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Oral and Maxillofacial Billing Services Tennessee, TN

As in the case of other medical specialties, Oral and Maxillofacial specialty too has undergone radical changes in its approach to diagnosis and treatment procedures. Consequently, physicians – with access to advance and incisive medical technology – have come in for greater demand. Although they have been able to witness a swell in patient base, yet their medical billing realization percentage has been a cause of concern. The scenario has meant a responsible opportunity for our certified and experienced Oral and Maxillofacial billers and coders, who have an unblemished track-record of efficient billing and coding.

Value delivery to physicians

The physicians who have lent preference to our billing and coding competence – complete with accurate charge capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards – have been able to reap the following value delivery:

Our Tennessee medical billers and coders have been helping local healthcare professional in and around the state for many years now. They all seem to have collected their knowledge with years of practice of dealing with local payers.

They work towards eliminating your outstanding accounts receivables and make your reimbursement process seamless. They have been catering to major Tennessee cities like Memphis, Nashville, Knoxville, Chattanooga and Clarkesville and are willing to travel to your clinic anywhere in Tennessee.

These proficient billers provide customized services to meet the requirement of your practices. Some of the services our professional medical billers can help you with:

  • Accurate and prompt verification of benefits
  • Scheduling appointments
  • Complete charge entry for claims
  • Posting Payment regularly
  • Electronic Claims transmitted through carriers or clearing house
  • Thorough audit before transmitting claims

Over the last few years gross charges denied have grown to 18%, based on estimation for US healthcare providers. This has made the physicians from Tennessee worry about denial ratio.

Consulting professionals or expert medical billers and coders to understand the major reasons for denials works well with busy physicians. Our Billers can consult with you for your accounts receivables and insurance follow-up by being an extension for your practice. Moreover they are also proficient in medical terminology, disease processes, anatomy and physiology, life cycle of an insurance claim, health care settings, health care payers, procedure and diagnosis coding from medical records, reimbursement systems, surgical procedures, facility billing, and medical practice management systems.

Value Our Tennessee Billers Bring:

Our medical billers and coders are experienced in insurance collections which can be a tedious job for someone who lacks experience in this area. They also understand how critical timely insurance collections are for the physician as well as the patient. By using EMR that is efficient our medical billers and coders are quick in patient statement processing which can be an increasing burden due to the rising demand for medical services. Our medical coders and billers at medicalbillersandcoders.com also have solid relationships with key insurance companies across the nation and state so that any delays or errors can be avoided when dealing with insurance matters such as claims denial and in revenue cycle management.

Billing and coding services provided by our billers and coders are a mix of specialized professionals with wide ranging skills such as insurance collections, patient statements processing, claims management, fee schedules evaluation, and the ability to establish effective relationships with patients and insurance companies and expertise with patient accounting software. With in-depth knowledge of the medical billing and coding and compliance of HIPAA guidelines, it would become easier for you to ensure that revenue and quality of patient services is not affected due to errors in medical coding and billing.

Their skills with Insurance eligibility verification and account receivables follow up, is the main reason for many Tennessee clinics to experience a growth of 20% in revenues with their Medical billing services.

Our Specialties :

Our billers and coders are specialized in various areas such as Optometry, Family Practice, chiropractic, OB Gyn, Physical Therapy, oncology, Pediatrics, urology, and Hospitalist Billing. All the medical billers and coders at medicalbillersandcoders.com are familiar with ICD9 and CPT Coding which make them preferable choices for physicians. Many of our medical billers and coders provide value added services to offer through specialized services like evaluating fee schedules, helping you prepare online super bills and diagnosing major reasons for denials.

Our Software Experience :

With the implementation of efficient EMR software our medical billers and coders ensure a paperless, time saving, and efficient medical billing system. The EMR software which they are already trained on include Medisoft, Misys Tiger, Eclinicalworks,Advance MD, GE Centricity, and Altapoint. Using these software would not only save time but also assist you in handling the increase in demand for your services as a health care provider. The Practice Management software that we provide in addition to the value added services mentioned above ensures that physicians in Tennessee are able to keep up with the healthcare IT sector reforms and improvements.

Problems Tennessee Physicians Face :

Physician shortage is a huge problem in Tennessee and increasing number of patients in the near future would mean requirement of experienced and skilled medical billers and coders. Moreover, lesser claim denials may be expected due to the health reform which makes it imperative that you have a flawless and professional team of medical billers and coders. Our expert medical billers and coders ensure quality revenue cycle management service across almost all the counties and cities in Tennessee and not just big cities such as Memphis, Nashville, Knoxville, Chattanooga and Clarkesville.

  • Simplification of revenue cycle
  • Appreciable increase in collection rates
  • More patient inflow and referrals
  • Increased avenue for research and development by physicians

Efficient ground work

Honest billing and error-free coding are precursors to denial-free and delay-free realization of medical insurance claims. Our tech-savvy Oral and Maxillofacial billing and coding professionals possess the following billing credentials:

  • Certification from The American Association of Professional Coders (AAPC)
  • Familiar with medical billing software such as Lytec, Medic, Misys, Medisoft, NextGen, and many more.
  • Trained on coding software such as EncoderPro, FLashcode, CodeLink, etc.
  • Being able to apply standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding as per CMS guidelines.
  • Successful track-record of processing medical bills with leading commercial carriers such as United health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, etc.
  • Ability to negotiate successfully with Medicare and state-specific Medicaid policies.

With such inclusive competence and experience, they have been able to ensure error-free coding, faster submission of bills, speedier and denial-free realization of physicians’ medical bills.

Encompassing the entire range of medical procedures

Our specialist medical billing professionals – having in-depth knowledge of the whole gamut of Oral and Maxillofacial services, and their apt codes – are uniquely poised to bill the entire range of medical procedures with a multitude of payors. Following is an exhaustive list of such procedures:

  • Diagnosis and treatment of chronic facial pain disorders, diagnosis and treatment of benign cysts and tumors, diagnosis and treatment of temporomandibular joint (TMJ) disorders, and diagnosis and treatment of dysgnathia (incorrect bite).
  • Dento-alveolar surgery, and pre-prosthetic surgery – providing better anatomy for the placement of implants, dentures, or other dental prostheses; and diagnosis and treatment oral & head, and neck cancer.
  • Medical Splint and surgical treatment of sleep apnea, surgery to insert osseo integrated (bone fused) dental implants, maxillofacial implants for attaching craniofacial prostheses and bone anchored hearing aids, and cosmetic surgery limited to the head and neck.

Notably, such procedures have successfully been billed and claimed with leading private insurance carriers such as Unitedhealth Group, Wellpoint Inc.Group, Kaiser Foundation Group, Aetna Group, Humana Group, HCSC Group, Independence Blue Cross Group, and public schemes such as Medicare and Medicaid.

Preferential choice of specialists

Impressed with our Oral and Maxillofacial billers and coders’ all-inclusive portfolios of services, individual physicians, clinics, multispecialty groups, hospitals, and diagnostic centers across the U.S. have retained them for their comprehensive medical billing needs. Significantly, with a thorough knowledge of diverse billing and coding, they can play pivotal role in realization of medical bills, physicians’ medical efficiency, and patient influx and referrals.