Sports Medicine Billing Services Washington, WA
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.
Many providers in Washington are exploring various options of optimizing their billing and medical billing process by hiring specialists locally. These physicians expect their specialists to handle their medical billing and be involved with any day to day operations.
They can help you streamline your medical billing process by customizing the services which will ultimately decrease your efforts and increase your productivity. These certified Medical Billing Specialists are located in major cities like Seattle, Spokane, Tacoma, Vancouver and Bellevue and provide services such as:
Timely submission of electronic claims
Posting EOB and verifying ERA postings
Preparation of patient statement
Accounts receivable management
Handling Billing and reimbursement inquiries
Verifying Benefits of patients
With a claim partially paid or rejected, it is important that the explanation of partial payment or rejection is looked into and understood by billing experts.
Our Washington billers can take care of that. They would track and deal with even the last dollar on your behalf. Some of these billers specialize in writing appeals and reversing denials.
They also understand the efforts taken up by the state legislators to reduce and detect fraud and insurance abuse. They strive to provide the best medical billing and coding practices and conform to the Department of Social and Health Services.
Take the time to evaluate the best resource in the industry as this one time investment will ensure you a life time of trouble free medical billing in Washington.
Our Billers in the state of Washington 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 Washington 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 Washington 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.