Radiation Oncology Billing Services Michigan, MI
Components & challenges of Radiation-Oncology billing
Cancer being among the most common ailments in the US, radiation oncology is one of the most used medical services in the US with care providers of all types (independent practitioners to hospitals) involved in it. This means a sizable amount of medical resources (money and medical effort) spent on healthcare in the US is claimed by radiation oncology. Alas, most part of it goes unrealized given the demanding nature of insurance procedures.
The radiation oncology insurance procedure involves patient registering, charge entry, claim generation and transmission, payment posting, making appeals for denials and incorrect claims and collection management – and electronic submission of claims to be HIPPA compliant.
Unfortunately, successful reimbursement of a radiation oncology episode requires more than careful adherence to policies, accurate handling of details and ability to transfer data electronically, it also needs:
Thorough understanding of how much coverage Medicare plan entitles you to (there are three of them Plan A, B and C)
Establishing whether the oncology treatment was medically necessary and recommended by a licensed physician
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 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.
Needless to say, this leaves individual physicians, physician groups, clinics, diagnostic facilities, long term care facilities and acute care facilities with unrealized payments (ARs) and consequently ailing revenues.
Outsourcing to MBC:
MBC’s billers and coders possess a comprehensive knowledge of radiation oncology billing and coding procedures. Our years of experience in handling intricacies of radiation therapy billing and coding procedures translates into a very sophisticated level of understanding of the diseases involved in radiation therapy versus the insurance procedures applicable to them.
We have been able to bring down claim denial rates for care providers across all the state of the US through accurate handling of data and rigorous follow-ups done in a methodical manner. Our quality consciousness is responsible for reduction in claim denials. Both during and after preparation of claims, we put them through various cycles of quality checks to make sure that they are completely error free when submitted.
Our service models are flexible, so that you can choose a model that perfectly fits your needs and setup. We offer two types of models:
Our consulting model involves a thorough study of your revenue management system to help identify areas of revenue leakage, outdated software applications and training needs. By helping you address these areas our RCM service will ensure a smooth revenue management process capable of handling the dynamics of radiation therapy insurance requirements and reduced rejected claims.
However, if you don’t have an in-house billing and coding team, you can ship out your entire billing and coding responsibilities to MBC. Our outsourcing model includes the entire range of billing and coding activities starting from identifying insurance eligibility of the patient to submission of claims and post submission follow-ups.
We provide services across all phases of claim preparation and submission:
Charge Entry : Our Charge Entry (CE) services ensure error free claim submission through verification of patient demographics, medical codes, DOS, POS, provider information, units, modifiers as also submission of claims to clearing houses and more. CE also involves random quality checks as part of audits.
Payment Posting : Our billers and coders can work on the most advanced electronic remittance scenarios, including denials, underpayments, overpayments, multiple adjustments, automatic cross-over, secondary remittance, reversals, etc.
Account Receivable : We reduce your claim rejection rates and ensure a timely payment of your services by following up with insurance officials ensuring that you enjoy improved revenues.
Medicalbillersandcoders.com is a national network with our team spread across all states of the US with each state represented by billers and coders familiar with state-specific exceptions. This helps us to account for the fact that the rules applicable across the US are not uniform. MBC has helped care providers across US to improve their revenues as well as quality of radiation oncology treatment by allowing them to concentrate on their core services.