There is hardly any medical specialization that can function without a full-fledged Clinical Pathology. As it is a precursor to all medical procedures,it is the foundation on which diverse medical specialties function. Specific to each of the diverse medical specialties, there are as many dedicated divisions such as general, anatomical, clinical, dermato, hemato, oral and maxillofacial, forensic, psycho, molecular pathology, and many more.
Why do you Need to Outsource your Pathology Medical Billing?
Pathologists, having to consistently keep the highest level of clinical efficiency, have often reported the medical billing part as cumbersome and detrimental to their clinical efficiency. With the internal medical billing failing to deliver the desired results despite substantial investments on resource mobilization, outsourcing seems to be the only way out.
Making their search easier, Medicalbillersandcoders.com the largest consortium of medical billers in the US has strategically spread its medical billing across all the 50 states in the US. With easy accessibility to expert medical billing services, practitioners are beginning to realize the benefits of forging alliance with our billing professionals. Amongst notable benefits, achieving billing, coding, and claim submission in congruence with the compliant standards stands out as the most significant.
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:
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Tracking and follow-up on unpaid claims
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Preparing Patient statements and payment posting
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Customizing billing reports for better control
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Primary and secondary insurance claims filing
Expert Medical Billing Services in California
Managing a medical practice in California presents unique challenges. However, a Top medical billing Company in major cities like Los Angeles, San Diego, San Jose, San Francisco, and Fresno helps physicians have smooth billing operations.
Skilled Medical Billing and Coding Service Provider specializing 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
Medical Billers and coders (MBC) offer an extensive range of services designed to optimize operations for healthcare providers, including:
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Tracking and follow-up on unpaid claims
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Electronic and paper claim submissions
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Payment and adjustment posting
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Primary and secondary insurance claims filing
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Customizing billing reports for better control
With expertise in accurate coding, detailed code audits, and consistent insurance follow-ups, we help mitigate 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 coding specialists ensure practices remain compliant with HIPAA regulations, addressing:
Expert medical Billing and Coding Service Providers in California ensure compliance with state and federal regulations, improve collections by up to 20%, reduce costs, and optimize operations. By outsourcing to MBC, practices can focus on patient care while achieving steady growth and higher profitability.
Value Our California Billers Bring:
Medical Billers and Coders are not limited to the big cities such as Fresno, San Francisco, and San Diego but also all other smaller cities and towns in California. Moreover, our billers comply with HIPAA guidelines and are updated with all industry updates through medical billers and coding. This ensures your practice is run in the most efficient and legally safe conditions. Our Billing specialists also ensure that your patients are hassle-free and that 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 enrolment support, and standardized reporting.
Our Specialties:
Medical Billers and Coders (MBC) is committed to improving your productivity by utilizing the finest processes and healthcare 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 including Family Practice, mental health, pain management, Physical Therapy, Radiology, Internal Medicine, Neurology, Orthopedics, and numerous other areas.
Our Software Experience:
According to the AAMC (Association of American Medical Colleges), the physician shortage will quadruple in the next decade, so physicians must utilize professional and accurate medical billing and coding services. The various software we provide and the value-added services mentioned above ensure that physicians can keep up-to-date with healthcare IT sector reforms and improvements. Some of the medical coding and billing software our billers have experience with include Medisoft, Misys Tiger, eClinicalWorks, Advance MD, GE Centricity, and Altapoint.
Difficulties & Challenges California Physicians Face:
The most common challenges physicians face in big cities such as San Jose and Los Angeles are underperforming accounts receivables or collections and claims denial. These situations, along with other errors, may lead to decreased revenue. Our billers solve these problems by making denial management efficient and offering services such as integrated medical billing with EMR. They also offer numerous other value-added services like sending patient statements and processing refunds to Medicare, to preserve your practice from RAC audits.
As a physician in California, tracking all the legislation-related changes to your practice becomes difficult. This is where the expertise and experience of our medical billing specialists can be of immense help. 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 number of patient-doctor encounters would increase, making it difficult to extract time for coding, billing, claim denial, and compliance with HIPAA regulations. Specialized medical billers and coders like ours can ensure that your practice flourishes and is HIPAA compliant.
Extensive Coverage of Pathology Procedures
Combining suitable CPT codes for various pathology procedures: cyto - 88104 cyto - 88141,cytopathology - 88142, diagnosis - 88172, 88173, flow cytometry - 88180, flow cytometry - 88182, level 1 surgical - 88300, level 2 surgical - 88302, level 3 surgical - 88304, level 4 surgical - 88305, level 5 surgical - 88307, level 6 surgical - 88309, decalcification procedure - 88311, special stains - 88312, consultation during surgery - 88329, frozen section - 88331, frozen section with each additional tissue block - 88332, DNA ploidy - 88358, tumor immunohistochemistry - 88161, genetic probes - 88165, etc. with amicable modifiers for ensuring claims adjudication to the correct percentage for the component billed, our medical billing services facilitate preparation of claim sheets conforming to the best practices in medical claim submission.
Combination of qualification and experience
MBC’s medical billing professionals, known for their ability to ensure pathology billing, coding, and claim submission in congruence with the compliant standards for medical claim submission, are adequately qualified and experienced.
Here is quick glance of our affiliates’ credentials:
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Certification from The American Association of Professional Coders (AAPC)
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Familiar with medical billing softwares like EHR Software: NextGen Healthcare, Epic, Cerner, AthenaOne, NueMD, TherapyNotes, DrChrono, eClinicalWorks, Allscripts, Athenahealth, Practice Fusion, TherapyNotes etc.
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Trained on coding software.
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Being able to apply standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding as per CMS guidelines.
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Successful track-record of processing Allergy and Immunology medical bills with leading commercial carriers such as United health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, etc.
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Ability to negotiate successfully with Medicare and state-specific Medicaid policies.
With a streamlined billing management cycle in practice patient enrollment, insurance enrollment, scheduling, insurance verification, insurance authorizations, charge entry, coding, billing and reconciling of accounts, denial management & appeals and physician credentialing –you can expect your medical bills to be easily processed with a portfolio of leading private insurance carriers as well as public healthcare schemes.
Thus, when you avail our comprehensive medical billing management services, you can expect to drastically minimize operating cost and maximize revenue through delay-free and denial-free reimbursement of medical claims. Combining successful-track record with a proactive outlook to the ensuing ICD-10 compliant coding and reporting, our specialist pathology medical billing services are poised to play a significant role in a healthcare environment that is perennially prone to radical reforms adversely impacting practitioners.
