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Radiation Oncology Billing Services Nevada, NV

Components & challenges of Radiation-Oncology billing

Cancer being among the most common ailments in the US, radiation oncology is one of the most used medical services in the US with care providers of all types (independent practitioners to hospitals) involved in it. This means a sizable amount of medical resources (money and medical effort) spent on healthcare in the US is claimed by radiation oncology. Alas, most part of it goes unrealized given the demanding nature of insurance procedures.

The radiation oncology insurance procedure involves patient registering, charge entry, claim generation and transmission, payment posting, making appeals for denials and incorrect claims and collection management – and electronic submission of claims to be HIPPA compliant.

Unfortunately, successful reimbursement of a radiation oncology episode requires more than careful adherence to policies, accurate handling of details and ability to transfer data electronically, it also needs:

  • Thorough understanding of how much coverage Medicare plan entitles you to (there are three of them Plan A, B and C)
  • Establishing whether the oncology treatment was medically necessary and recommended by a licensed physician

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.

Needless to say, this leaves individual physicians, physician groups, clinics, diagnostic facilities, long term care facilities and acute care facilities with unrealized payments (ARs) and consequently ailing revenues.

Outsourcing to MBC:

MBC’s billers and coders possess a comprehensive knowledge of radiation oncology billing and coding procedures. Our years of experience in handling intricacies of radiation therapy billing and coding procedures translates into a very sophisticated level of understanding of the diseases involved in radiation therapy versus the insurance procedures applicable to them.

We have been able to bring down claim denial rates for care providers across all the state of the US through accurate handling of data and rigorous follow-ups done in a methodical manner. Our quality consciousness is responsible for reduction in claim denials. Both during and after preparation of claims, we put them through various cycles of quality checks to make sure that they are completely error free when submitted.

Our service models are flexible, so that you can choose a model that perfectly fits your needs and setup. We offer two types of models:

  • RCM consulting
  • Outsourcing

Our consulting model involves a thorough study of your revenue management system to help identify areas of revenue leakage, outdated software applications and training needs. By helping you address these areas our RCM service will ensure a smooth revenue management process capable of handling the dynamics of radiation therapy insurance requirements and reduced rejected claims.

However, if you don’t have an in-house billing and coding team, you can ship out your entire billing and coding responsibilities to MBC. Our outsourcing model includes the entire range of billing and coding activities starting from identifying insurance eligibility of the patient to submission of claims and post submission follow-ups.

We provide services across all phases of claim preparation and submission:

  • Charge Entry : Our Charge Entry (CE) services ensure error free claim submission through verification of patient demographics, medical codes, DOS, POS, provider information, units, modifiers as also submission of claims to clearing houses and more. CE also involves random quality checks as part of audits.
  • Payment Posting : Our billers and coders can work on the most advanced electronic remittance scenarios, including denials, underpayments, overpayments, multiple adjustments, automatic cross-over, secondary remittance, reversals, etc.
  • Account Receivable : We reduce your claim rejection rates and ensure a timely payment of your services by following up with insurance officials ensuring that you enjoy improved revenues.

Medicalbillersandcoders.com is a national network with our team spread across all states of the US with each state represented by billers and coders familiar with state-specific exceptions. This helps us to account for the fact that the rules applicable across the US are not uniform. MBC has helped care providers across US to improve their revenues as well as quality of radiation oncology treatment by allowing them to concentrate on their core services.