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.
Sleep disorder is a common ailment in the US with the number of people afflicted with it increasing daily and to respond to this healthcare need, there has in turn been an increase in clinics dealing with sleep disorder in all the states of the US.
However, treating sleeping disorder, which enjoys insurance coverage under Medicare, is beginning to give sleepless nights to these physicians and hospitals, because treating increasing number of people suffering from sleeping disorder means having to deal with mounting administrative responsibilities by hospitals and physicians to realize their fee via insurance claims which involves a lengthy process starting from claim preparation to submission. This not just leaves hospitals and physicians with less time for patient care but also to claim rejections leading to unrealized account receivables.
For a clinic treating sleeping disorder to run profitably, a sound revenue management system is an absolute necessity. Our medical billing and coding services account for the entire billing and coding process, starting from claim preparation through electronic claim submission to follow-ups.
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.
Seen from a reimbursement standpoint, sleep apnea is no more viewed independently but as falling under the tutelage of Obstructive Sleeping Apnea (OSA) which comes under the insurance coverage of continuous positive airway pressure devices (CPAPs). Therefore, successful claim preparation for sleep apnea involves accounting for medical and regulatory details (from preliminary diagnosis through a long cycle of treatment and recovery which involves the use or otherwise of the CPAPs device) required to establish compliance of all regulatory criteria. We cover the entire range of sleep apnea billing and coding activities available both through a consulting and outsourcing model to ensure the physician is solely occupied with curing sleep disorder of the patient without causing him any disturbance in his revenue cycle.
Being among the sleeping disorders that are covered by Medicare and whose treatment involves devices and tests under continuous positive airway pressure (CPAP), insomnia involves the use of appropriate Medicare codes and an elaborate process for preparing and submitting claims. This is where our comprehensive billing and coding services carried out by a team of specialists can help you to not just spare yourself the nonclinical activities involved in reimbursements and compliance related to insomnia but also improve your finances through reduced claim denials and optimized staff utility.
Narcolepsy is also among the sleeping disorders that come under Medicare coverage and involves an elaborate process for claim filing which includes accounting for a variety of compliance activities during diagnosis and later treatment. With an experienced team of billers and coders networked across all the states of the US, we bring an end-to-end service model for physicians and clinics treating narcolepsy which ensures accurate preparation and submission of claims, methodical follow-ups for reimbursements.
Restless legs syndrome (RLS)/Periodic limb movement disorder (PLMD)
RLS and PLMD are commonly found afflictions in the US and have recently seen a spurt due to lifestyle issues causing clinics and physicians sleeplessness not due to increase in patients but due to increasing administrative work involved in preparation and submission of claims. With our services marked by accurate coding, methodical follow-ups etc, we ensure appreciable incr ease in collection rates and other benefits that help medical care providers improve their revenue and spend more time on treating RLS and PLMD.
Similarly, we have medical billing and coding services for other disorders —including snoring, hypersomnia, sleepwalking, night-terrors, REM behavior disorder, rhythmic movement disorder, delayed sleep phase syndrome and advanced sleep phase syndrome.
Due to the lifestyle irregularities, sleep disorder clinics have been mushrooming, but the fact that for a profitable sleep disorder clinic revenue management is quintessential.
Sleep Disorder can have an exhaustive medical billing and coding process, which not just leaves hospitals and physicians with less time to spend on their patients, but also leads to claim denials due to minor errors, resulting in mounting unrealized account receivables. This requires a sound billing and coding process which will help care providers to prepare and submit claims accurately and be reimbursed timely.
We offer medical billing and coding services that account for the entire billing and coding process, starting from claim preparation through electronic claim submission to follow-ups. Our options include billing for rented and sold CPAP devices, whose involvement in treatment requires extensive and accurate documentation to establish their necessity for successful reimbursement, and other Sleep disorder specifics which give the Sleep Medicine Specialist time to attend to his patients and sleep a little as well. For Sleep Disorder Medical Billers and coders, browse through profiles in your city and state.