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Sports Medicine Billing Services Nevada, NV

Components & Challenges inSports 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.

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.

In addition to the above hurdles, sports medicine reimbursement is also subject to all the insurance regulations that apply to other specialties. This causes care providers involved in sports medicine left to negotiate with mounting ARs and losses. Care providers are not in a position to handle this effectively as it requires handling intricate medical and regulatory details, filing claims and following them up for timely reimbursements – things that are outside their area of competency and can be best dealt with if left to experienced billing and coding houses.

Outsourcing to MBC:

MBC, the largest billing and coding consortium in the US, has helped care providers involved in sports medicine reduce their mounting account receivables through accurate handling of details, submission and rigorous follow-ups with insurance officials, ensuring timely reimbursements. MBC’s billing and coding professionals are not just familiar with intricacies of regulatory and medical details but also have sound knowledge of state-specific exceptions which helps them account for the fact that few regulations to an extent may not be uniform across all 50 states of the US.

Our flexible billing and coding service models ensure that they can be adopted by any care provider regardless of size, scale and nature of operations:

Through our Revenue Management Consulting (RCM) service model we can prune your in-house operations stripping out dated and time-consuming procedures and software applications and guide in replacing them with ones that will help you handle the entire billing and coding process with ease and ensure compliance.

However, if you are an independent sports physician and think a setup will only restrict your mobility and access and bring down the fluidity of your operations or you just don’t need in-house billers and coders, our outsourced billing and coding services will work well for you, where you will be able to completely ship out billing and coding responsibilities to us and solely concentrate on your practice as we help you to keep up the inflow of your revenues.

With a network spanning across 50 states in the US, we have helped countless care providers to improve their profitability through accurate preparation, submission and timely reimbursement of claims.