Going by the recent statistical result 208 million visits to family physicians each year the relevance of family medicine to the U.S. health care system had never been more pronounced. Family Physicians delivering a range of acute, chronic and preventive medical care services have a patient base unmatched by any other medical specialty. Family Medicine enormous reach entails judicious billing and coding for optimum reimbursement of medical bills, absence of which will adversely impact physicians revenues and medical efficiency, and the healthcare system at large.
Fortunately, Family Physicians can fall back on qualified and experienced billers and coders – certified by AAPC (American Academy of Professional Coders), well versed in ICD-9, CPT and HCPCS coding based on CMS and AMA guidelines, and HIPAA privacy compliance– to mitigate such an adverse scenario. Our billers and coders, who fit the bill, have been favorites of a majority of leading Family Physicians, clinics, diagnostic centers, and hospitals.
Did you know?
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Family Practitioners using consultation CPT Codes 90241 to 99248, will be accepted by commercial payers but not be accepted by Medicare; hence Family Practitioners engaging Medicare Patients should be aware of this fact to avoid denials.
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Family Practitioners providing an office visit take a decision of surgery on the same day; need to use modifier 57 for the decision of surgery in order to be reimbursed.
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E&M Modifiers 24, 25 and 57 if used accurately provide 100% reimbursement- to Family Practitioners providing any additional service to patients along with an office visit. Hence Family Practitioners can benefit with maximum reimbursements; by making optimal use of these modifiers.
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
MBC experts in Michigan are committed to strengthening the growth of your clinic by providing experienced and well-trained medical billing resources. Michigan, one of the states with some of the best medical billing and coding schools, ensures that our MBC billers and coders are equipped with extensive knowledge to meet your billing needs.
Our billing and coding team also has 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 are minimized.
With over 25 years of experience, our MBC coding specialists offer expertise in a wide range of services, including:
- 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
- Persistent insurance follow-up and provider enrollment support
- 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 lead to an increase in doctor-patient encounters. As steps are taken to provide insurance to the majority of the population, our MBC billers and coders 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.
Our billers are compliant with HIPAA guidelines and continuously stay 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.
With MBC as your partner, Michigan healthcare providers can count on optimized revenue cycles, ensuring financial stability and uninterrupted patient care.
Ideally Phasing Family Medicine Medical Reimbursement Cycle
Traversing the comprehensive procedures involved in billing and coding, our Family Medicine reimbursement experts have been known for their ideal phasing of reimbursement process into:
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Primary Phase
Patient enrolling, insurance verification and authorization are carried out.
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Secondary Phase
Billing Family Physicians’ diverse services are translated into honest bills using advanced medical billing softwares like EHR Software: NextGen Healthcare, Epic, Cerner, AthenaOne, NueMD, TherapyNotes, DrChrono, eClinicalWorks, Allscripts, Athenahealth, Practice Fusion, TherapyNotes etc.
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Tertiary Phase
Family Medicine billing and coding experts translate aptly billed diverse services – acute, chronic and preventive medical care services; diagnosis and treatment of internal illness, preventive care, including routine checkups, health-risk assessments, immunization and screening tests; personalized counseling on maintaining a healthy lifestyle; treatment of chronic illness, often in coordination with other subspecialists; and prenatal care services – into complying codes (as per AMA and CMS guidelines)for error-free, denial-free, and optimum reimbursement of Family Physicians’ Medical bills.
There has also been diligent application of suitable modifiers to mitigate undesirable return of claimsform insurance carriers. Consequently, there has been a successful track-record of processing Family Medicine bills with the leading private insurance carriers such as Unitedhealth, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid as well.
MBC Objective
With the sole objective of achieving maximum end-to-end Family Medicine services claim reimbursement, our Family Medicine Coding and Billing Specialists set themselves high standards in professional efficiency. Having to meet the Family Medicine Practitioners’ expectancy level amidst stringent coding and billing system, our professionals continually upgrade their competence to match ‘best practices in medical coding and billing’ for Family Medicine services.
Family Medicine physicians who opted for outsourcing their medical billing with our efficient billing and coding services, have stood to gain in terms of revenues, patient influx and referrals, and benchmarking their medical efficiency.
