Owing to its interdisciplinary nature – integration of knowledge in the biological, behavioral, psychological, and social sciences relevant to health and illness – Behavior Medicine physicians hardly find time to manage their medical bills filed and reimbursed efficiently.
Outsourced Excellence
Alternatively, our Behavior Medicine Billing Advisory – comprising AAPC certified medical coders, who are proficient in generating diverse behavior medicine bills on advanced software such as Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc., and applying specific CPT, ICD-10, & HCPCS; complying with HIPAA privacy norms; and processing the prepared bills with leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid as well – has been able fill in the void successfully, and ensure greater revenue generation for Behavior Medicine physicians, patient inflow and referrals, and medical efficiency.
Our medical billers in Michigan can specifically customize their billing processes to meet your requirements. We have a reach in almost all the major cities of Michigan such as Detroit, Grand Rapids, Warren, Sterling Heights and Flint.
It has always been the goal of our medical billers and coders to provide better Medical Billing Services which exceed your expectations. They can provide you with a platform for electronic medical billing and also suggest easy to use software. Installing a Practice Management Software and help you set up your workflow so that you can keep a track of your billing. Some of the services which they specialize in are:
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Patient demographics entry and insurance verification
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Account receivables management
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Physician credentialing where required
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Customized reports on revenue collections
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Code audits for ethically maximizing revenues
Comprehensive Medical Billing Services in Michigan
Medical billers and Coders (MBC) in Michigan are committed to strengthening your clinic's growth by providing experienced and well-trained medical billing and coding resources. The healthcare professionals in Michigan ensure that its billers and coders have the extensive knowledge needed to meet your billing needs.
Our billing and coding team also has solid relationships with key insurance payers, such as BCBS, United Health, Workers Comp, and government payers across Michigan. These daily interactions with payers minimize claims management delays or errors.
With over 25 years of experience, our medical coding specialists offer expertise in a wide range of services, including:
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Past Due Collections
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Electronic medical claim filing
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Medicare Audit Protection
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Coding and diagnosis analysis for the highest permissible reimbursement
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Custom-made accounts receivable reports
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Revenue cycle financial analysis
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Electronic claims submissions
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Patient statements and patient-centric support
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Denials management and payment posting
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Persistent insurance follow-up and provider enrollment support
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Standardized reporting
Building Financial Health for Michigan’s Medical Practices
Michigan's healthcare system faces challenges like a lack of adequate nursing home care and chronic care measures, which may increase doctor-patient encounters. As steps are taken to provide insurance to the majority of the population, Medical billers and coders (MBC) serve not only Detroit, Grand Rapids, Warren, Sterling Heights, and Flint, but also counties, smaller cities, and towns throughout Michigan, ensuring that all your billing needs are met across the state.
MBC is compliant with HIPAA guidelines and continuously stays updated on industry changes. Additionally, we work with Practice Management Software and various EMR software to optimize your revenue cycle, including Medisoft, Misys Tiger, Eclinicalworks, Advance MD, GE Centricity, and Altapoint.
Being the Best Medical Billing Company in Michigan, Michigan Healthcare Providers can count on optimized revenue cycles, ensuring financial stability and uninterrupted patient care.
We can help you focus on patient care in your practice rather than on paperwork or your administrative staff. They can also guarantee you constant cash flow without leaves or downtime.
Our billers and coders in Michigan, one of the states with the best medical billing and coding schools, aim to provide you with experienced and well-trained resources to strengthen your clinic's growth process. These medical billers and coders are experienced and trained in numerous areas, such as denial management, medical claims processing, medical collection, and medical claims examination.
Value Our Michigan Billers Bring:
We are experienced in insurance collections which can be a tedious job for someone who lacks experience in this area. They also understand how critical timely insurance collections are for the physician as well as the patient. Our medical coders and billers at medicalbillersandcoders.com also have solid relationships with key insurance payers, like BCBS, United Health, Workers Comp and government payers across Michigan. These daily interactions with payers ensure that delays or errors in claims management can be avoided.
The skill of our billers is enormous and includes but is not limited to Past Due Collections, Electronic Medical claim filing, Medicare Audit Protection, coding and diagnosis analysis for the highest permissible reimbursement, custom-made accounts receivable reports, revenue cycle financial analysis, electronic claims submissions, patient statements and patient-centric support, denials management and payment posting, committed and persistent insurance follow-up, provider enrolment support, and standardized reporting. Moreover, our billers are compliant with HIPAA guidelines and are updated with all industry updates.
