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Sports Medicine Billing Services Virginia, VA

Components & Challenges inSports Medicine Billing

Sports medicine faces the same indifference from insurance authorities in the US as sports in general do from us: that they are important but not indispensible. This indifference has denied sports medicine the distinction of a specialty across the US.

Sports physicians aren’t educationally distinct from family physicians in a substantial way and a family physician can become a sports physician by applying for a dual credential with insurance authorities. However, when family physicians apply for dual credential, they are denied on the basis that family medical practice and sports medical practice are different disciplines and one can’t become the other or both.

To address these two challenges, now sports medicine is mostly practiced via managed care services to facilitate association with local insurance bodies to help reimbursement of claims. But, managed care service involves assigning a physician to each care recipient, making it necessary, for successful reimbursement, to establish that a treatment was carried out upon the referral of the assigned physician. It also necessitates accurate documentation of all medical and nonmedical details required and familiarity of care providers with resulting complexities of managed care services.

What makes our Virginia medical billers outstanding is their vast knowledge, level of expertise and their ability to incorporate innovative solutions which can streamline your billing process. They can help in enhancing the efficiency of your practice, increase cash flow and receive maximum reimbursements.

For many years our billers and coders have been providing medical billing services to practices in cities such as Virginia Beach, Norfolk, Chesapeake and Newport News. Some of the services which our billing professionals have been providing are:

  • Accurate patient information filing
  • Electronic Claims transmission
  • Immediate posting of payments
  • Aggressive follow up on aging receivables
  • Resubmission of rejected claims
  • Evaluation of reports on monthly earnings

The state of Virginia possesses several laws to provide fairness in the health insurance and also to protect its consumers. Your Billing staff must be well updated about the changing regulations in order to help your clinic follow all federal guidelines. Our billers in the Virginia are trained in coding of Health Records, Medical Terminology, and Advanced Coding and Reimbursement strategy.

These Virginia Billers will also be in a position to compare fee schedules for your practice as they have a lot of local exposure and are aware of the best prevailing reimbursement rates.

Our Billers in the state of Virginia 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 Virginia 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 Virginia 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.

In addition to the above hurdles, sports medicine reimbursement is also subject to all the insurance regulations that apply to other specialties. This causes care providers involved in sports medicine left to negotiate with mounting ARs and losses. Care providers are not in a position to handle this effectively as it requires handling intricate medical and regulatory details, filing claims and following them up for timely reimbursements – things that are outside their area of competency and can be best dealt with if left to experienced billing and coding houses.

Outsourcing to MBC:

MBC, the largest billing and coding consortium in the US, has helped care providers involved in sports medicine reduce their mounting account receivables through accurate handling of details, submission and rigorous follow-ups with insurance officials, ensuring timely reimbursements. MBC’s billing and coding professionals are not just familiar with intricacies of regulatory and medical details but also have sound knowledge of state-specific exceptions which helps them account for the fact that few regulations to an extent may not be uniform across all 50 states of the US.

Our flexible billing and coding service models ensure that they can be adopted by any care provider regardless of size, scale and nature of operations:

Through our Revenue Management Consulting (RCM) service model we can prune your in-house operations stripping out dated and time-consuming procedures and software applications and guide in replacing them with ones that will help you handle the entire billing and coding process with ease and ensure compliance.

However, if you are an independent sports physician and think a setup will only restrict your mobility and access and bring down the fluidity of your operations or you just don’t need in-house billers and coders, our outsourced billing and coding services will work well for you, where you will be able to completely ship out billing and coding responsibilities to us and solely concentrate on your practice as we help you to keep up the inflow of your revenues.

With a network spanning across 50 states in the US, we have helped countless care providers to improve their profitability through accurate preparation, submission and timely reimbursement of claims.