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?
-
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.
-
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.
-
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.
For more than a decade our medical billers have been providing outstanding medical billing solutions to providers in Missouri. Currently, we have medical billers catering to practices in Jackson, Gulfport, Hattiesburg, Biloxi and Southaven.
Our highly qualified staff of medical billers is experienced in billing and successful collection of your claims. Their in-depth knowledge and expertise allows physicians to concentrate on patient care and market their practice. Some of the services, our billers are specialized in:
-
Charge entry and insurance verification
-
Accurate entry of CPT and ICD-9 patient coding
-
Accurate Payment posting
-
Follow up on primary and secondary claims
-
Collection of all aged account balances
-
Customized month report
Medical billing can be considered to be a complicated service in terms of technicality and ever changing regulations, which make it quite difficult to standardize medical billing processes. To bring about some amount of uniformity in the process of billing and coding, the Coding Standards Committee developed new coding standards which also comprise a pool of designated coding and billing professionals. Our local billers and coders in Missouri have kept been following these changes on a regular basis.
Comprehensive Medical Billing Services in Missouri
MBC billers have been providing outstanding medical billing solutions to providers across Missouri for over two decades. Our experts cater to practices in major cities like Saint Louis and Springfield.
Our highly qualified team of medical billers is experienced in successful claims collection, allowing physicians to focus on patient care and practice growth. Some of our key services include:
- Charge entry and insurance verification
- Accurate CPT and ICD-10 patient coding
- Accurate payment posting
- Follow-up on primary and secondary claims
- Collection of aged account balances
- Customized monthly reports
Missouri Medical Billing Experts Maximizing Your Practice Revenue
Medical billing can be complex due to technicalities and ever-changing regulations. MBC experts in Missouri stay updated on the latest coding standards and regulations, ensuring compliance with Medicare, Medicaid, and all commercial insurance. MBC billers specialize in streamlining paper-based and electronic billing processes, following the latest fee schedules and payment criteria.
MBC coding specialists in Missouri have years of experience to help practices optimize revenue. Outsourcing your billing can improve collections, reduce costs, and boost profitability. Accurate coding, code auditing, and timely insurance follow-ups are important to ensuring higher profitability and steady growth for your clinic. Our billers' expertise with various billing software and medical billing processes ensures your practice thrives.
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:
-
Primary Phase
Patient enrolling, insurance verification and authorization are carried out.
-
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.
-
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.