Our Specialties:
As a Cheap Medical Billing Service Provider, we have experience in various areas of specialization, such as Physical Therapy, neurology, occupational health, Family Practice, OB-GYN, Hospital Billing, and numerous others. This in-depth knowledge makes them ideal for catering to your requirement for medical coders and billers who can perform in almost every specialized area of medicine. Their experience and relationships across various payers help your clinic collect better revenues.
Our Software Experience:
These billers and coders are also proficient in using various EMR software and can ensure a paperless and quick revenue cycle management. Some of the EMR software that our medical billers and coders are proficient in include Medisoft, Misys Tiger, eClinicalWorks, Advance MD, GE Centricity, and Altapoint. Because of the accuracy and professionalism of our billers and coders, these software ensure quick reimbursement for the services that you provide, a paperless environment, and increased revenue.
Problems & Challenges Michigan Physicians Face:
Michigan is one of the better-ranked states in the United States as far as health care is concerned but some problems such as lack of adequate nursing home care and lack of chronic care measures implicate an increased number of doctor-patient encounters in the future, as steps are taken to provide insurance to the majority of the population. To meet this demand for health care services, our medical billers and coders not only operate in big cities such as Detroit, Grand Rapids, Warren, Sterling Heights and Flint but also in all other counties, smaller cities, and towns in Michigan.
The most common challenges faced by physicians in big cities such as Detroit and Grand Rapids are underperforming accounts receivables or claims denial and collections. Both these situations might lead to diminished revenue. Our billers offer solutions to these problems by streamlining the denial management process and offering integrated medical billing with EMR. These Billing specialists believe in providing many other value-added services, such as sending patient statements and processing refunds to Medicare, to preserve your practice from RAC audits.
Extensive Coverage of Behavior Medicine Procedures
Our billing advisory has been able to cater to a majority of Behavior Medicine professionals comprising of psychologists, physicians, and qualified nurses by employing a comprehensive billing and coding approach that covers the whole gamut of behavior medicine procedures including:
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Biofeedback, hypnosis, and bio-behavioral therapy of physical disorders
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Aspects of occupational therapy, rehabilitation medicine, and physiatry
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Preventive medicine
Enabling Accurate and Refined Medical Billing
A thorough knowledge of the Current Procedural Terminology (CPT) coding system covering the comprehensive health and behavior assessment and intervention of medical services has been pivotal in enabling accurate and refined medical billing on our clients’ behalf. Following list of CPT codes used in coding Behavior Medicine procedures is a valid endorsement of our integrity in compliant coding system:
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CPT Codes |
Corresponding Behavior Assessment and Intervention Medical Services |
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96150 |
For initial assessment of the patient to determine the biological, psychological, and social factors affecting the patient’s physical health and any treatment problems |
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96151 |
For re-assessment of the patient to evaluate the patient’s condition and determine the need for further treatment; a re-assessment may be performed by a clinician other than the one who conducted the patient’s initial assessment |
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96152 |
For interventional service provided to an individual to modify the psychological, behavioral, cognitive, and social factors affecting the patient’s physical health and well being |
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96153 |
For interventional service provided to a group; an example is a smoking-cessation program that includes educational information, cognitive-behavioral treatment and social support |
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96154 |
To code interventional service provided to a family with the patient present |
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96155 |
To code interventional service provided to a family without the patient being present |
Infusing Modifiers for Mitigating Delay/Denial
Coupling a competent coding regimen with timely and accurate modifiers, our Behavior Medicine Billing Advisory has been able to mitigate undesirable delay/denial of its clients’ medical reimbursements. Modifier 22 for Extended Service and Modifier 52 for Reduced Service (where in the provider reduces or eliminates a portion of the service or procedure, which results in a reduction in reimbursement. The reduced service is identified by its CPT code and the addition of the modifier-52) are prime examples of Modifiers adopted in our billing management.
Multiple Benefits
The Behavior Medicine physicians, who lent preference to our billing and coding competencies – complete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards – have been able to witness simplification of revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and Increased avenue for medical research and development.