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Orthopedic Billing Services Nevada, NV

MBC billers, specializing in orthopedic billing, understand your pain-points better than anyone else. That is why they are continuously evolving with billing reforms and technology so that there would be fewer claim rejections. As a result, they can be expected to perform a host of services such as:

  • Assigning correct and accurate codes to multiple procedures
  • Providing both electronic and paper billing
  • Regular code audit checks to apply appropriate codes
  • Analyzing accounts to prevent blockages in cash flows
  • Follow up with payers for pending payouts
  • Generating daily, weekly and monthly financial reporting

Did you know?

  • While billing for CPT code A5500 (diabetic shoe fitting and modification left and right foot) use of the KX modifier is mandatory in order to be reimbursed.
  • Our team is aware of the importance of the KX modifier for CPT code L3030 (foot inserts removable) in order to avoid rejection from payers - L3030LTKX (left foot) and L3030RTKX (right foot).
  • Our experts understand that modifier RT & LT is not applicable while billing for CPT code 97597 (Removal of devitalized tissue) for up to 20 square centimeters, irrespective of left or right foot.

The physicians in the state of Nevada have been serviced by the most efficient medical billers, coders and accounts receivables specialist for a decade now. They employ the latest technology and personalized services so as to ensure that physicians in cities such as Las Vegas, Henderson, North Las Vegas, Reno and Paradise receive appropriate compensation for the services provided.

With the ever changing nature of the healthcare industry, our medical billers and coders have experience in handling problems first and work closely with your staff to make your practice realize its full potential. Some of the functions of medical billing which our billers provide are:

  • Patient demographics, registration and charge entry
  • Coding with CPT, ICD-10 and HCPS coding
  • Electronic claims transmission
  • Accounts receivable management
  • Payment posting
  • Reports on a monthly basis

Our medical billers and coders stationed in Nevada have worked with all payers and have the experience to guide your practice through the highest compensation while providing highest quality of care. They manage some of the highest payers such as Aetna, Assurant Health, BCBS of Nevada, Humana Insurance Company and United Healthcare.

Value Our Nevada Billers Bring :

Experienced in insurance collections, which can be a tedious job, is performed efficiently by our medical coders and billers compared to someone who lacks experience in this area. They also know how important well-timed insurance collections are for the doctor as well as the patient. By using Electronic Medical Record that is competent, our medical billers and coders are speedy in patient statement processing which can be a rising encumbrance because of the increasing demand for medical services. Our medical coders and billers at medicalbillersandcoders.com also have solid relationships with key insurance companies all over the nation and the state so that any setbacks or mistakes can be avoided when dealing with insurance matters such as revenue cycle management and in claims denial.

Billing and coding services offered by our billers and coders are a combination of specialized professionals with wide ranging talents such as patient statements processing, fee schedules evaluation, claims management, insurance collections, and the ability to establish effective relationships with patients and insurance companies and know-how of patient accounting software . With exhaustive comprehension of the medical billing and coding and observance of HIPAA guidelines that our coders have, it would become easier for physicians to make sure that income and quality of patient services is not affected due to mistakes in medical coding and billing.

Our Specialties :

They also specialize in various branches of medicine as far as medical billing and coding services are concerned and some of the areas of expertise include Optometry, Family Practice, chiropractic, OB Gyn, Physical Therapy, oncology, Pediatrics, urology, and Hospitalist Billing. All the medical billers and coders at medicalbillersandcoders.com are familiar with ICD9 and CPT Coding which make them preferable choices for physicians.

Our Software Experience :

Our medical billing and coding services provide physicians all across Nevada with efficient EMR software such as Medisoft, Misys Tiger, Eclinicalworks, Advance MD, GE Centricity, and Altapoint. These can ensure that physicians and hospitals get quick reimbursements and do not have through go through a lot of paperwork.

Difficulties & Challenges Nevada physicians Face :

Nevada is a state that has more than its fair share of problems as far as health care is concerned since it is one of the worst ranked for doctor-patient ratio. This means that physicians and health care providers including emergency clinics are facing patients en masse and this deluge will increase with the health care reform law is completely implemented.

Physician shortage being an enormous difficulty in Nevada, the increasing number of patients in the future would mean requirement of knowledgeable and skilled medical billers and coders. Furthermore, lesser claim denials could be likely due to the health reform which makes it vital that you have a perfect and professional team of medical billers and coders. Our expert medical billers and coders are efficient in quality revenue cycle management services across almost all the counties and cities in Nevada and not just large cities such as Las Vegas, Henderson, North Las Vegas, Reno and Paradise.

This state also faces numerous other challenges which often result in negative repercussions for physicians and other health care providers. These challenges include high unemployment, and high number of elderly population. Our medical billers and coders can efficiently assist doctors and health service providers by providing services such as insurance collections, patient statements processing, claims management, fee schedules evaluation, and the capability to establish effective relationships with patients in addition to insurance companies and skill in patient accounting software.

Effective and streamlined coding

Special attention is given to coding so as to make billing error-free. Orthopedic practices may be required to perform numerous clinical activities: non-surgical orthopedics such as physiotherapy, chiropractic, occupational therapy, podiatry, and kinesiology; surgical orthopedics such as hand surgery, shoulder and elbow surgery, total joint reconstruction (arthroplasty), pediatric orthopedics, foot and ankle surgery, spine surgery, musculoskeletal oncology, surgical sports medicine, and orthopedic trauma. Given the high-cost value of these procedures, it is critical to have them accurately coded so as to avoid being denied or underpaid for coding inaccuracy. Our coders, knowledgeable of the entire coding system, can ensure highest coding accuracy.

Impeccable billing and coding credentials

Our orthopedic billing services are driven by specialists who have an impressive repertoire of credentials. Here is quick glance of our affiliates’ credentials:

  • Certification from The American Association of Professional Coders (AAPC)
  • Familiar with medical billing software such as Lytec, Medic, Misys, Medisoft, NextGen, and many more
  • Trained on coding software such as EncoderPro, FLashcode, CodeLink, etc.
  • Being able to apply standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding as per CMS guidelines
  • Successful track-record of processing medical bills with leading commercial carriers such as United health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, etc.
  • Ability to negotiate successfully with Medicare and state-specific Medicaid policies.

Improving your revenue management cycle through pertinent intervention

Traversing a sequential order – patient enrollment, scheduling, insurance verification, insurance authorizations, scheduling and re-scheduling, coding, billing and reconciling of accounts – our medical billing process can add value in terms of simplicity in submission and retrieval of documents, pre-audit on coding, real-time report generation, application of suitable modifiers, etc.

Thus, our medical billing service – complete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards – is the prescription for simplification of your revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and increased avenue for medical research and development.

Quite expectedly, orthopedic physicians who have chosen to engage our billing specialists have been able to make the crucial value-additions: appreciation in practice revenues and clinical efficiency.