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MBC billers, specializing in orthopedic billing, understand your pain-points better than anyone else. That is why they are continuously evolving with billing reforms and technology so that there would be fewer claim rejections. As a result, they can be expected to perform a host of services such as:

  • Assigning correct and accurate codes to multiple procedures
  • Providing both electronic and paper billing
  • Regular code audit checks to apply appropriate codes
  • Analyzing accounts to prevent blockages in cash flows
  • Follow up with payers for pending payouts
  • Generating daily, weekly and monthly financial reporting

Did you know?

  • While billing for CPT code A5500 (diabetic shoe fitting and modification left and right foot) use of the KX modifier is mandatory in order to be reimbursed.
  • Our team is aware of the importance of the KX modifier for CPT code L3030 (foot inserts removable) in order to avoid rejection from payers - L3030LTKX (left foot) and L3030RTKX (right foot).
  • Our experts understand that modifier RT LT is not applicable while billing for CPT code 97597 (Removal of devitalized tissue) for up to 20 square centimeters, irrespective of left or right foot.

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

The state of Virginia possesses several laws to provide fairness in the health insurance and also to protect its consumers. Your Billing staff must be well updated about the changing regulations in order to help your clinic follow all federal guidelines. Our billers in the Virginia are trained in coding of Health Records, Medical Terminology, and Advanced Coding and Reimbursement strategy.

These Virginia Billers will also be in a position to compare fee schedules for your practice as they have a lot of local exposure and are aware of the best prevailing reimbursement rates.

Our Billers in the state of Virginia 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 Virginia 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 thesebillers in Virginia 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.

Effective and streamlined coding

Special attention is given to coding so as to make billing error-free. Orthopedic practices may be required to perform numerous clinical activities: non-surgical orthopedics such as physiotherapy, chiropractic, occupational therapy, podiatry, and kinesiology; surgical orthopedics such as hand surgery, shoulder and elbow surgery, total joint reconstruction (arthroplasty), pediatric orthopedics, foot and ankle surgery, spine surgery, musculoskeletal oncology, surgical sports medicine, and orthopedic trauma. Given the high-cost value of these procedures, it is critical to have them accurately coded so as to avoid being denied or underpaid for coding inaccuracy. Our coders, knowledgeable of the entire coding system, can ensure highest coding accuracy.

Impeccable billing and coding credentials

Our orthopedic billing services are driven by specialists who have an impressive repertoire of credentials. Here is quick glance of our affiliates’ credentials:

  • Certification from The American Association of Professional Coders (AAPC)
  • Familiar with medical billing software such as Lytec, Medic, Misys, Medisoft, NextGen, and many more
  • Trained on coding software such as EncoderPro, FLashcode, CodeLink, etc.
  • Being able to apply standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding as per CMS guidelines
  • Successful track-record of processing medical bills with leading commercial carriers such as United health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, etc.
  • Ability to negotiate successfully with Medicare and state-specific Medicaid policies.

Improving your revenue management cycle through pertinent intervention

Traversing a sequential order patient enrollment, scheduling, insurance verification, insurance authorizations, scheduling and re-scheduling, coding, billing and reconciling of accounts our medical billing process can add value in terms of simplicity in submission and retrieval of documents, pre-audit on coding, real-time report generation, application of suitable modifiers, etc.

Thus, our medical billing servicecomplete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards is the prescription for simplification of your revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and increased avenue for medical research and development.

Quite expectedly, orthopedic physicians who have chosen to engage our billing specialists have been able to make the crucial value-additions: appreciation in practice revenues and clinical efficiency.

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