Although plastic surgery is generally indentified as a looks enhancement medical procedure, in many cases it’s done to address genuine health concerns. And often a singular treatment episode may include both: measures to address health concerns (reconstruction) and improve looks (cosmetic). This tangled nature of plastic surgeries often presents a considerable challenge to patients and surgeons as surgeries done purely for cosmetic purposes are not covered under insurance while the ones performed to address genuine health issues are.
This leads to incorrect verification of insurance entitlement often leading to time spent on preparing claims for surgeries that don’t enjoy insurance eligibility or oversight of components of a surgical treatment that come under insurance coverage. Both instances affect the revenues of the plastic surgeon or the clinic of which he/she is a part.
In today’s healthcare environment, running a medical practice poses many hurdles. Our medical billers in Kansas can help you overcome many of those with significant reduction in the number of denied claims as well as delayed reimbursements.
They help physicians in receiving faster revenue with the submission of clean claims. They have been successful in delivering the best medical billing solutions and services in almost all major cities in Kansas like Wichita, Overland Park, Kansas City, Topeka and Olathe. Our medical billers and coders focus on maximizing your practice revenue and increasing your profit with the help of these following services:
-
Accounting Data coordination and review
-
A/R management
-
Charge entry and claims submission
-
Payment posting
-
Follow up on denied claims
-
Efficient Patient query handling
Comprehensive Medical Billing Services in Kansas
In today’s healthcare environment, running a medical practice poses many hurdles. MBC medical billers in Kansas can help you overcome these challenges, significantly reducing the number of denied claims and delayed reimbursements. They assist physicians in receiving faster revenue by ensuring the submission of clean claims.
We have 25 years of experience serving major cities like Wichita, Overland Park, Kansas City, Topeka, and Olathe. Our MBC experts focus on maximizing your practice's revenue and boosting profits. The key services we provide include:
- Accounting data coordination and review
- A/R management
- Charge entry and claims submission
- Payment posting
- Follow-up on denied claims
- Efficient patient query handling
Medical Coding Specialists in Kansas Boosting Practice Revenue
MBC billers and coders are trained to handle the complexities of billing for various specialties, ensuring accurate claims the first time. They are well-versed in popular medical billing software used by physician practices, enabling them to manage claims effectively. By focusing on clean claims, our team eliminates the need for re-filing, speeds up the claims process, and recovers maximum benefits for your practice.
Our billers and coders are well-versed in Kansa’s medical billing regulations, which they have perfected through years of experience. They utilize their expertise to help your practice collect more revenue and ensure timely reimbursements. Outsourcing your medical billing can improve collections significantly, optimize your costs, and increase profitability.
By relying on accurate coding, code audits, and timely insurance follow-ups, our experts guarantee higher profitability. With proficiency in various billing software and certifications, we ensure steady growth for your practice. MBC contributes to federal efforts to reduce healthcare costs.
Outsourcing to MBC:
MBC’s medical billing and coding services cover the entire range of insurance-claim-related requirements for plastic surgery, starting from eligibility verification of the patient to claim submission and post submission follow-ups. With years of experience in dealing with plastic surgery cases in particular and insurance claim preparation and submission in general, our medical billers and coders understand the nature of your organization, its size and scale and bring to you an approach that’s customized to your specific needs. It helps you meet your administrative and technical responsibilities involved in claim preparation and submission and improve your finances.
MBC delivers this both through a consulting model where it helps you to streamline your revenue management cycle by recommending appropriate software applications, helping plug sources of revenue leakages and trainings where required, and also outsource your entire billing and coding responsibilities to MBC.
Some of the popular procedures that our billers and coders recommend could be problem areas in your revenue leakage:
Breast Reconstruction :
Although a type of plastic surgery, it is for the most part a complex reconstructive or health-related procedure, where, if the attendant health risks are not adequately addressed, the patient would go through long suffering and be faced with serious health hazards. This being the nature of the surgery, it often presents the physician with the challenge of separating the parts of the procedure that are covered by Medicaid and the parts that aren’t. Our medical billers are coders are adept in handling these complexities and helping you prepare an air-tight claim with minimal chances of denial.
Palatoplasty :
A surgery to repair cleft palate, this procedure involves parts that are not purely cosmetic but reconstructive presenting the challenge to physicians or clinicians to identify such parts of the procedure as would be eligible for insurance reimbursement. Our medical billers are coders are skilled in helping you conclusively separate the parts of the procedure that have reconstructive character and therefore insurance eligibility from parts that don’t.
Blepharoplasty :
A procedure to correct hooded eyelids, even though it’s cosmetic in nature, it is a surgical correction of a defect with the potential to damage a body part – the eye – and therefore reconstructive in parts at least. We help you identify the reconstructive areas of the procedure to ensure you are reimbursed for them.
Rhinoplasty (nose job):
It involves correction of a part of the nose that, if not properly aligned, can affect the functioning of the nose. However, as Rhinoplasty is broadly cosmetic in nature, physicians often overlook this reconstructive element which is eligible for reimbursement.
MBC’s billing and coding professionals have helped health care providers involved in plastic surgery bring down their insurance denial rates substantially leading to timely payment of their services and optimal use of their staff either by helping them to focus solely on healthcare or by providing consultancy services so that they handle their revenue management responsibilities more effectively with the help of appropriate software applications and smoother and easy-to-follow processes.
MBC will help you perform the perfect plastic surgery by taking over what MBC does best so that you have to only do what you do best – surgery.
