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.
Otolaryngology, being the specialty that is dedicated to the diagnosis and treatment of disorders associated with multiple locations ear, nose, throat, and head and neck, requires physicians to be thorough in an exhaustive list of investigative and treatment procedures that apply to ear, nose, throat, and head and neck regions. Adding to this imposing requirement, there are as many CPT codes that physicians should remember and aptly apply while submitting their medical claims with insurance carriers. With the ensuing ICD-10 system and HIPAA 5010 Version, the compliance coding and medical reporting is going to be much more demanding.
Relieving them off cumbersome task of medical billing, our Otolaryngology Billing Services have been crucial to a majority of physicians’ focus on their core-function of medical services, and operating efficiency and revenue maximization through delay-free and denial-free medical bill reimbursement.
Our medical billing services in Florida can help you to increase your revenue with the reduction in the number of denied and unpaid claims. Our billers present in all the major cities like Jacksonville, Miami, Tampa, St. Petersberg and Orlando can provide you with less paperwork and more accurate medical claims to improve the efficiency of your practice. Here are some of the services which our billers have shown their proficiency in:
Our billers in Florida have been tracking the rate of reimbursements which has been dipping in the state past a decade. They also have analyzed the solution to this dip, the answer lies in the state of Florida’s reimbursement statutes itself. These local Florida billers are the key to unlock blocked cash flows and can provide you with updated methods to improve the efficiency of your practice.
The Florida medical billing and coding services that we provide are not just limited to cities such as major cities like Jacksonville, Miami, Tampa, St. Petersberg and Orlando. They also extend to almost all other towns and smaller cities in Florida. These medical coders and billers surpass HIPAA compliance and are also trained in preferred language such as Spanish. They have been recommended in their past engagements for their medical billing administrative skills, excellent Data Entry management, along with good written and oral communication skills.
Our medical billers and coders in Florida at medicalbillersandcoders.com perform specialized tasks such as reviewing encounter forms for accuracy in ICD-10 and CPT coding, maintain records of existing billing and coverage rules, posting charges and payments to accounts, make follow up calls to insurance companies to resolve any inconsistency in payments and to patients whose accounts were past due to set up a payment plan, report to physicians regularly, offer customer support by comprehending and elucidating insurance EOBs, co-pays, co-insurance and deductibles to patients and enter and revise patient demographics.
Florida medical billing specialists can not only assist in increasing your income but also guarantee suitable reimbursement, provide medical billing and coding services in specialties including Otolaryngology, Primary Care, Optometry, Family Practice, Hospitalist Billing, Cardiology, OB Gyn, Physical Therapy, Pediatrics, Internal Medicine, and Dental.
Physician shortage would always be a problem in Florida and is not only affecting doctors but also bigger hospitals, hospices, nursing homes, nurses and resident doctors. The shortage would mean long working hours and more accurate medical coding and billing practices. However, implementation of EMRs is proving to be of immense help since most of the paperwork is diminished and doctors have real-time information about patients and other related data. Our coders and medical billers are expert in software such as Medisoft, Misys Tiger, Eclinicalworks, Advance MD, GE Centricity, and Altapoint.
One of the unique challenges that physicians and healthcare provides face in Florida is dealing with Florida Medicaid Institutional Care Program (ICP) patients. This is because Florida has a large elderly population (65 years and older) which is projected to grow nearly to 26% of the state’s total population which is the highest among all states in the US.
The fact that these elderly patients are either disabled or are fighting chronic illnesses makes them frequent visitors to physicians’ offices and various hospitals. This fact coupled with the recent health care reform would ensure that health care providers would be required to ensure accuracy and compliance with legal guidelines in order to avoid a drop in revenue or negative legal repercussions. Our medical billing specialists ensure that problems such as inadequate reimbursement due to claim denial and other related factors do not take its toll on your practice.
Our medical billers and coders at medicalbillersandcoders.com can ensure an improvement in the efficiency of your practice by employing the best methods of optimally using your EMR, their exposure of various Practice Management Systems also provides greater collections for your practice.
On the confidence of possessing requisite pre-qualifiers certificated by the American Association of Professional Coders (AAPC); proficient in using advanced medical billing softwares such as Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc., and latest coding softwares such as EncoderPro, FLashcode and CodeLink; and expert at applying standard CPT, HCPCS procedure and supply codes, and ICD-9-CM diagnosis coding as per CMS guidelines and HIPAA compliant medical coding for comprehensive orthopedic medical services our billing specialists have been able to successfully manage medical bill reimbursement for the entire gamut of Otolaryngology: Otology/Neuro-Otology, Head and Neck Surgery, Rhinology, Laryngology, and Facial Plastic and Reconstructive Surgery.
Combining apt CPT codes for diverse diagnostic and preventive Otolaryngology procedures Bendoscopic sinus surgery, non-endoscopic sinus surgery, turbinates, nasal surgery, tonsillectomy & adenoidectomy, treatment to sleep apnea, medical procedures of disorders of oral cavity, pharynx, larynx, trachea/bronchus, esophagus, salivary glands, neck, and bleeding surgery, abscess, and fractures) with appropriate modifiers (modifier-50, which indicates a similar procedure performed on both the left and right sides during the same surgical session; modifier-51, which indicates more than one surgical service performed by the same physician during the same surgical procedure; modifier-58, which is applicable to secondary thyroid surgery for malignancy; modifier-59 which indicates a procedure or service not normally done together; and modifier-79 used with debridement codes) our Otolaryngology billing advisory has been able to mitigate undesirable delay and denial of medical bill reimbursements.
Traversing a sequential order patient enrollment, scheduling, insurance verification, insurance authorizations, scheduling and re-scheduling, coding, billing and reconciling of accounts, collections, and AR collections our Otolaryngology medical billing advisory has been able to add value in terms of simplicity in submission and retrieval of documents, pre-audit on coding, real-time report generation, and application of suitable modifiers.
Consequent to such Best Practices in Otolaryngology billing management, our clients have been able to efficiently realize their claims with a portfolio of leading private insurance carriers such as United health , Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid as well.
With unblemished track-record, and ICD-10 and HIPAA 5010 Version for medical coding and reporting, Medicalbillersandcoders.comcomplete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards is well-poised to be the prescription for simplification of your revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and increased avenue for medical research and development.