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.
The biggest concern for Minnesota providers would be to know if their practice is getting the right reimbursement for the level of healthcare they provide. With insurance regulations increasing all the, it can become very difficult for you to manage account receivables collections and it is also possible that your overloaded staff might find it difficult to cater to the growing demands of insurance carriers both commercial and government.
Our Minnesota billers stationed in cities like Minneapolis, St. Paul, Rochester, Duluth and Bloomington is the best choice for physicians looking for experienced local billers. Some of the services that they have shown expertise are:
Charge entry and verification of insurance
CPT and ICD-9 coding
Primary and secondary claims billing
Account receivables follow up
Customized monthly report