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MEDICAL BILLERS IN Albuquerque , NM

MBC provides Medical Billing Services in Albuquerque, New Mexico, supporting physician groups, multi-specialty practices, and outpatient facilities across the region. Our billing operations integrate directly with your existing workflows to reduce denials, accelerate collections, and maintain compliance across all major payers active in the New Mexico market. Explore our Albuquerque Medical Billing Services to see how MBC supports revenue cycle performance for practices in Albuquerque.

Owing to its interdisciplinary nature – integration of knowledge in the biological, behavioral, psychological, and social sciences relevant to health and illness – Behavior Medicine physicians hardly find time to manage their medical bills filed and reimbursed efficiently. 

Outsourced Excellence

Alternatively, our Behavior Medicine Billing Advisory – comprising AAPC certified medical coders, who are proficient in generating diverse behavior medicine bills on advanced software such as Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc., and applying specific CPT, ICD-10, & HCPCS; complying with HIPAA privacy norms; and processing the prepared bills with leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid as well – has been able fill in the void successfully, and ensure greater revenue generation for Behavior Medicine physicians, patient inflow and referrals, and medical efficiency.

Our medical billers in Albuquerque, NM have reduced the tedious and time consuming medical billing tasks which are responsible for the ultimate revenue collection. The experience of our billers and coders in streamlining Albuquerque, NM providers billing procedures so that they can devote more time, energy and resources in providing the highest level of patient care. These Billers leverage their technology as well as domain expertise in your specialty to service your practice better. Their expertise lies in:

  • Excellent understanding of fee schedules, Medicaid and commercial payer regulations
  • Answering all patient queries regarding billing appropriately
  • Compliance to HIPAA rules and regulations to ensure accurate billing

To get the exact match for your specialty and practice in Austin,TX, fill in the form given below:

Albuquerque, the largest city in the state of New Mexico is located in the central part of the state. With population growing at almost 10% in a decade and cost of healthcare steeping high, Practitioners in Albuquerque are realizing the need for efficiency in their administrative jobs.

The key to the success of any practice is revenue management and reimbursement for the services that are provided. Our billers and coders come up with cost effective solutions with the latest technology in order to ensure that your revenues are collected in a timely manner as much as possible. They are very successful in medical billing and coding due to their updated knowledge of:

 
  • Patient demographics, billing and payment posting
  • Paper as well as electronic submission of records
  • Assessment of fee schedules
  • Insurance data entry
  • Reimbursement follow up with Payers and patients
  • Providing Financial Reports to help you take decisions

The federal government spent $2.03 on New Mexico for every dollar of tax revenue collected from the state. This rate of return is higher than any other state in the Union. Of the $3.9 billion spent in the state of new Mexico, the highest spending is done on Medicaid of $835 mil, this goes a long way in showing the federal government’s participation in improving healthcare measures in the state but this herculean task of Quality Healthcare is not the responsibility of the Government alone. Every individual physician supporting the cause of reducing healthcare cost to provide better healthcare is going to benefit the New Mexicans tremendously.

Optimizing your revenues and using expertise to streamline your Albuquerque practice will help your patients, your practice and the state equally. Our Billers in this area will be ideal to do just that, their local knowledge of regulation change and healthcare demands will facilitate your practices’ reimbursement policy.

Map the best resource available to manage your practice with relevant specialty and software experience in New Mexico, from the billers listed below.

For over 10 years now, our medical billers and coders stationed in New Mexico have built a reputation of helping providers and practices ranging from small to medium to large clinics. They have proved their capability by maximizing the clinic’s cash flow and streamlining their billing and collections processes.

They are actively following the payers in all major cities such as Albuquerque, Las Cruces, Rio Rancho, Santa Fe and Roswell. More than just providing medical billing and coding services, our professionals help you offload tasks from your multitasking staff by providing services such as:

  • Credentialing with public and commercial payers
  • Post charges and payments on a daily basis
  • Electronic submission of claims
  • Code utilization with CPT, ICD-10 and HCPCS
  • Accounts receivable management
  • Insurance follow-up and in-house collections

Extensive Coverage of Behavior Medicine Procedures

Our billing advisory has been able to cater to a majority of Behavior Medicine professionals comprising of psychologists, physicians, and qualified nurses by employing a comprehensive billing and coding approach that covers the whole gamut of behavior medicine procedures including:

  • Biofeedback, hypnosis, and bio-behavioral therapy of physical disorders
  • Aspects of occupational therapy, rehabilitation medicine, and physiatry
  • Preventive medicine

Enabling Accurate and Refined Medical Billing

A thorough knowledge of the Current Procedural Terminology (CPT) coding system covering the comprehensive health and behavior assessment and intervention of medical services has been pivotal in enabling accurate and refined medical billing on our clients’ behalf. Following list of CPT codes used in coding Behavior Medicine procedures is a valid endorsement of our integrity in compliant coding system:

CPT Codes Corresponding Behavior Assessment and Intervention Medical Services
96150 For initial assessment of the patient to determine the biological, psychological, and social factors affecting the patient’s physical health and any treatment problems
96151 For re-assessment of the patient to evaluate the patient’s condition and determine the need for further treatment; a re-assessment may be performed by a clinician other than the one who conducted the patient’s initial assessment
96152 For interventional service provided to an individual to modify the psychological, behavioral, cognitive, and social factors affecting the patient’s physical health and well being
96153 For interventional service provided to a group; an example is a smoking-cessation program that includes educational information, cognitive-behavioral treatment and social support
96154 To code interventional service provided to a family with the patient present
96155 To code interventional service provided to a family without the patient being present

Infusing Modifiers for Mitigating Delay/Denial

Coupling a competent coding regimen with timely and accurate modifiers, our Behavior Medicine Billing Advisory has been able to mitigate undesirable delay/denial of its clients’ medical reimbursements. Modifier 22 for Extended Service and Modifier 52 for Reduced Service (where in the provider reduces or eliminates a portion of the service or procedure, which results in a reduction in reimbursement. The reduced service is identified by its CPT code and the addition of the modifier-52) are prime examples of Modifiers adopted in our billing management.

Multiple Benefits

The Behavior Medicine physicians, who lent preference to our billing and coding competencies – complete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards – have been able to witness simplification of revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and Increased avenue for medical research and development.