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?
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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.
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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.
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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.
Providers in Delaware are closely monitoring medical billing processes as a means to increase revenue and minimize their A/R days. Our billers in Delaware are a experienced and specialized in servicing multiple specialties and complex denials. Their presence in all major cities like Wilmington, Dover, Newark, Pike creek and Bear makes them accessible to your practice. They have acquired their knowledge and experience over the years by creating seamless medical billing processes.
They leverage their knowledge across the below functions of medical billing to increase efficiency and revenue for practices:
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Electronic claims submission and demographic entry of data
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HIPAA compliant
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Credentialing of physicians if required
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Accounts receivables management
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Generating financial reports
Comprehensive Medical Billing Services in Delaware
MBC’s skilled billers and coders have expertise in medical billing services in Delaware, providing service in cities like Wilmington, Dover, Newark, Pike Creek, and Bear. With extensive knowledge of Delaware’s state regulations and payer plans, our professionals deliver:
- Electronic claims submission and accurate demographic data entry
- HIPAA compliance and adherence to privacy guidelines
- Physician credentialing for seamless payer enrollment
- Comprehensive accounts receivable management to reduce A/R days
- Regularly generated, customized financial reports
MBC - Maximising Healthcare Revenue in Delaware
Our MBC coding specialists specialize in managing complex denials, streamlining workflows, and handling Delaware's mix of state and commercial payers. Their experience with leading medical billing software ensures smooth operations and guarantees higher profitability for practices.
By outsourcing billing to MBC experts, practices can:
- Increase collections by up to 20%
- Streamline revenue cycles with accurate coding and code audits
- Ensure consistent insurance follow-ups and reduced A/R days
- Focus more on patient care while we handle the complexities of billing
Our team’s dedication to federal cost-reduction efforts and operational excellence supports clinics in maintaining 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:
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Primary Phase
Patient enrolling, insurance verification and authorization are carried out.
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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.
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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.
