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.
For years together physicians in Kentucky have been showing tremendous faith in our medical billers and coders, they have not just provided excellent medical billing skills but also provided top class medical billing consultations.
These billers based in Kentucky have kept physician requirements in the forefront and the interest of the medical practice is of prime importance to them. Our billers are spread across all major locations of this state including Louisville, Lexington, Owensboro, Bowling Green and Covington. They know their job thoroughly and implement all medical billing processes with timelines.
Their knowledge across the following will help you analyze their specialization:
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Demographic entry of patients
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Coding with CPT, ICD-9, and HCPCS
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Payment posting, manual as well as electronic
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Accounts receivables follow up
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Analysis of rejection and denials
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Tracking Fee Schedule updates
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Eligibility Verification of benefits
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Electronic and paper claims submission
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Credentialing with all carriers
Comprehensive Medical Billing Services in Kentucky
For over two and half decades, physicians in Kentucky have trusted our medical billers and coders. Our billers are known not only for their excellent medical billing skills but also for their top-tier medical billing consultations.
Our team is dedicated to meeting the unique needs of each Kentucky practice and ensuring the physician's interests remain the top priority. We are present in major cities such as Louisville, Lexington, Owensboro, Bowling Green, and Covington. Our experts are well-versed in implementing all billing processes on time.
The key services we provide include:
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Demographic entry of patients
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CPT, ICD-9, and HCPCS coding
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Payment posting (manual and electronic)
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Accounts receivables follow-up
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Analysis of rejection and denials
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Tracking fee schedule updates
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Eligibility verification of benefits
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Electronic and paper claims submission
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Credentialing with all carriers
Kentucky Medical Billing Specialists Optimize Financial Growth
With years of expertise, our billers offer cost-effective solutions for revenue cycle management. We help you analyze and resolve outstanding claims, identify and address billing errors hindering your practice's profitability, and ensure accurate claims processing and timely reimbursements.
Our billers and coders in Kentucky specialize in medical billing services aligned with state regulations, acquired through years of expertise. Outsourcing medical billing services to experts can significantly improve collections, optimize your practice’s revenue, and support federal efforts to reduce healthcare costs.
Our proficiency in accurate coding, code audits, and timely insurance follow-ups will enhance your practice's profitability. With experience in various billing software and certifications, our team ensures steady growth for your clinic, thus ensuring smooth revenue cycles and enhanced financial outcomes.
When it comes to medical billing in Kentucky, our medical billers offer cost-effective solutions for revenue cycle management, which include reviewing reports on accounts receivables in case there are existing aging outstanding claims. At the same time, they help you identify any sort of billing error that your practice may be experiencing.
Our Kentucky billers specialize in servicing medical practices according to state regulations. They have acquired their knowledge and experience through years of effort in perfecting medical billing procedures, which they now leverage to help your practice collect more revenue.
The federal government’s effort to reduce healthcare costs can only be supported by physicians in Kentucky. Optimizing costs and enhancing revenue can help. Letting a specialist handle your medical billing can help you improve collections by 20%.
Accurate Coding and code audit, along with timely insurance follow-up and account receivables, are the basis on which these billers in Kentucky guarantee higher profitability for your clinic. Their experience in various software and certification in the medical billing processes will support your practice to grow steadily.
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.
