Infograph
Billing and Coding in a nutshell- The pictorial section will help you understand the 'this and that' of billing and management. Go through the infographs for an understanding of process, in short.
The mandatory reporting – using appropriate modifiers, time units for actual administration, prevalent stringent coding and privacy norms – has begun to take a heavy toll of Anesthesiology physicians, depriving them of the quality time that could have improved their medical efficiency substantially. The intricacies involved in medical billing unlike the clinical practice itself, which physicians manage with ease and efficiency, have made it a specialist job.
Our anesthesiology medical billing service management, which prides itself on the highest qualification and expertise, has been significant in ensuring maximum reimbursement of claims, resulting in greater revenues, patient inflow and referrals, and physicians’ medical efficiency.
Running a medical practice in California can be quite challenging when it comes to medical billing and coding. Our billers and coders in all the major cities of California including Los Angeles, San Diego, San Jose, San Francisco, Fresno can help you settle your requirements here are some of the services which our expert medical billers and coders specializes in:
Our medical billers and coders are not limited to just the big cities such as Fresno, San Francisco, and San Diego but also all other smaller cities and towns in California. Moreover, our billers are compliant with HIPAA guidelines and are updated with all industry updates through medicalbillerandcoder.com. This makes sure that your practice is run in the most efficient and legally safe conditions. Our Billing specialists also ensure that your patients are hassle free and their billing queries are answered well.
The expertise of our billers is vast and includes but is not limited to Past Due Collections, Electronic Medical claim filing, Medicare Audit Protection, coding and diagnosis analysis for maximum allowable reimbursement, customized accounts receivable and revenue cycle financial analysis, electronic claims submissions, denials management and payment posting, dedicated and relentless insurance follow-up, patient statements and patient-centric support, provider enrollment support, and standardized reporting.
Our medical billing specialists are committed to improving your productivity by utilizing the finest processes and health care information technology such as Electronic Medical Records. These medical billers and coders maximize your revenue, ensure timely compensation, and offer medical billing and coding services in specialties including Family Practice, mental health, pain management, Physical Therapy, Radiology, Internal Medicine, neurology, orthopedic, and numerous other areas.
The fact that physician shortage is set to quadruple in the next decade according to AAMC (Association of American Medical Colleges) makes it vital that physicians utilize professional and accurate medical billing and coding services. The various software that we provide in addition to the value added services mentioned above ensures that physicians are capable of keeping up-to-date with the healthcare IT sector reforms and improvements. Some of the medical coding and billing software that our billers have experience on include Medisoft, Misys Tiger, Eclinicalworks, Advance MD, GE Centricity, and Altapoint.
The most common challenges faced by physicians in big cities such as San Jose and Los Angeles are underperforming accounts receivables or collections and claims denial. Both these situations along with other errors may lead to decreased revenue. Our billers provide the solutions to these problems by making the denial management efficient and offering services such as integrated medical billing with EMR along with numerous other value-added services like sending patient statements and processing refunds to Medicare in order to preserve your practice from RAC audits.
As a physician in California, it becomes difficult to keep track of all the changes taking place in the legislation related to your practice. This is where the expertise and experience of our medical billing specialists can be of immense help. It almost seems that payers are in the business of claim denial and can afford to make mistakes at your expense. Although the new HIPAA guidelines would ensure a smoother process, the amount of patient-doctor encounters would increase in the future making it difficult to extract time for coding, billing, claim denial and compliance with HIPAA regulations. Specialized medical billers and coders such as ours can ensure that your practice not only flourishes but is also HIPAA compliant.
Assigning appropriate modifiers to diverse situational procedures and reporting them in time units (in minutes) has been core to our policy of unique value propositions in Anesthesiology billing management. Consider the following list of modifiers scrupulously applied to diverse procedures that determine whether the procedure was personally performed, medically directed, or medically supervised.
| Modifiers | Procedures |
| AA | Services personally performed by the provider |
| AD | Medical supervision by a physician; more than four concurrent units of administration |
| G8 | Monitored administration |
| G9 | MAC for at-risk patient |
| QK | Medical direction of two, three or four concurrent procedures involving qualified individuals |
| QS | Monitored administration |
| QX | CRNA service with medical direction by a physician |
| QY | Medical direction of one CRNA by a physician |
| QZ | CRNA service without medical direction by a physician |
With the sole objective of achieving maximum claim reimbursement, our Anesthesiology billing services specialists set themselves high standards in professional efficiency. Having to meet high expectancy level amidst stringent coding and billing system, our professionals continually upgrade their competence to match ‘best practices in medical coding and billing’ physician services.
Engaging our Anesthesiology billing and coding professionals’ services – capable of delivering the following manifold benefits to your anesthesiology practice – is indeed a prudent decision to maximize you claim-reimbursement, and clinical efficiency:
It is natural that our Anesthesiology billing management – which prides on the following set of highest qualifications and expertise: American Association of Professional Coders (AAPC) certified; expertise on advanced billing and coding software; experience in application of standard Current Procedural Terminology (CPT), HCPCS procedure and supply codes, and ICD-CM coding as per CMS guidelines for successful management of billing and coding of diverse procedures; and successful track-record of processing diverse medical bills with the leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid – will propel your reimbursement rate to an all-time high.
