Emergency Medicine Billing Services Oklahoma, OK
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.
Our Oklahoma medical billers and coders can ensure that your facility gains a steady growth through proper medical billing and claims management processes. They offer effective medical billing solutions for every kind of practice, physician groups, clinics as well as hospitals.
Our medical billers dynamically operate through all major cities such as Oklahoma City, Tulsa, Norman, Lawton and Broken Arrow. They provide customized billing solutions, are adept in handling core medical billing issues and provide services such as:
Accurate submission of claims which leads to improved cash flow
Accounts receivable management
Follow up on denied and rejected claims
Physician credentialing if necessary
Reduction in over all costs
Most of healthcare in the state of Oklahoma is covered by the federal government’s initiative to have affordable healthcare for all. Handling various payer requirements and keeping oneself updated is not easy. Medical Billers and Coders in our consortium would go out of their way to update themselves and the practice they work for.
Value Our Oklahoma Billers Bring :
The presence of Certified Medical Reimbursement Specialists (CMRS) among our billers also means that the claims paying process is smooth and you receive professional services including ICD10, CPT4 and HCPCS Coding, Medical Terminology, Insurance claims and billing, appeals and denials, fraud and abuse, HIPAA, OIG Compliance, information and web technology, and reimbursement.
The presence of certified and professional billers and coders means that you would not only get the best services in this field but also increase your revenue and quality even under increasing work pressure. Moreover this expertise and certification ensures better transparency and offer options which integrate without a glitch with your practice’s processes and not necessitate major changes or realignment in your practice.
Our billers use accurate CPT and ICD-10 codes which help in enhancing your revenue and reduce errors leading to denials. The in-depth knowledge of the latest health care reforms and practices makes our billers more efficient and productive compared to novices in this field.
In Oklahoma about 40% of medical billers and coders work in Oklahoma City but our billers can provide services to health care providers in other cities such as Tulsa, Lawton, Edmond, Enid, Stillwater, Midwest City, Moore and almost all other cities and smaller towns.
With such a wide variety of choices and specialties, our medical billers are capable of customizing according to your need without comprising quality. These medical billers and coders are Certified Professional Coder and some of them even have CCS certification. These certifications enable our coders and billers to keep up and comprehend the changing health care requirements. These certifications also enable physicians to trust their years of experience while making sure they are taking efforts to update themselves. Moreover, sometimes these billers and coders also offer consultancy as a value added service.
Our Specialties :
These Billers are experts in Denial Management, they specialize in account receivables as they understand the reasons for denials and try to prevent them right in the beginning. Moreover, our billers have more than two decades of experience in specialties such as behavioral health and anesthesiology.
Our Software Experience :
Our billers and coders are not only HIPAA compliant but also possess various software skills needed for Electronic Medical Billing and Coding. These include Medisoft, Misys Tiger, Eclinicalworks,Advance MD, GE Centricity, and Altapoint. Such software can be used in medical fields such as emergency room departments, home health care agencies, and hospitals. The software provides many benefits such as simpler accounting, security, collections tracking systems, medical billing management, creation of super bills, and numerous other tasks associated with Practice Management and Practice Workflow.
Problems Oklahoma Physicians Face :
Oklahoma physicians are dealing with numerous problems such as increased doctor-patient encounters and shortage of doctors, and these would worsen when the health care reforms come into full effect. This would mean that doctors would require experienced medical billing and coding specialists for denial management, ensure timely reimbursement, and compliance with HIPAA guidelines. Our billers at medicalbillersandcoders.com can ensure that these objectives are met in a timely and productive manner.
These billers would help you streamline your medical billing requirements in Oklahoma locally and their expertise in your specialty can optimize revenue easily.
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.