Wound Care Billing Services Oklahoma, OK
Wound care has acquired a new significance as a healthcare discipline and due to a growing aging population in the US; a sizable portion suffer from ailments that expose them to the risk of wounds that require protracted wound care treatment.
The challenge it presents to physicians, hospitals and also to patients is that all types of wound care are not covered by insurance and the ones that are covered require a series of administrative activities, like proper documentation with accurate detailing of medical details of the treatment episode to establish insurance eligibility, which also involves maintaining and furnishing details to establish that the treatment was administered upon the advice of a physician and carried out in the physician’s presence when required.
But even before starting this cumbersome process to prepare and submit claims, care providers have to determine whether the wound treatment they are claiming reimbursement for is covered by the insurance coverage policy framed by Medicare and Medicaid (CMS), which requires familiarity not just with medical necessities but also with insurance coverage.
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.
Outsourcing Wound Care Billing to MBC
MBC’s team of medical billers and coders are experienced in handling the entire cycle of activities ranging from determining insurance eligibility to submitting claims and performing routine follow-ups. However, wound care being a treatment that’s administered by care providers of all sizes and also independent physicians, choosing a billing and coding service model which is scalable enough to fit any size and need becomes a challenge for care providers.
MBC offers two types of service models, one an outsourced billing and coding and another revenue management consulting model:
The outsourced billing and coding services model enables care providers to completely ship out their billing and coding responsibilities to MBC and spend the time earlier spent on administrative activities on medical care.
Our revenue management consulting services, on the other hand, help streamline in-house revenue management by stripping out outdated processes, recommending appropriate software applications to replace the outdated ones and identifying areas for staff training and revenue leakage to help plug them.
Both the models have helped big and small care providers involved in wound care in all the states of the US to overcome the challenge presented by administrative activities to claim insurance improve their revenues and optimize their in-house resources: either by streamlining processes and training them such that the staff have a thorough knowledge of activities they have to perform and details handle to prepare and claim insurance accurately minimizing chances of claim rejections or by thoroughly sparing themselves the responsibilities to handle insurance administrative activities themselves.