Infograph
Billing and Coding in a nutshell- The pictorial section will help you understand the 'this and that' of billing and management. Go through the infographs for an understanding of process, in short.
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.
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 and coders stationed in New Jersey, provide physicians with the latest in reimbursement strategies and government updates in terms of healthcare industry. Their presence across all major cities such as Newark, Jersey City, Patterson, Elizabeth and Edison offer Physicians options to locate well trained Medical Billers and coders easily.
These medical billers are equipped to reduce your overhead as well as perform complex administrative tasks. Their services guarantee many advantages and can help you to:
The state of New Jersey happens to be the most densely populated and wealthiest state in United States, those are the real indicators of why healthcare is sprawling in the state. Thus, the growing need for number of physicians and a lot of medical billing specialists to support these practices is far from being fulfilled.
These Billers are well acquainted with the payers’ community in New Jersey and track major reasons for denials and plug these avenues of revenue loss first. Their detailed analysis helps you to collect more revenue as per your specialty and maintain high collections regularly.
Our New Jersey medical billers and coders also provide practice management software that ensures that physicians can keep up with the latest health care IT reforms and improvements. They are experienced in the field of patient statements processing, claims management, fee schedules evaluation, insurance collections, and the capability of establishing effective relationships with insurance companies and patients.
Our medical billing and coding team is experienced in insurance collections which can be a tiresome job for a medical biller who lacks experience in this area. They also know how vital timely insurance collections are for the doctors.
By using EMR software that is efficient, our medical billers and coders take minimal amount of time for patient statement processing which can be an increasing burden because of the growing requirement for medical services.
Medical coders and billers at medicalbillersandcoders.com also have professional relationships with key insurance companies across New Jersey so that any setback or errors in claims management can be circumvented in right in the beginning.
The services of medical coding and billing that are provided are not limited to big cities such as Newark, Jersey City, Patterson, Elizabeth and Edison but also all other counties in the state. Moreover, our coders and billers specialize in all the branches of medicine such as Optometry, chiropractic, OB Gyn, Pediatrics, oncology, urology, Family Practice and Hospitalist Billing .All the medical billers and coders at medicalbillersandcoders.com are familiar with ICD9 and CPT Coding which make them preferable choices for physicians and health care providers. Many of our medical billers and coders also offer value added services through specific services such as evaluating fee schedules, helping you prepare online super bills and diagnosing the key grounds for denials.
In New Jersey many physicians are finding it a difficult to digitize their practice and switch to EMRs which would be part of the health care reform. Our medical billers and coders are specialized and experienced in a wide range of software which offers you a choice of the most efficient and updated Medical Billers and coders trained on the latest EMR systems in the market.
These include Medisoft, Misys Tiger, Eclinicalworks, Advance MD, GE Centricity and Altapoint. These EMR would ensure that your office productivity is increased along with the efficiency of the services that you provide as a physician to your patients.
New Jersey has the highest density of population in the United States and the low rate of physicians who are starting to adopt Electronic Medical Records would mean that health care providers would be scrambling to meet the adoption deadlines.
The billing and coding services assist physicians with various EMRs and are experienced with specialized knowledge about the changes related to medical billing, coding, HIPAA guidelines, denial management, patient statement processing, claims management and ability to have long term and effective relationships with patients and insurance companies.
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:
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:
| CPT Codes | Corresponding Behavior Assessment and Intervention Medical Services |
| 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 |
| 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 |
| 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 |
| 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 |
| 96154 | To code interventional service provided to a family with the patient present |
| 96155 | To code interventional service provided to a family without the patient being present |
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.
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.
