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Pediatrics Billing Services Texas, TX

Pediatrics, which leads other specialties in terms of patient population, and patient-physician ratio, offers both opportunities as well as challenges to leading medical billing consortium like MBC – while the influx of pediatric physicians seeking medical billing and coding management is a matter of opportunity, owning and executing clients’ medical billing and realization amidst stringent insurance environment is equally challenging.

MBC Offer Billing & Coding Expertise

MBC professionals scrupulously upgrade the competencies that ensure efficiently executed comprehensive Pediatric Medical Billing Solutions; certification from the American Association of Professional Coders (AAPC), proficiency in using advanced medical billing softwares such as Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc., and latest coding softwares such as EncoderPro, FLashcode and CodeLink, and expertise in applying standard CPT, HCPCS procedure and supply codes, and ICD-9-CM diagnosis coding as per CMS guidelines and HIPAA compliant report generation, and the acumen for processing medical claims with several private carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid bear testimony to our commitment to competent and compliant medical billing management.

 

Maximizing your office’s efficiency and cutting your costs are some of the priorities of our medical billing and coding specialists located in Texas. Like everything in Texas our database of Medical Billers and Coders is huge in texas, these billers cater to various specialties and software exposure.

With extensive medical billing knowledge coupled with their years of experience, they help providers and practices in and around the state to maximize their reimbursements and minimize their costs.

Our billing professionals are present in major cities in Texas such as Houston, San Antonio, Dallas, Austin and Fort Worth. Some of the services they provided are:

  • Data entry of all charges
  • Submission of electronic as well as paper claims to both primary and secondary insurers
  • Accurate ICD-10 and CPT code audits
  • Payment postings after receiving from insurance companies as well as patients
  • Excessively customized Monthly financial reports
  • Comparing payer fee schedules and updating your practice about it

The state of Texas is known for its clean claim law which is considered to be one of the most helpful and powerful in terms of clean claim violation and can make the payer to pay billed charges. The law states that the payer has to pay a clean claim within 30 days, with the option of 45 days if the claim is not submitted electronically, thus our Texas billers will be able to reduce your AR days noticeably.

Our professional billers in Texas are trained to handle all aspects of Revenue Cycle Management which specially includes denial Management and helps you recover rejected claims by appeals and resubmission of claims.

Our Billers in the state of Texas 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 Texas 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 Texas 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.

Pediatric Medical Billing Across Multiple Specialties

Medicalbillersandcoders consistently deliver cost minimizing and revenue maximizing solutions to a gamut of diverse Pediatric Services such as:

  • General Pediatrics
  • Pediatric Endocrinology
  • Pediatric Diabetes
  • Pediatric Gastroenterology
  • Pediatric Cardiology
  • Pediatric Pulmonology
  • Pediatric Nephrology
  • Nutrition Services
  • Pediatric Infectious Diseases
  • Clinical Genetics
  • Behavioral Psychology
  • Pediatric Neurology
  • Pediatric Oncology
  • Child Life Program

Enabling Accurate and Precise Medical Billing

Additionally, our Pediatric Billing Specialists’ ingenuity in applying accurate codes for complex pediatric services such as:

  • CPT 31500 for intubation, endotracheal; emergency procedure,
  • 62270 for spinal puncture, lumbar, diagnostic;
  • 36660 for catheterization, umbilical artery, newborn;
  • 36620 for arterial catheterization or cannulation;
  • 92551 for screening test, pure tone, air only;
  • 51702 for insertion of in-dwelling bladder catheter;
  • 36011 for central venous catheterization or cannulation;
  • 54150 for circumcision, using clamp or other device;
  • 99141 for sedation (conscious sedation); intravenous, intramuscular or inhalation;
  • 90782 for therapeutic, prophylactic or diagnostic injection;
  • 90788 for intramuscular injection of antibiotic;
  • 92950 for cardiopulmonary resuscitation;
  • 92567 for tympanometry (impedance testing);
  • 36400 for venipuncture, under age 3 years;
  • 99173 for screening test of visual acuity, quantitative, bilateral;
  • 94200 for maximum breathing capacity, maximal voluntary ventilation, etc.

Apart from handling the coding for above services, our experts also infuse suitable modifiers which are crucial to mitigating undesirable audit checks, delay, denial, and resubmission of medical claims with insurance carriers.Multiple benefits in managing RCM.

Conducting a sequential medical billing management process – Patient Enrollment, Insurance Enrollment, Scheduling, Insurance Verification, Insurance Authorizations, Charge Entry, Coding, Billing and Reconciling Of Accounts, Denial Management & Appeals, and Physician Credentialing – punctuated with competent qualifications mentioned earlier, our Pediatric Billing Specialists are known for delivering superior quality pediatrics medical billing services for individual physicians, physician groups, multi specialty groups, clinics, acute care facilities and hospitals. Consequently, physicians, along with an intense focus on the core medical issues, are able to witness:

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

Equipped with the demands of the ICD-10 and HIPAA 5010 Version of coding and medical reporting compliance, Medicalbillersandcoders.com presents a pro-active outlook to opportunities and challenges in Pediatric Medical Billing Management.