Family Practice Billing Services in Ohio, OH

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.

Our local medical billers and coders in Ohio have been offering billing solutions to providers and practices of all specialties and are dedicated to increase the cash flows of your practice.

The biggest advantage that these Ohio billers offer is their presence across all major cities like Columbus, Cleveland, Cincinnati, Toledo and Akron. They can offer you the best consultation to increase your revenue steadily and at the same time speed up the collection process, to reduce the account receivable days. Our medical billers display proficiency across:

  • Physician credentialing with both commercial and public payers
  • Patient demographics entry
  • Claim scrubbing and eligibility checks
  • Generating claims electronically
  • Insurance follow up and denial management
  • Account receivable management

Specialized Medical Billing Services in Ohio

Our specialized medical billing services in Ohio support healthcare providers across Columbus, Cleveland, Cincinnati, Toledo, and Akron. We deliver comprehensive revenue management solutions, from physician credentialing and patient demographics to electronic claims processing and strategic denial management.

Understanding Ohio's transition to electronic claim transmission and remittance systems, initiated by the Department of Jobs and Family Services, our team helps practices adapt to state-wide efficiency measures. MBC experts maintain current knowledge of Ohio healthcare trends, ensuring practices optimize their billing processes while meeting evolving state requirements.

Ohio Medical Billing Specialists Enhance Practice Performance

MBC’s Ohio medical billing specialists implement targeted solutions aligned with state regulations and electronic processing mandates. Through precise coding, proactive denial management, and efficient accounts receivable oversight, we help practices improve collections by 20%.

Our certified team combines advanced software expertise with proven billing strategies to streamline operations and reduce processing times. This focused approach enables healthcare providers to maintain strong financial performance while adapting to state-wide healthcare initiatives. By leveraging specialized knowledge and efficient processing systems, MBC helps Ohio medical practices achieve sustainable growth and optimal revenue cycles.

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.

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