Family Practice Billing Services in Virginia, VA

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.

What makes our Virginia medical billers outstanding is their vast knowledge, level of expertise and their ability to incorporate innovative solutions which can streamline your billing process. They can help in enhancing the efficiency of your practice, increase cash flow and receive maximum reimbursements.

For many years our billers and coders have been providing medical billing services to practices in cities such as Virginia Beach, Norfolk, Chesapeake and Newport News. Some of the services which our billing professionals have been providing are:

  • Accurate patient information filing
  • Electronic Claims transmission
  • Immediate posting of payments
  • Aggressive follow up on aging receivables
  • Resubmission of rejected claims
  • Evaluation of reports on monthly earnings

Specialized Medical Billing Services in Virginia

Our specialized medical billing services in Virginia support healthcare providers across Virginia Beach, Norfolk, Chesapeake, and Newport News. We deliver comprehensive RCM solutions including precise patient information management, electronic claims processing, and strategic payment oversight.

Understanding Virginia's distinct healthcare insurance laws and consumer protection regulations, our team maintains current knowledge of state requirements while ensuring federal compliance. Through innovative approaches to revenue cycle management, we help practices optimize reimbursement rates while streamlining operational efficiency.

Virginia Medical Billing Specialists Drive Practice Growth

Our Virginia medical billing specialists combine deep local market knowledge with advanced coding expertise to enhance practice performance. Through efficient claims processing, aggressive accounts receivable management, and strategic fee schedule analysis, we help practices improve collections by 20%.

Our certified team brings extensive experience of 25+ years in Health Records, Medical Terminology, and Advanced Coding strategies to optimize revenue cycles. By leveraging a comprehensive understanding of regional reimbursement rates and state regulations, we help Virginia medical practices achieve sustainable growth while meeting federal cost-reduction initiatives.

This holistic approach enables healthcare providers to maintain strong financial health and growth while ensuring regulatory compliance.

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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