Family Practice Billing Services in California, CA

Going by the recent statistical result 208 million visits to family physicians each year the relevance of family medicine to the U.S. health care system had never been more pronounced. Family Physicians delivering a range of acute, chronic and preventive medical care services have a patient base unmatched by any other medical specialty. Family Medicine enormous reach entails judicious billing and coding for optimum reimbursement of medical bills, absence of which will adversely impact physicians revenues and medical efficiency, and the healthcare system at large.

Fortunately, Family Physicians can fall back on qualified and experienced billers and coders – certified by AAPC (American Academy of Professional Coders), well versed in ICD-9, CPT and HCPCS coding based on CMS and AMA guidelines, and HIPAA privacy compliance– to mitigate such an adverse scenario. Our billers and coders, who fit the bill, have been favorites of a majority of leading Family Physicians, clinics, diagnostic centers, and hospitals.

Did you know?

  • Family Practitioners using consultation CPT Codes 90241 to 99248, will be accepted by commercial payers but not be accepted by Medicare; hence Family Practitioners engaging Medicare Patients should be aware of this fact to avoid denials.
  • Family Practitioners providing an office visit take a decision of surgery on the same day; need to use modifier 57 for the decision of surgery in order to be reimbursed.
  • E&M Modifiers 24, 25 and 57 if used accurately provide 100% reimbursement- to Family Practitioners providing any additional service to patients along with an office visit. Hence Family Practitioners can benefit with maximum reimbursements; by making optimal use of these modifiers.

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:

  • Tracking and follow-up on unpaid claims
  • Preparing Patient statements and payment posting
  • Customizing billing reports for better control
  • Primary and secondary insurance claims filing

Expert Medical Billing Services in California

Managing a medical practice in California comes with its unique challenges. However, the presence of MBC medical billing services in California, in major cities like Los Angeles, San Diego, San Jose, San Francisco, and Fresno , helps the physicians to have smooth billing operations.

Our skilled billers and coders specialize in streamlining revenue cycles, ensuring accurate data entry, coding, and payment review, and maximizing clean claims for faster reimbursements. MBC is your partner for financial growth, focused on optimizing your cash flows and alleviating your administrative burden.

Comprehensive Billing Services by MBC Experts

Our MBC billers and coders offer an extensive range of services designed to optimize operations for healthcare providers, including:

  • Tracking and follow-up on unpaid claims
  • Electronic and paper claim submissions
  • Payment and adjustment posting
  • Primary and secondary insurance claims filing
  • Customizing billing reports for better control

With expertise in accurate coding, detailed code audits, and consistent insurance follow-ups, we help mitigate issues like underperforming accounts receivables, collections, and claims denials that frequently affect practices in cities like San Jose and Los Angeles.

Physicians in California face evolving legislation, payer denials, and increasing patient-doctor encounters, making billing and coding a difficult task. Our MBC coding specialists ensure practices remain compliant with HIPAA regulations, addressing:

  • Claims denial management
  • RAC audit protection
  • Revenue cycle optimization
  • Patient statement services and patient-centric support

MBC's expert billers and coders in California ensure compliance with state and federal regulations, improving collections by up to 20%, reducing costs, and optimizing operations. By outsourcing to MBC, practices can focus on patient care while achieving steady growth and higher profitability.

Ideally Phasing Family Medicine Medical Reimbursement Cycle

Traversing the comprehensive procedures involved in billing and coding, our Family Medicine reimbursement experts have been known for their ideal phasing of reimbursement process into:

  • Primary Phase 
    Patient enrolling, insurance verification and authorization are carried out.  
  • Secondary Phase 
    Billing Family Physicians’ diverse services are translated into honest bills using advanced medical billing softwares like EHR Software: NextGen Healthcare, Epic, Cerner, AthenaOne, NueMD, TherapyNotes, DrChrono, eClinicalWorks, Allscripts, Athenahealth, Practice Fusion, TherapyNotes etc.  
  • Tertiary Phase 
    Family Medicine billing and coding experts translate aptly billed diverse services – acute, chronic and preventive medical care services; diagnosis and treatment of internal illness, preventive care, including routine checkups, health-risk assessments, immunization and screening tests; personalized counseling on maintaining a healthy lifestyle; treatment of chronic illness, often in coordination with other subspecialists; and prenatal care services – into complying codes (as per AMA and CMS guidelines)for error-free, denial-free, and optimum reimbursement of Family Physicians’ Medical bills.

There has also been diligent application of suitable modifiers to mitigate undesirable return of claimsform insurance carriers. Consequently, there has been a successful track-record of processing Family Medicine bills with the leading private insurance carriers such as Unitedhealth, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid as well.

MBC Objective

With the sole objective of achieving maximum end-to-end Family Medicine services claim reimbursement, our Family Medicine Coding and Billing Specialists set themselves high standards in professional efficiency. Having to meet the Family Medicine Practitioners’ expectancy level amidst stringent coding and billing system, our professionals continually upgrade their competence to match ‘best practices in medical coding and billing’ for Family Medicine services.

Family Medicine physicians who opted for outsourcing their medical billing with our efficient billing and coding services, have stood to gain in terms of revenues, patient influx and referrals, and benchmarking their medical efficiency.

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