With pulmonology, which earlier used to be an associative branch of medicine, gradually evolving into a dedicated specialty for diagnosis and treatment of diseases related to chest and respiratory system, the onus on physicians too has got bigger. As a result, physicians, who do not want to risk their clinical efficiency, have no alternative but to seek recourse in professional medical billing services for seemingly complex and high-cost patient services.
How can MBC support your billing & coding?
Ideal for varied billing needs, our professional pulmonology medical billing services are built into a sequential set of system of medical billing management, comprising patient enrollment, insurance enrollment, scheduling, insurance verification, insurance authorizations, charge entry, coding, billing and reconciling of accounts, denial management & appeals, and physician credentialing. Additionally, we also support HIPAA-compliant patient privacy reporting on any EMR software of your choice for error-free medical billing, and coding culture that ensures apt coding of diagnostic and treatment procedures.
Our Tennessee medical billers and coders have been helping local healthcare professional in and around the state for many years now. They all seem to have collected their knowledge with years of practice of dealing with local payers.
They work towards eliminating your outstanding accounts receivables and make your reimbursement process seamless. They have been catering to major Tennessee cities like Memphis, Nashville, Knoxville, Chattanooga and Clarkesville and are willing to travel to your clinic anywhere in Tennessee.
These proficient billers provide customized services to meet the requirement of your practices. Some of the services our professional medical billers can help you with:
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Accurate and prompt verification of benefits
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Scheduling appointments
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Complete charge entry for claims
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Posting Payment regularly
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Electronic Claims transmitted through carriers or clearing house
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Thorough audit before transmitting claims
Specialized Medical Billing Services in Tennessee
Our specialized medical billing services in Tennessee support healthcare providers across Memphis, Nashville, Knoxville, Chattanooga, and Clarksville. We deliver comprehensive solutions including benefit verification, appointment scheduling, claims processing, and strategic payment management.
Understanding that denied claims have grown to 18% nationally, our experts implement thorough pre-transmission audits and systematic follow-up processes. Our team maintains strong relationships with local payers and insurance companies, ensuring efficient claim resolution while optimizing revenue cycles across multiple specialties, from Family Practice to Hospitalist Billing.
Tennessee Medical Billing Specialists Drive Practice Growth
Our Tennessee medical billing specialists address the state's unique challenges, particularly the growing physician shortage and increasing patient volumes. Through advanced EMR platforms like Medisoft, Eclinicalworks, and GE Centricity, we help practices streamline operations and maintain efficiency.
Our certified team combines expertise in medical terminology, coding, and HIPAA compliance with a thorough understanding of revenue cycle management. This comprehensive approach typically improves practice collections by 20% while reducing administrative burden.
By providing end-to-end billing management and regular financial oversight, we enable Tennessee healthcare providers to focus on patient care while maintaining strong financial performance across the state's diverse healthcare landscape.
MBC’s scope of billing & coding services
Our expert billers, who can diligently source the data from your electronic medical recording (EMR) systems, can undertake coding for the whole range of pulmonology medical services such as:
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94010 for expiratory spirometry only
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94060 for pre and post spirometry
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94375 for flow volume loop performed
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94150 for slow vital capacity
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94375 for flow volume loop performed
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94200 for mvv when given alone w/o a standard spirometry
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94240 for lung volumes
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94720 for diffusion study (dlco)
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94070 for multiple challenge tests
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94350 for helium equilibration time
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95831 for lung mechanics
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95070 for administration of challenge agent
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94664 for administration of bronchodilator
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94260 for thoracic gas volume,
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93720 for total body plethysmography
Suitable modifiers are also applied wherever necessary to negate undesirable audit issues, denial or delay by insurance carriers.
Value delivery to physicians & hospitals
Owing to such best practices in pulmonology medical billing management – a compliant electronic medical recording system, coding regimen conforming to CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis codes, and technology interface for billing and coding – our services attract majority of individual physicians, clinics & hospitals. We can successfully negotiate your insurance claims with Medicare, Medicare, and leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, etc.
Thus, our medical billing management – which ensures competitive advantage through medical billing report in electronic form, analyzing denied claims and making follow-ups for efficient claim realization, provision of daily, weekly and monthly pulmonary medical billing reports including ICD and CPT code analysis reports, coverage of all leading major health insurance providers, and arranging weekly meeting to discuss clients’ work status – is the prescription for maximizing clients’ collections, lower operating cost, and improving medical efficiency.
Additionally, along with the pre-qualifications for the prevailing system of medical billing management, our pulmonology medical billing specialists are pro-actively equipped to help you make a smooth transition to the ensuing ICD-10 system of coding compliance, and HIPAA 5010 compliant data privacy and security.
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