MEDICAL BILLERS IN Boston , MA
MBC provides Medical Billing Services in Boston, Massachusetts, supporting physician groups, multi-specialty practices, and outpatient facilities across the region. Our billing operations integrate directly with your existing workflows to reduce denials, accelerate collections, and maintain compliance across all major payers active in the Massachusetts market. Explore our Boston Medical Billing Services to see how MBC supports revenue cycle performance for practices in Boston.
Components & challenges of Radiation-Oncology billing
Cancer being among the most common ailments in the US, radiation oncology is one of the most used medical services in the US with care providers of all types (independent practitioners to hospitals) involved in it. This means a sizable amount of medical resources (money and medical effort) spent on healthcare in the US is claimed by radiation oncology. Alas, most part of it goes unrealized given the demanding nature of insurance procedures.
The radiation oncology insurance procedure involves patient registering, charge entry, claim generation and transmission, payment posting, making appeals for denials and incorrect claims and collection management and electronic submission of claims to be HIPPA compliant.
Unfortunately, successful reimbursement of a radiation oncology episode requires more than careful adherence to policies, accurate handling of details and ability to transfer data electronically, it also needs:
- Thorough understanding of how much coverage Medicare plan entitles you to (there are three of them Plan A, B and C)
- Establishing whether the oncology treatment was medically necessary and recommended by a licensed physician
Our medical billers in Boston, MA have reduced the tedious and time consuming medical billing tasks which are responsible for the ultimate revenue collection. The experience of our billers and coders in streamlining Boston, MA provider’s billing procedures so that they can devote more time, energy and resources in providing the highest level of patient care. These Biller’s leverage their technology as well as domain expertise in your specialty to service your practice better. Their expertise lies in:
- Excellent understanding of fee schedules, Medicaid and commercial payer regulations
- Answering all patient queries regarding billing appropriately
- Compliance to HIPAA rules and regulations to ensure accurate billing
To get the exact match for your specialty and practice in Austin,TX, fill in the form given below:
Boston, the capital of Massachusetts is one of the most expensive cities in the United States. The tax implication in Massachusetts is the highest, so whether you have a well established medical practice or just a beginner our billers will help you improve your bottom line in Boston.
With not less than 5 years of experience in individual billing to total practice management, our expert Billers can help you streamline your practice’s needs since they have the required knowledge. The challenges of running a Healthcare practice can be quite taxing on your part,
thus a specialized Biller taking care of your billing can help you focus on patient care.
You can map the ability of our Billers across the following services to and fulfill your own medical billing and coding requirement:
- Posting of charges, payments and adjustments
- Tracking and analyzing yearly fee schedule
- Daily submission of electronic claims
- Pre-arranged scheduling of account reviews
- Monthly and weekly reporting on financial status
The federal government is trying to reduce the cost of Healthcare which is not possible without a conscious effort of the physicians. Optimizing the physician’s practice may be the first step in controlling costs and streamlining billing procedures.
Our Boston billers with their exceptional knowledge of the billing lexicons can help you to maximize your revenue and at the same time conform to local billing regulations which require in depth understanding and experience in the state of Massachusetts.
Specialty practices looking to make regular follow-up on claims, answer queries about patient billing and reduce denied claims by submitting the correct claim information would find the expertise of our Billers in very reliable.
Massachusetts, the state with one of the highest taxes is considered one of the most affluent states, but the cost of healthcare is considered as one of the basics and physicians across the state are trying to reduce healthcare costs. Experts working on your reimbursement make sure you have better collections.
Since the last 10 years our medical billers and have been providing medical billing and coding as well as accounts receivables follow up and practice management service to Massachusetts physicians.
Certified medical billing and coding professionals who have an extensive experience in all specialties, are available in all cities such as Boston, Worcester, Springfield, Lowell and Cambridge. They have shown skills for lowest claim denials and fastest reimbursement. Some of the services which our medical billers are proficient in are;
- Electronic claims submission
- Tracking of claims
- Patient statements
- Payment posting
- Customized monthly report
Needless to say, this leaves individual physicians, physician groups, clinics, diagnostic facilities, long term care facilities and acute care facilities with unrealized payments (ARs) and consequently ailing revenues.
Outsourcing to MBC:
MBC’s billers and coders possess a comprehensive knowledge of radiation oncology billing and coding procedures. Our years of experience in handling intricacies of radiation therapy billing and coding procedures translates into a very sophisticated level of understanding of the diseases involved in radiation therapy versus the insurance procedures applicable to them.
We have been able to bring down claim denial rates for care providers across all the state of the US through accurate handling of data and rigorous follow-ups done in a methodical manner. Our quality consciousness is responsible for reduction in claim denials. Both during and after preparation of claims, we put them through various cycles of quality checks to make sure that they are completely error free when submitted.
Our service models are flexible, so that you can choose a model that perfectly fits your needs and setup. We offer two types of models:
- RCM consulting
- Outsourcing
Our consulting model involves a thorough study of your revenue management system to help identify areas of revenue leakage, outdated software applications and training needs. By helping you address these areas our RCM service will ensure a smooth revenue management process capable of handling the dynamics of radiation therapy insurance requirements and reduced rejected claims.
However, if you don’t have an in-house billing and coding team, you can ship out your entire billing and coding responsibilities to MBC. Our outsourcing model includes the entire range of billing and coding activities starting from identifying insurance eligibility of the patient to submission of claims and post submission follow-ups.
We provide services across all phases of claim preparation and submission:
- Charge Entry : Our Charge Entry (CE) services ensure error free claim submission through verification of patient demographics, medical codes, DOS, POS, provider information, units, modifiers as also submission of claims to clearing houses and more. CE also involves random quality checks as part of audits.
- Payment Posting : Our billers and coders can work on the most advanced electronic remittance scenarios, including denials, underpayments, overpayments, multiple adjustments, automatic cross-over, secondary remittance, reversals, etc.
- Account Receivable : We reduce your claim rejection rates and ensure a timely payment of your services by following up with insurance officials ensuring that you enjoy improved revenues.
Medicalbillersandcoders.com is a national network with our team spread across all states of the US with each state represented by billers and coders familiar with state-specific exceptions. This helps us to account for the fact that the rules applicable across the US are not uniform. MBC has helped care providers across US to improve their revenues as well as quality of radiation oncology treatment by allowing them to concentrate on their core services.