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Primary Care Billing Services Rhode Island, RI

If there is one group of medical practitioners that require professional medical billing services more, it is the Primary Care physicians. Limited scope of their medical services, larger composition of Medicare and Medicaid beneficiaries, adversely impacting healthcare reforms, and highly stringent insurance reimbursement environment have begun to question their ability to sustain, leave alone the thought of either enabling in-house medical practices or availing outside medical billing management services. But, because majority of their patient base is linked to health insurance of some kind or the other, it becomes inevitable that they perform or get their medical billing submission and realization done by competent medical billing specialists.

How do our medical billing experts support Primary Care physicians?

When the question of providing competent and efficient medical billing services arises, our name (Medicalbillersandcoders.com) invariably comes to the fore. Being the largest consortium of medical billers in the US, we have the number and efficiency that Primary Care medical billing demands. Further, because of voluminous operations, the fees tend to be highly affordable without any deterioration in quality of services. Consequently, physicians are able to achieve operational efficiency and revenue maximization through denial-free and delay-free realization of their claims on medical bills.

Our medical billers and coders in Rhode Island have been offering medical billing and revenue cycle management services throughout the state. Our medical billers are adept in dealing with multispecialty practices.

These Certified Billers and coders have been delivering a close attention to details and going that extra mile to collect your revenue. They strive to provide the best of the billing services with the help of the best resources so as to forge a long term relationship with you. They already are based in major cities like Providence, Warwick, Cranston, Pawtucket and East Providence. Some of the billing functions that we provide are:

  • Coding expertise on ICD 10 & CPT
  • Demographic entry for patient data
  • Timely Payment Posting
  • Tracking Accounts receivable
  • Physician credentialing if required
  • End to end Revenue cycle management

Rhode Island or the New England Region is serviced by these billers, so as to be able to service physicians from within the practice, from the biller’s home or a professional medical billing company depending on the need of the physician.

These billers work in compliance to strict healthcare regulations and are always trying to streamline the workflow of practices in order to reduce account receivable days for physicians. You can be assured the best medical billing services with these experts.

Our Billers in the state of Rhode Island 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 Rhode Island 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 Rhode Island 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.

Outsourced primary care billing and coding services founded on sound credentials

Such an unwavering commitment to quality is inspired by ‘best practices’ in medical billing management, which are founded on a set of pre-qualifications:

  • Certified by American Association of Professional Coders (AAPC): Our Primary Care Medical Billing Specialists are certified by the authority on Medical Billing and Coding, American Association of Professional Coders (AAPC). Therefore, they always carry the stamp of authorization.
  • Application of Advanced Technology Interface comprising the use of latest medical billing softwares such as Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc., and the use of latest coding softwares such as EncoderPro, FLashcode and CodeLink for coding diverse medical services administered by physicians
  • Proficiency in applying standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding as per CMS guidelines and HIPAA compliant medical reporting
  • Possessing a successful track-record of processing medical bills with the leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and public health insurance schemes: Medicare and Medicaid

Having a ready set of pre-qualifications at their disposal, our Primary Care billing Professionals regularly accomplish apt CPT coding and modifying for mitigating undesirable audit exposures leading to claim disqualification or resubmission.

Improving RCM through pro-active intervention

Thus, infusing qualitative elements to a comprehensive and sequential methodology in medical billing management – patient enrollment, insurance enrollment, scheduling, insurance verification, insurance authorizations, charge entry, coding, billing and reconciling of accounts, denial management & appeals, and physician credentialing – we ensure:

  • Reduction in Operational Expenditure
  • Increased Revenues
  • Faster Realization of Account Receivables
  • Compliant and Efficient Billing Practices
  • Regular QA Checking
  • Reduced Audit Risks

Additionally, along with the pre-qualifications for the prevailing system of medical billing management, our Primary Care medical billing specialists are pro-actively equipped to help you make a smooth transition to the ensuing ICD-10 system of coding compliance, and HIPAA 5010 for medical record reporting and patient privacy.