Medical Billing for Orthopedics involves meticulous documentation and coding before, during, and after a patient’s visit. MBC’s specialized orthopedic billing and coding team understands the unique challenges faced by orthopedic practices.
Our experts are committed to evolving alongside billing reforms and technologies to reduce claim rejections and improve efficiency.
- Accurate calculation and documentation ensure smoother billing processes.
- Our team evolves with billing reforms for improved claim acceptance.
Our Illinois billers are specialized in accurate and timely filing of your claims and provide full practice management for your medical billing needs.
Our billers across Illinois in Chicago, Aurora, Rockford, Joliet and Naperville specialize in generating claims, updating payments made, analyzing pending claims and expert follow up on patient outstanding.
You can judge the level of servicing required for your clinic’s requirement by experiencing the services they provide in:
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Patient demographics
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Credentialing of physicians
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Follow up on claims and tracking
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Verification on insurance benefits for patients
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Pre-authorizations and Pre-certifications
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Insurance claims processing
Comprehensive Medical Billing Services in Illinois
Our Illinois billers are experts in accurate and timely claims filing, offering comprehensive solutions tailored to your medical billing needs. We are located across major cities like Chicago, Aurora, Rockford, Joliet, and Naperville, and specialize in:
- Generating claims
- Updating payments
- Analyzing pending claims
- Patient demographics management
- Physician credentialing
- Claims tracking and insurance verification
- Pre-authorizations and pre-certifications
- Claims processing
Illinois Medical Coding Experts Boost Revenue & Financial Growth
With extensive experience in Illinois Medicare and BCBS, our billers understand state-specific denial reasons and negotiate better rates for physicians. Our proficiency in accurate coding, detailed code audits, timely insurance follow-ups, and accounts receivable management ensures higher profitability.
Additionally, our billers stay updated with the latest regulatory changes, ensuring your practice remains compliant and efficient. By leveraging our software certifications and expertise, we help optimize your revenue cycle and ensure steady growth for your practice while supporting federal efforts to reduce healthcare costs.
Effective and streamlined coding
Special attention is given to coding so as to make billing error-free. Orthopedic practices may be required to perform numerous clinical activities: non-surgical orthopedics such as physiotherapy, chiropractic, occupational therapy, podiatry, and kinesiology; surgical orthopedics such as hand surgery, shoulder and elbow surgery, total joint reconstruction (arthroplasty), pediatric orthopedics, foot and ankle surgery, spine surgery, musculoskeletal oncology, surgical sports medicine, and orthopedic trauma.
Given the high-cost value of these procedures, it is critical to have them accurately coded so as to avoid being denied or underpaid for coding inaccuracy. Our coders, knowledgeable of the entire coding system, can ensure highest coding accuracy.
Impeccable billing and coding credentials
Our Orthopedic Billing services are driven by specialists who have an impressive repertoire of credentials. 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 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.
Improving your revenue management cycle through pertinent intervention
Traversing a sequential order patient enrollment, scheduling, insurance verification, insurance authorizations, scheduling and re-scheduling, coding, billing and reconciling of accounts our medical billing process can add value in terms of simplicity in submission and retrieval of documents, pre-audit on coding, real-time report generation, application of suitable modifiers, etc.
Thus, our Medical Billing Services complete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards is 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.
Quite expectedly, Orthopedic Physicians who have chosen to engage our billing specialists have been able to make the crucial value-additions: appreciation in practice revenues and clinical efficiency.