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Orthopedic Billing Services West Virginia, WV

MBC billers, specializing in orthopedic billing, understand your pain-points better than anyone else. That is why they are continuously evolving with billing reforms and technology so that there would be fewer claim rejections. As a result, they can be expected to perform a host of services such as:

  • Assigning correct and accurate codes to multiple procedures
  • Providing both electronic and paper billing
  • Regular code audit checks to apply appropriate codes
  • Analyzing accounts to prevent blockages in cash flows
  • Follow up with payers for pending payouts
  • Generating daily, weekly and monthly financial reporting

Did you know?

  • While billing for CPT code A5500 (diabetic shoe fitting and modification left and right foot) use of the KX modifier is mandatory in order to be reimbursed.
  • Our team is aware of the importance of the KX modifier for CPT code L3030 (foot inserts removable) in order to avoid rejection from payers - L3030LTKX (left foot) and L3030RTKX (right foot).
  • Our experts understand that modifier RT & LT is not applicable while billing for CPT code 97597 (Removal of devitalized tissue) for up to 20 square centimeters, irrespective of left or right foot.

For over a decade now, our West Virginia medical billers and coders have made the investment of time, money and experience so as to ensure that your practice enjoys a satisfactory billing experience. Our coders are certified professional coders and are there to into the correct coding of your claims.

They are fully trained to understand and apply HIPAA compliance into your clinic’s operation and can look into the coding of your claims to give you an assurance of CCI and LMRP compliance. Our medical billers and coders are active in a number of West Virginia cities such as Charleston, Huntington, Parkersburg, Morgantown and Wheeling and provide services like:

  • Daily entry of charges
  • Payment postings on a daily basis
  • Daily filing of electronic claims to Medicare, Medicaid and other commercial insurance carriers
  • Appeals and denial follow up
  • Monthly patient billing
  • Monthly financial reports

Along with five other states, the West Virginia Medicaid will be receiving federal matching funds from the Centers for Medicare and Medicaid to help in the implementation of electronic health record incentive programs. The state will receive an amount of $945,000 to upgrade healthcare systems and streamline healthcare office functions.

Complying to these initiatives and managing day to day patient care jobs can be taxing for physicians in West Virginia. Our medical billers with their medical billing and coding expertise can help to conform to such billing regulations.

Locate a medical biller or coder in your city, specialty and having worked on your software, just fill the form below and hear from the most appropriate biller in minutes.

Our Billers in the state of West 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 West 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 West 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.

Effective and streamlined coding

Special attention is given to coding so as to make billing error-free. Orthopedic practices may be required to perform numerous clinical activities: non-surgical orthopedics such as physiotherapy, chiropractic, occupational therapy, podiatry, and kinesiology; surgical orthopedics such as hand surgery, shoulder and elbow surgery, total joint reconstruction (arthroplasty), pediatric orthopedics, foot and ankle surgery, spine surgery, musculoskeletal oncology, surgical sports medicine, and orthopedic trauma. Given the high-cost value of these procedures, it is critical to have them accurately coded so as to avoid being denied or underpaid for coding inaccuracy. Our coders, knowledgeable of the entire coding system, can ensure highest coding accuracy.

Impeccable billing and coding credentials

Our orthopedic billing services are driven by specialists who have an impressive repertoire of credentials. 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 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.

Improving your revenue management cycle through pertinent intervention

Traversing a sequential order – patient enrollment, scheduling, insurance verification, insurance authorizations, scheduling and re-scheduling, coding, billing and reconciling of accounts – our medical billing process can add value in terms of simplicity in submission and retrieval of documents, pre-audit on coding, real-time report generation, application of suitable modifiers, etc.

Thus, our medical billing service – complete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards – is the prescription for simplification of your revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and increased avenue for medical research and development.

Quite expectedly, orthopedic physicians who have chosen to engage our billing specialists have been able to make the crucial value-additions: appreciation in practice revenues and clinical efficiency.