There are 300 kinds of services provided under Emergency Room (ER) services and a few of them are entitled to insurance reimbursement. Each procedure code has a distinct set of criteria and unless the care provider properly establishes with documentation that an emergency treatment episode meets all of them, it leads to claim rejection. Also in relation with emergency medicine, EMTALA which governs emergency services in the US mandates that emergency services be available to all regardless of ability to pay or insurance coverage.
This leaves care providers and hospitals to deal with not just an increased number of patients but also procedural complications like accurately identifying which services are eligible for reimbursement, documenting such treatment episodes accurately, and preparing and submitting claims.
Our Iowa medical billers with an experience of more than 10 years in practice management have successfully converted medical procedure into revenues for physicians across Des Moines, Cedar Rapids, Davenport, Sioux City and Iowa City. They have been able to suggest cost cutting strategies and increasing revenues. They are a skilled billers who can get themselves familiar with any specialty or software your practice uses. Our medical billers and coders bill for multiple specialties and also provide a wide range of services.
Some of the functions of medical Billing in which they have shown their expertise are:
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Electronic submission of claims
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Regular follow up on claims
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Mailing patient invoices and statements
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Customized monthly financial reports
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Efficient Denial management
Comprehensive Medical Billing Services in Iowa
MBC medical billers in Iowa have over 25 years of experience in practice management. We successfully have helped manage revenues for physicians in cities like Des Moines, Cedar Rapids, Davenport, Sioux City, and Iowa City. Our team is highly adaptable, and capable of mastering any specialty or software your practice uses.
Our skilled MBC billers and coders cater to multiple specialties, offering a comprehensive range of services to enhance your practice’s revenue cycle.
Some of the key functions they specialize in include:
- Electronic submission of claims
- Regular follow-up on claims
- Mailing patient invoices and statements
- Customized monthly financial reports
- Efficient denial management
Maximizing Cash Flow & Revenue for Iowa Medical Practices
As Iowa has one of the lowest numbers of physicians per 100,000 people, physicians' time is a precious asset. MBC experts understand this and ensure that physicians can focus on patient care while being confident their collections are being handled efficiently. Our billers track fee schedules, reimbursement policies, and state regulations, keeping physicians informed about any changes that could impact their revenue cycle.
Our MBC billers in Iowa specialize in adhering to state regulations and have expertise through years of refining medical billing practices, which helps your practice collect more revenue. Outsourcing your medical billing can improve your collections significantly, reduce costs, and enhance profitability.
With accurate coding, detailed code audits, and timely insurance follow-ups, our billers ensure steady growth for your practice. Additionally, our proficiency in various billing software and certifications supports the optimization of your operations.
It requires trained skills and understanding to meet all the requirements, especially because all these activities are not as straight forward as other specialties. For example, identifying which ER services are eligible for insurance requires medical understanding along with knowledge about necessary regulations.
Outsourcing to MBC
At MBC, we have medical billers and coders who have the right degree of sophistication to handle the complexities of ER billing. They can help you with the entire range of activities involved in an emergency medicine billing procedure, starting from accurately identifying the cases that are entitled to reimbursement and their procedure codes through documenting their qualifying criteria to preparing their claims and submitting them.
Apart from a theoretical and practical understanding of EMTALA, its implications and procedural necessities, our billing professionals’ years of experience in varied healthcare environments gives them an additional advantage; they appreciate the fact that ER service is but a part of a large treatment cycle where the activities are performed, whether administering a treatment or documenting it – form the basis of the entire administrative and medical episode, particularly in a big hospital that combines emergency as well as surgical services. This appreciation helps our emergency medicine billers and coders to function such that facilitates the advanced stages of a treatment procedure, in terms of documentation and other procedural matters.
Via MBC’s flexible emergency billing and coding services, you can choose the service model that suits you and your organization best. Our revenue cycle management (RCM) services will help you:
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Tighten your revenue management process by replacing obsolete software applications by appropriate applications that suit your needs and smoothens the process of electronic transfer of data mandated by HIPAA
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Streamlining your existing process by trimming out rambling procedures and processes and spotting gaps of revenue leakage and identifying training needs
By opting for MBC’s outsourced billing and coding services, you can completely ship out your administration responsibilities to us and solely concentrate on health care.
