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.
Our billing services in Indiana have been active for several years. Our pool of expert medical billers in Indiana specialize in almost all the specialties and are available in major cities like Indianapolis, Fort Wayne, Evansville, South Bend and Gary. They have been providing expert medical billing, consultation, medical coding as well as practice management services to many of the practices located in these cities. Their expertise extends across the following service:
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Physician credentialing
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Electronic and paper claim submission
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Coding with CPT, ICD-10 and HCPCS codes
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Efficient A/R receivables management
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Customized monthly financial report
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Along with 100% HIPAA compliance
Comprehensive Medical Billing Services in Indiana
MBC billing services in Indiana have been catering to healthcare providers for several years. We offer specialized support in cities like Indianapolis, Fort Wayne, Evansville, South Bend, and Gary. Our MBC billers and coders excel in various specialties, providing services tailored to the needs of medical practices. These services include:
- Physician credentialing
- Electronic and paper claim submission
- Coding with CPT, ICD-10, and HCPCS codes
- Efficient A/R receivables management
- Customized monthly financial reports
- 100% HIPAA compliance
Top Billing Service in Indiana for Maximizing Your Financial Growth
As there are limited formal training opportunities for billers in the state of Indiana, our experts rely on extensive hands-on experience to assist clinics with software integration and practice management, ensuring efficient operations and cost reduction.
Outsourcing your billing to MBC specialists can improve collections significantly, reduce denied claims, and streamline revenue cycles. Our proficiency in accurate coding, detailed code audits, and consistent insurance follow-ups, Indiana billers practices achieve higher profitability and steady growth. Our localized expertise in state-specific regulations, along with advanced software certifications, ensures smooth compliance and maximized reimbursements.
We are also adept at analyzing reimbursement trends to help your practice adjust to changing market dynamics. Partner with MBC, to transform your billing operations into a fully compliant, seamless revenue growth machine, empowering your practice to thrive.
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.
Outsourcing Billing to MBC
MBC pharmacy medical billing and coding services would not just help you accurately discern which type of treatment comes under injectables or adjuvant therapies but also take care of the entire range of your admin activities from claim preparation thorough submission to post-submission follow-ups and audits in case of over payment by the insurer, improving your finances and leaving you with more time to spend on your core competency pharmacy dispensing.
Our services cater to all kinds: clinical, home care, and radio pharmacy services.
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Clinical
These services often come under bundled payment module, which may require handling paperwork of non-clinical nature. We take care of the entire paper trail that adds up to insurance claims in a methodical manner.
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Home Care
Involved in preparation and delivery of injectables to home-bound patients, these services being covered by Medicare Prescription Drug Improvement and Modernization (MPDIM) require you to prepare and maintain details and do data handling that is not part of your core competency and interfere with their itinerant schedule which involves extensive travelling to patients’ homes. We have an extensive network spread across all states of the US and professionals who are experienced in handling billing activities related to home care services.
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Managed Care
Similar to clinical services, these services are often operated from big hospitals and nursing homes that often realize their reimbursement through the bundled payment model. This requires maintaining non-clinical paperwork and producing reports, slicing away from the time you spend on patients and exposing them to data and procedural inaccuracies which often count against their performance as being part of these establishments. Our end-to-end billing and coding services spare you the headache of having to maintain your non-clinical paperwork letting you spend more time on drug dispensing.
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Radio
Being among the most prominent adjuvant therapy services, these services come under the insurance coverage of the Medicare Prescription Drug Improvement and Modernization Act (MPDIM) and require billing and coding assistance. Our medical and billing and coding services have helped many Radio drug service providers improve their finances through efficient data handling, bill submission and follow-ups.
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