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Orthopedic Billing Services New Jersey, NJ

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.

Our medical billers and coders stationed in New Jersey, provide physicians with the latest in reimbursement strategies and government updates in terms of healthcare industry. Their presence across all major cities such as Newark, Jersey City, Patterson, Elizabeth and Edison offer Physicians options to locate well trained Medical Billers and coders easily.

These medical billers are equipped to reduce your overhead as well as perform complex administrative tasks. Their services guarantee many advantages and can help you to:

  • Reduced overheads
  • Patient eligibility verification in real time
  • Expedite payments
  • Reduction of rejected claims but follow up on them as well
  • Increased productivity of in-house team
  • Collection of overdue claims

The state of New Jersey happens to be the most densely populated and wealthiest state in United States, those are the real indicators of why healthcare is sprawling in the state. Thus, the growing need for number of physicians and a lot of medical billing specialists to support these practices is far from being fulfilled.

These Billers are well acquainted with the payers’ community in New Jersey and track major reasons for denials and plug these avenues of revenue loss first. Their detailed analysis helps you to collect more revenue as per your specialty and maintain high collections regularly.

Value Our New Jersey Billers Bring :

Our New Jersey medical billers and coders also provide practice management software that ensures that physicians can keep up with the latest health care IT reforms and improvements. They are experienced in the field of patient statements processing, claims management, fee schedules evaluation, insurance collections, and the capability of establishing effective relationships with insurance companies and patients.

Our medical billing and coding team is experienced in insurance collections which can be a tiresome job for a medical biller who lacks experience in this area. They also know how vital timely insurance collections are for the doctors.

By using EMR software that is efficient, our medical billers and coders take minimal amount of time for patient statement processing which can be an increasing burden because of the growing requirement for medical services.

Medical coders and billers at medicalbillersandcoders.com also have professional relationships with key insurance companies across New Jersey so that any setback or errors in claims management can be circumvented in right in the beginning.

Our Specialties:

The services of medical coding and billing that are provided are not limited to big cities such as Newark, Jersey City, Patterson, Elizabeth and Edison but also all other counties in the state. Moreover, our coders and billers specialize in all the branches of medicine such as Optometry, chiropractic, OB Gyn, Pediatrics, oncology, urology, Family Practice 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 and health care providers. Many of our medical billers and coders also offer value added services through specific services such as evaluating fee schedules, helping you prepare online super bills and diagnosing the key grounds for denials.

Our Software Experience:

In New Jersey many physicians are finding it a difficult to digitize their practice and switch to EMRs which would be part of the health care reform. Our medical billers and coders are specialized and experienced in a wide range of software which offers you a choice of the most efficient and updated Medical Billers and coders trained on the latest EMR systems in the market.

These include Medisoft, Misys Tiger, Eclinicalworks, Advance MD, GE Centricity and Altapoint. These EMR would ensure that your office productivity is increased along with the efficiency of the services that you provide as a physician to your patients.

Problems New Jersey Physicians Face :

New Jersey has the highest density of population in the United States and the low rate of physicians who are starting to adopt Electronic Medical Records would mean that health care providers would be scrambling to meet the adoption deadlines.

The billing and coding services assist physicians with various EMRs and are experienced with specialized knowledge about the changes related to medical billing, coding, HIPAA guidelines, denial management, patient statement processing, claims management and ability to have long term and effective relationships with patients and insurance companies.

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.