Components & challenges of Sports 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 and coders are catering to physicians and providers in Nebraska in all major cities in Nebraska such as Omaha, Lincoln, Bellevue, Grand Island and Kearney.
With HIPAA regulations and changes in the reimbursement strategy across US, our medical billers and coders use appropriate solutions to keep your practice updated. They maximize your office efficiency by cutting costs and improving your bottom line. Some of the services where our medical billers and coders have shown proficiency are:
Patient demographics and charge entry
Claim submission and follow up
Account receivables management