Medical Billers and Coders Logo

Pharmacy is an integral part of healthcare, and, just like other disciplines of healthcare, it also poses certain billing challenges that may often be difficult to manage internally. Moreover, because certain drugs are excluded from insurance coverage and only a few injections and adjuvant therapies allowed, it may require experts to judge the efficacy either including or excluding the drugs during billing.

To complicate matters further, pharmacy related reimbursements require multiple levels of data handling and follow-ups as in most cases. Although it is a separate set of medical service and provided from a separate facility, claims are prepared and submitted together by hospitals or nursing homes either because they come later in the care chain or because it forms a small part of the care services hospitals provide. This joint-claim preparation and submission leads to greater potential for inaccurate Data handling and denied claims.

MBC, a medical billing company based in Texas, brings 15+ years of experience and best practices to the table. We make your revenue cycle management more cost-effective, efficient and profitable. Outsource your billing process and not the control of your processes. Physicians always search for the average cost for medical billing services in the market but we offer customized billing services plans that can be affordable to small to large scale physicians group.

Benefits of medical billing services

Error-free billing process

Our staff is experienced and well trained and have extensive knowledge of complex claim submission processes. MedicalBillersandCoders staff undergoes rigorous process training and complete the required quality and domain-driven knowledge assessment.

Accelerates Cash Flow

MBC’s outsourcing billing services allow clients to maintain a consistent cash flow and fast collection. Physicians can achieve greater economies of scale by letting us do the medical billing quickly.

Improves Patient Satisfaction

Physicians can afford to exclusively focus on patient care. MBC’s main focus lies in maximizing the client’s revenue. Our outsourced medical billing services make sure that each code gets correct reimbursement quickly, errors are identified swiftly, and denials are followed up rapidly.

Billing Compliance

We are HIPAA compliant medical billing company. We ensure that compliance is deeply integrated into all operations.

Our Medical Billing Services in Texas

The law states that the payer has to pay a clean claim within 30 days, with the option of 45 days if the claim is not submitted electronically, thus our Texas billers will be able to reduce your AR days noticeably.

Our professional billers in Texas are trained to handle all aspects of Revenue Cycle Management which especially includes denial Management and helps you recover rejected claims by appeals and resubmission of claims.

Our Billers in the state of Texas are specialized to service medical practices as per the regulations of the state government. Their knowledge and experience has been acquired by years of efforts in perfecting medical billing procedures which they now leverage to help your practice collect more revenue.

The federal government’s effort to reduce healthcare cost can only be supported by physicians in the state of Texas by optimizing costs and enhancing revenue. Letting a specialist handle your medical billing can help you improve collections by 20%.

Accurate Coding and code audit along with timely insurance follow up and account receivables are the basis on which these billers in Texas guarantee higher profitability for your clinic. Their experience in various software and certification in the medical billing processes will support your practice to grow steadily.

Some of the Medical Billing Services provided by MBC:

  • Data entry of all charges
  • Submission of electronic as well as paper claims to both primary and secondary insurers
  • Accurate ICD-10 and CPT code audits
  • Payment postings after receiving from insurance companies as well as patients
  • Excessively customized Monthly financial reports
  • Comparing payer fee schedules and updating your practice about it
  • Medical billing consulting services

MBC’s staff has extensive Medical Billing knowledge and 15+ years of experience. We can help providers and practices in and around Texas to maximize their reimbursements and minimize their costs.

Still, looking for medical billing companies in Texas?

Schedule Your Free Consultation Today

And, even though pharmacy claims are distinct from hospital claims, they are still subject to the same HIPAA rules which may be difficult to cope with during times of resubmission for being non-compliant with privacy or security norms.

These inherent challenges require a series of admin and data related activities, starting from verification, through claim preparation to submission, to be handled with accuracy.

Outsourcing Billing to MBC

MBC pharmacy medical billing and coding services would not just help you accurately discern which type of treatment comes under injectables or adjuvant therapies but also take care of the entire range of your admin activities from claim preparation thorough submission to post-submission follow-ups and audits in case of over payment by the insurer, improving your finances and leaving you with more time to spend on your core competency pharmacy dispensing.

Our services cater to all kinds: clinical, home care, and radio pharmacy services.

  • Clinical

    These services often come under bundled payment module, which may require handling paperwork of non-clinical nature. We take care of the entire paper trail that adds up to insurance claims in a methodical manner.
  • Home Care

    Involved in preparation and delivery of injectables to home-bound patients, these services being covered by Medicare Prescription Drug Improvement and Modernization (MPDIM) require you to prepare and maintain details and do data handling that is not part of your core competency and interfere with their itinerant schedule which involves extensive travelling to patients’ homes. We have an extensive network spread across all states of the US and professionals who are experienced in handling billing activities related to home care services.
  • Managed Care

    Similar to clinical services, these services are often operated from big hospitals and nursing homes that often realize their reimbursement through the bundled payment model. This requires maintaining non-clinical paperwork and producing reports, slicing away from the time you spend on patients and exposing them to data and procedural inaccuracies which often count against their performance as being part of these establishments. Our end-to-end billing and coding services spare you the headache of having to maintain your non-clinical paperwork letting you spend more time on drug dispensing.
  • Radio

    Being among the most prominent adjuvant therapy services, these services come under the insurance coverage of the Medicare Prescription Drug Improvement and Modernization Act (MPDIM) and require billing and coding assistance. Our medical and billing and coding services have helped many Radio drug service providers improve their finances through efficient data handling, bill submission and follow-ups.

Download our Pharmacy eBook now!!

 

Read our pharmacy billing blogs

We Excel In

Plastic Surgery Dental Urology Podiatry Mental Health Oncology Anesthesiology

We also Serve in

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.


Blogs

Our blog section can help you with information, experiences and opinions pertaining to the medical and medical billing industry.


article

Articles

Understand the billing and coding processes ranging through various specialties and states along with a plethora of healthcare related information.


Looking for a Billing Quote?

Are you looking for more than one billing quotes ?

Yes

No

×

THANK YOU!

Would You like to Increase Your Collections?

Yes