue collections
  • Code audits for ethically maximizing revenues

Our medical billers and coders can help you focus on patient care in your practice rather than on paperwork or your administrative staff. They can also guarantee you constant cash flow without leaves or downtime.

The goal of our billers and coders in Michigan, one of the states with the best medical billing and coding schools is to provide you experienced and well trained resource so as strengthen the growth process of your clinic. These medical billers and coders are experienced and trained in numerous areas such as denial management, medical claims processing, medical collection, and medical claims examination.

Value Our Michigan Billers Bring:

Our medical billers and coders are experienced in insurance collections which can be a tedious job for someone who lacks experience in this area. They also understand how critical timely insurance collections are for the physician as well as the patient. Our medical coders and billers at medicalbillersandcoders.com also have solid relationships with key insurance payers, like BCBS, United Health, Workers Comp and government payers across Michigan. These daily interactions with payers ensure that delays or errors in claims management can be avoided.

The skill of our billers is enormous and includes but is not limited to Past Due Collections, Electronic Medical claim filing, Medicare Audit Protection, coding and diagnosis analysis for highest permissible reimbursement, custom-made accounts receivable reports, revenue cycle financial analysis, electronic claims submissions, patient statements and patient-centric support, denials management and payment posting, committed and persistent insurance follow-up, provider enrollment support, and standardized reporting. Moreover our billers are compliant with HIPAA guidelines and are updated with all industry updates through medicalbillerandcoders.com.

Our Specialties:

Our team of medical billers and coders has experience in various areas of specialization such as Physical Therapy, neurology, occupational health, Family Practice, OB Gyn, Hospitalist Billing and numerous other areas. This in-depth knowledge makes them ideal for catering to your requirement of medical coders and billers who can perform in almost every specialized area of medicine. Their experience and relationship across all kinds of payers helps your clinic collect better revenues.

Our Software Experience:

These billers and coders are also proficient in using various EMR software and can ensure a paperless and quick revenue cycle management. Some of the EMR software that our medical billers and coders are proficient in include Medisoft, Misys Tiger, Eclinicalworks, Advance MD, GE Centricity, and Altapoint. These software ensure quick reimbursement for the services that you provide, a paperless environment, and increased revenue because of the accuracy and professionalism of our billers and coders.

Problems & Challenges Michigan Physicians Face:

Michigan is one of the better ranked states in the United States as far as health care is concerned but some problems such as lack of adequate nursing home care and lack of chronic care measures implicate increased number of doctor-patient encounters in the future, as steps are taken to provide insurance to the majority of population. To meet this demand for health care services, our medical billers and coders not only operate in big cities such as Detroit, Grand Rapids, Warren, Sterling Heights and Flint but also in all other counties, smaller cities, and towns in Michigan.

The most common challenges faced by physicians in big cities such as Detroit and Grand Rapids are underperforming accounts receivables or claims denial and collections. Both these situations might lead to diminished revenue. Our billers offer the solutions to these problems by streamlining the denial management process and offering services such as integrated medical billing with EMR. These Billing specialists believe in providing many other value added services such as sending patient statements and processing refunds to Medicare in order to preserve your practice from RAC audits.

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.