Pharmacy Billing Services in Colorado, CO

Pharmacy is an integral part of healthcare, and, just like other disciplines of healthcare, it also poses certain billing challenges that may often be difficult to manage internally. Moreover, because certain drugs are excluded from insurance coverage and only a few injections and adjuvant therapies allowed, it may require experts to judge the efficacy either including or excluding the drugs during billing.

To complicate matters further, pharmacy related reimbursements require multiple levels of data handling and follow-ups as in most cases. Although it is a separate set of medical service and provided from a separate facility, claims are prepared and submitted together by hospitals or nursing homes either because they come later in the care chain or because it forms a small part of the care services hospitals provide. This joint-claim preparation and submission leads to greater potential for inaccurate Data handling and denied claims.

Colorado is where we have a set of dedicated Medical Billing professionals with over 10 years and offer extensive knowledge across all specialties

Denver, Colorado Springs, Aurora, Lakewood and Fort Collins are some of the cities where our expert billers and coders have provided expert medical billing services with the latest state-of-the-art practice management software. There skills across the following services have benefitted physicians in Colorado in reducing costs and maintaining profitability:

• Claims submitted electronically on a daily basis for faster turn around
• Generating patient statements
• Complete setup of patient accounts
• Specialized soft collection services
• Customized as well as accurate monthly reports

Comprehensive Medical Billing Services in Colorado

MBC’s skilled billers and coders provide top-notch medical billing services in Colorado across major cities like Denver, Colorado Springs, Aurora, Lakewood, and Fort Collins.  We have over a decade of expertise and are equipped with advanced practice management software.  Our experts ensure streamlined billing processes that enhance profitability and reduce costs.

MBC’s Core Services Include:

• Electronic claim submission for faster turnaround.
• Generating patient statements and maintaining accurate monthly reports.
• Comprehensive setup of patient accounts and specialized soft collection services.
• Expertise in A/R management, credentialing, and contracting services.
• Accurate coding, code audits, and insurance follow-ups for higher payouts.

Top Billers in Colorado for Positive Practice Revenue Growth

Medical Billers and Coders, is Colorado’s leading provider of Revenue Cycle Management services. Our team has extensive knowledge of state regulations and ensures compliance with Colorado-specific laws. We actively participate in local reimbursement discussions for up-to-date practices.

MBC has the proven ability to improve collections by up to 20%, reduce overhead costs, and streamline operations. Additionally, our expert coders are proficient in various billing software ensuring efficiency and operational success.

By outsourcing to MBC coding specialists, healthcare providers in Colorado can focus on patient care while achieving steady growth and higher profitability. Our HIPAA-compliant processes, consistent follow-ups, and attention to detail guarantee optimized revenue cycles and streamlined operations.

And, even though pharmacy claims are distinct from hospital claims, they are still subject to the same HIPAA rules which may be difficult to cope with during times of resubmission for being non-compliant with privacy or security norms.

These inherent challenges require a series of admin and data related activities, starting from verification, through claim preparation to submission, to be handled with accuracy.