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Emergency Medicine Billing Services New Mexico, NM

There are 300 kinds of services provided under Emergency Room (ER) services and a few of them are entitled to insurance reimbursement. Each procedure code has a distinct set of criteria and unless the care provider properly establishes with documentation that an emergency treatment episode meets all of them, it leads to claim rejection. Also in relation with emergency medicine, EMTALA which governs emergency services in the US mandates that emergency services be available to all regardless of ability to pay or insurance coverage.

This leaves care providers and hospitals to deal with not just an increased number of patients but also procedural complications like accurately identifying which services are eligible for reimbursement, documenting such treatment episodes accurately, and preparing and submitting claims.

For over 10 years now, our medical billers and coders stationed in New Mexico have built a reputation of helping providers and practices ranging from small to medium to large clinics. They have proved their capability by maximizing the clinic’s cash flow and streamlining their billing and collections processes.

They are actively following the payers in all major cities such as Albuquerque, Las Cruces, Rio Rancho, Santa Fe and Roswell. More than just providing medical billing and coding services, our professionals help you offload tasks from your multitasking staff by providing services such as:

  • Credentialing with public and commercial payers
  • Post charges and payments on a daily basis
  • Electronic submission of claims
  • Code utilization with CPT, ICD-10 and HCPCS
  • Accounts receivable management
  • Insurance follow-up and in-house collections

On New Mexico, the federal government is spending $2.03 for every dollar of tax collected from the state and this rate of return is higher than any other state in the United States. The highest amount is exhausted on Medicaid with a net amount of 3.9 billion with $835 million is spent on Medicaid alone.

This shows that the federal government’s participation in terms of improving healthcare measures in the state. Optimizing your revenue and operations in accordance with the state’s effort is something our medical billers and coders can help you with.

Our Billers in the state of New Mexico are specialized to service medical practices as per the regulations of the state government. Their knowledge and experience has been acquired by years of efforts in perfecting medical billing procedures which they now leverage to help your practice collect more revenue.

The federal government’s effort to reduce healthcare cost can only be supported by physicians in the state of New Mexico by optimizing costs and enhancing revenue. Letting a specialist handle your medical billing can help you improve collections by 20%.

Accurate Coding and code audit along with timely insurance follow up and account receivables are the basis on which thesebillers in New Mexico guarantee higher profitability for your clinic. Their experience in various software and certification in the medical billing processes will support your practice to grow steadily.

It requires trained skills and understanding to meet all the requirements, especially because all these activities are not as straight forward as other specialties. For example, identifying which ER services are eligible for insurance requires medical understanding along with knowledge about necessary regulations.

Outsourcing to MBC

At MBC, we have medical billers and coders who have the right degree of sophistication to handle the complexities of ER billing. They can help you with the entire range of activities involved in an emergency medicine billing procedure, starting from accurately identifying the cases that are entitled to reimbursement and their procedure codes through documenting their qualifying criteria to preparing their claims and submitting them.

Apart from a theoretical and practical understanding of EMTALA, its implications and procedural necessities, our billing professionals’ years of experience in varied healthcare environments gives them an additional advantage; they appreciate the fact that ER service is but a part of a large treatment cycle where the activities are performed, whether administering a treatment or documenting it – form the basis of the entire administrative and medical episode, particularly in a big hospital that combines emergency as well as surgical services. This appreciation helps our emergency medicine billers and coders to function such that facilitates the advanced stages of a treatment procedure, in terms of documentation and other procedural matters.

Via MBC’s flexible emergency billing and coding services, you can choose the service model that suits your and your organization best. Our revenue cycle management (RCM) services will help you:

  • Tighten your revenue management process by replacing obsolete software applications by appropriate applications that suit your needs and smoothens the process of electronic transfer of data mandated by HIPAA
  • Streamlining your existing process by trimming out rambling procedures and processes and spotting gaps of revenue leakage and identifying training needs

By opting for MBC’s outsourced billing and coding services, you can completely ship out your administration responsibilities to us and solely concentrate on health care.