Radiation Oncology Billing Services Oklahoma, OK
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
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.
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:
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.