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Pathology Billing Services Tennessee, TN

There is hardly any medical specialization that can function without a full-fledged Clinical Pathology. As it is a precursor to all medical procedures, it is the foundation on which diverse medical specialties function. Specific to each of the diverse medical specialties, there are as many dedicated divisions such as general, anatomical, clinical, dermato, hemato, oral and maxillofacial, forensic, psycho, molecular pathology, and many more.

Why do you Need to Outsource your Pathology Medical Billing?

Pathologists, having to consistently keep the highest level of clinical efficiency, have often reported the medical billing part as cumbersome and detrimental to their clinical efficiency. With the internal medical billing failing to deliver the desired results despite substantial investments on resource mobilization, outsourcing seems to be the only way out.

Making their search easier, Medicalbillersandcoders.com – the largest consortium of medical billers in the US – has strategically spread its medical billing across all the 50 states in the US. With easy accessibility to expert medical billing services, practitioners are beginning to realize the benefits of forging alliance with our billing professionals. Amongst notable benefits, achieving billing, coding, and claim submission in congruence with the compliant standards stands out as the most significant.

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.

Extensive Coverage of Pathology Procedures

Combining suitable CPT codes for various pathology procedures: cyto - 88104 cyto - 88141,cytopathology - 88142, diagnosis - 88172, 88173, flow cytometry - 88180, flow cytometry - 88182, level 1 surgical - 88300, level 2 surgical - 88302, level 3 surgical - 88304, level 4 surgical - 88305, level 5 surgical - 88307, level 6 surgical - 88309, decalcification procedure - 88311, special stains - 88312, consultation during surgery - 88329, frozen section - 88331, frozen section with each additional tissue block - 88332, DNA ploidy - 88358, tumor immunohistochemistry - 88161, genetic probes - 88165, etc. with amicable modifiers for ensuring claims adjudication to the correct percentage for the component billed, our medical billing services facilitate preparation of claim sheets conforming to the best practices in medical claim submission.

Combination of qualification and experience

MBC’s medical billing professionals, known for their ability to ensure pathology billing, coding, and claim submission in congruence with the compliant standards for medical claim submission, are adequately qualified and experienced.

Here is quick glance of our affiliates’ 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 Allergy and Immunology 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 a streamlined billing management cycle in practice – patient enrollment, insurance enrollment, scheduling, insurance verification, insurance authorizations, charge entry, coding, billing and reconciling of accounts, denial management & appeals and physician credentialing –you can expect your medical bills to be easily processed with a portfolio of leading private insurance carriers as well as public healthcare schemes.

Thus, when you avail our comprehensive medical billing management services, you can expect to drastically minimize operating cost and maximize revenue through delay-free and denial-free reimbursement of medical claims. Combining successful-track record with a proactive outlook to the ensuing ICD-10 compliant coding and reporting, our specialist pathology medical billing services are poised to play a significant role in a healthcare environment that is perennially prone to radical reforms adversely impacting practitioners.