Sports Medicine Billing Services Michigan, MI
Components & Challenges inSports Medicine Billing
Sports medicine faces the same indifference from insurance authorities in the US as sports in general do from us: that they are important but not indispensible. This indifference has denied sports medicine the distinction of a specialty across the US.
Sports physicians aren’t educationally distinct from family physicians in a substantial way and a family physician can become a sports physician by applying for a dual credential with insurance authorities. However, when family physicians apply for dual credential, they are denied on the basis that family medical practice and sports medical practice are different disciplines and one can’t become the other or both.
To address these two challenges, now sports medicine is mostly practiced via managed care services to facilitate association with local insurance bodies to help reimbursement of claims. But, managed care service involves assigning a physician to each care recipient, making it necessary, for successful reimbursement, to establish that a treatment was carried out upon the referral of the assigned physician. It also necessitates accurate documentation of all medical and nonmedical details required and familiarity of care providers with resulting complexities of managed care services.
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.
In addition to the above hurdles, sports medicine reimbursement is also subject to all the insurance regulations that apply to other specialties. This causes care providers involved in sports medicine left to negotiate with mounting ARs and losses. Care providers are not in a position to handle this effectively as it requires handling intricate medical and regulatory details, filing claims and following them up for timely reimbursements – things that are outside their area of competency and can be best dealt with if left to experienced billing and coding houses.
Outsourcing to MBC:
MBC, the largest billing and coding consortium in the US, has helped care providers involved in sports medicine reduce their mounting account receivables through accurate handling of details, submission and rigorous follow-ups with insurance officials, ensuring timely reimbursements. MBC’s billing and coding professionals are not just familiar with intricacies of regulatory and medical details but also have sound knowledge of state-specific exceptions which helps them account for the fact that few regulations to an extent may not be uniform across all 50 states of the US.
Our flexible billing and coding service models ensure that they can be adopted by any care provider regardless of size, scale and nature of operations:
Through our Revenue Management Consulting (RCM) service model we can prune your in-house operations stripping out dated and time-consuming procedures and software applications and guide in replacing them with ones that will help you handle the entire billing and coding process with ease and ensure compliance.
However, if you are an independent sports physician and think a setup will only restrict your mobility and access and bring down the fluidity of your operations or you just don’t need in-house billers and coders, our outsourced billing and coding services will work well for you, where you will be able to completely ship out billing and coding responsibilities to us and solely concentrate on your practice as we help you to keep up the inflow of your revenues.
With a network spanning across 50 states in the US, we have helped countless care providers to improve their profitability through accurate preparation, submission and timely reimbursement of claims.