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Physical Therapy Billing Services Nevada, NV

Physical therapy services, owing to their inherent nature, have often been found to be elusive while billing for medical reimbursement. Unless medically deemed fit, these services cannot be billed for reimbursement. Consequently, physicians are apprehensive of undertaking certain services that might deprive them of reimbursement for medical services.

How does medical billing and coding support aid in Physical Therapy reimbursement?

Despite the healthcare providers’ pre-emptive scrutiny in determining eligibility for medical reimbursement, they may not always be successful in segregating ineligible cases due to their preoccupation with focused medical care as well as somewhat uncertain nature of this specialty-specific billing and coding.

Medicalbillersandcoders.com, the largest consortium of medical billers in the US, are known for accurate screening for deciding the eligibility of certain services for reimbursement. Such an efficient screening is indispensible for mitigating adverse impact on revenues from reimbursement. Laying a firm foundation for a comprehensive and efficient billing reimbursement solution, our Physical Therapy billing Specialists establish a well-phased system for an efficient claim submission and realization.

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.

Value-Added Process to Optimize Reimbursement

Our Physical Therapy Billing and coding solutions include the following process:

  • Setting up HIPAA compliant patient privacy reporting on any EMR software of your choice. Coupled with the compliant reporting, EMR system also ensures accurate charge-capture, which is crucial to billing and coding. Compliant EMR system – which runs on latest technology platforms – apart from ensuring operational efficiency, could also earn incentives for adhering to accepted level of compliance.
  • Having a compliant patient medical record at their disposal, our billing experts apply appropriate CPT codes for corresponding services. Ingenuity in applying diverse codes: CPT code 97110 for therapeutic procedure on one or more areas to develop strength and endurance, range of motion and flexibility; CPT code 97112 for neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and or standing activities; CPT code 97116 for gait training including stair climbing; CPT code 97124 for massage, including stroking, compression, and percussion; CPT code 97140 for manual therapy techniques comprising mobilization/manipulation; CPT code 97150 for therapeutic procedure on group of 2 or more individuals. Application of suitable modifiers: modifier GP for service rendered by a l therapist, and modifier 59 for distinct procedural service. Such an ingenious coding system is precursor to an efficient claim submission devoid of any external audit issues
  • Finally, having submitted claims for reimbursement, our billing professionals set up a follow up system for expediting reimbursement of medical bills.

Billing Across Multiple Specialties

Employing a sequential system for claim submission and realization, our billing services have the capability to undertake medical bill submission and claim-realization for diverse specialty-specific Physical Therapy services such as:

  • Cardiopulmonary
  • Neurological
  • Integumentary
  • Cryotherapy
  • Heat Therapy
  • Iontophoresis, electrotherapy and body massaging

Consequent to such best practices in billing management, physicians would be able to efficiently realize their claims with a portfolio of leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and public health insurance schemes such as Medicare and Medicaid.

MBC's unique combination of expertise and experience

Having a competent set of pre-qualification – certificated by the American Association of Professional Coders (AAPC); proficient in using advanced medical billing software such as Lytec, Medic, Misys, Medisoft, NextGen, IDX; application of latest coding software such as EncoderPro, FLashcode and CodeLink; and expert at applying standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis codes – and a proactive outlook to ICD-10 and HIPAA 5010 transition, our Physical Therapy billing experts promise to be an integrated solution for operational efficiency and revenue maximization. Therefore, physicians can be assured of much needed relief from complexities in medical billing.