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Components & Challenges in Sports Medicine Billing

Sports medicine faces the same indifference from insurance authorities in the US as sports in general do from us: that they are important but not indispensible. This indifference has denied sports medicine the distinction of a specialty across the US.

Sports physicians aren’t educationally distinct from family physicians in a substantial way and a family physician can become a sports physician by applying for a dual credential with insurance authorities. However, when family physicians apply for dual credential, they are denied on the basis that family medical practice and sports medical practice are different disciplines and one can’t become the other or both.

To address these two challenges, now sports medicine is mostly practiced via managed care services to facilitate association with local insurance bodies to help reimbursement of claims. But, managed care service involves assigning a physician to each care recipient, making it necessary, for successful reimbursement, to establish that a treatment was carried out upon the referral of the assigned physician. It also necessitates accurate documentation of all medical and nonmedical details required and familiarity of care providers with resulting complexities of managed care services.

MBC, a medical billing company based in Texas, brings 20+ 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 what is the average charge for medical billing services in Texas 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. 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.

Texas Medical Billing Services provides:

  • 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.

Take a look at Pros and Cons of Various Payment Models and their Effect on Practices

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In addition to the above hurdles, sports medicine reimbursement is also subject to all the insurance regulations that apply to other specialties. This causes care providers involved in sports medicine left to negotiate with mounting ARs and losses. Care providers are not in a position to handle this effectively as it requires handling intricate medical and regulatory details, filing claims and following them up for timely reimbursements – things that are outside their area of competency and can be best dealt with if left to experienced billing and coding houses.

Outsourcing to MBC:

MBC, the largest billing and coding consortium in the US, has helped care providers involved in sports medicine reduce their mounting account receivables through accurate handling of details, submission and rigorous follow-ups with insurance officials, ensuring timely reimbursements. MBC’s billing and coding professionals are not just familiar with intricacies of regulatory and medical details but also have sound knowledge of state-specific exceptions which helps them account for the fact that few regulations to an extent may not be uniform across all 50 states of the US.

Our flexible billing and coding service models ensure that they can be adopted by any care provider regardless of size, scale and nature of operations:

Through our Revenue Management Consulting (RCM) service model we can prune your in-house operations stripping out dated and time-consuming procedures and software applications and guide in replacing them with ones that will help you handle the entire billing and coding process with ease and ensure compliance.

However, if you are an independent sports physician and think a setup will only restrict your mobility and access and bring down the fluidity of your operations or you just don’t need in-house billers and coders, our outsourced billing and coding services will work well for you, where you will be able to completely ship out billing and coding responsibilities to us and solely concentrate on your practice as we help you to keep up the inflow of your revenues.

With a network spanning across 50 states in the US, we have helped countless care providers to improve their profitability through accurate preparation, submission and timely reimbursement of claims.

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