Rehab Billing Services Texas, TX
Components & challenges of Rehab Billing:
Although rehab is among the most commonly used line of care in the US, there is no separate insurance plan available for rehab billing which makes way for several ambiguities and challenges both for care providers and patients.
Not being covered by any exclusive insurance plan, rehab billing forms a part of an insurance plan and one that insurance providers prefer to be a little vague about concerning the amount of coverage the insured is entitled to for rehab treatment. What further adds to uncertainty about coverage is that states are not very specific about how much coverage is compulsory for insurance providers to give drug detox.
Partial coverage and ambiguity of insurance plans on rehab treatment – together leave care seekers as well as providers confounded, perhaps setting them up to start the process of preparing insurance claims for rehab treatments on a wrong note, which means inaccurately identifying the coverage of a patient eventually leading to waste of the time spent on preparing such claims and mounting account receivables.
However, even after entitlement or coverage has been identified accurately, a care provider post identification (accurate or otherwise) needs to follow a series of procedural activities, including documenting and applying appropriate codes, where a single miss-step can again revive the specter of eventual claim rejection.
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.
Outsourcing to MBC:
MBC’s billers and coders combine the knowledge of insurance procedures with medical intricacies to provide care providers with an end-to-end solution for insurance billing and coding, starting from accurate identification of coverage through preparation and submission to post submission follow-ups to ensure timely payments.
The rehab billing process involves some amount of interaction with the patient to acquire medical facts and our billers and coders are skilled in handling interactions with distressed patients with the sensitivity and care they require.
Additionally, to keep up with industry trends and changes in regulations, MBC’s billers and coders not only keenly follow such parts of the industry as they are individually responsible for but also acquire training and certifications to constantly update and examine their skills and awareness of the industry.
Our billing and coding services are available in two flexible service models so that you can choose the exact model that works for the size and nature of your rehab centre. Since rehab centers are generally big set ups, you may already have an in-house billing and coding team which could do with some streamlining of processes they are following, some software applications that are in sync with their work environment and help them transact data with greater efficiency and ease, and some cross-competency training so that one member going on leave doesn’t cause downtime with another member stepping in to keep the process going. We will be able to such streamline your revenue management process through our Revenue Management Cycle (RCM) consulting services which involve a thorough study to stop areas of revenue leakage, assess efficiency of software applications in use and identify needs for training.
Whereas our outsourced billing and coding services enable you to fully ship out your billing and coding responsibilities to us so that you can solely concentrate on healthcare.
MBC, the largest billing and coding consortium in the US, has helped care providers from across the 50 states of the US to improve their finances and boost the quality of care by helping them meet with successful reimbursement of claims and spending more time on healthcare.