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MEDICAL BILLERS IN Phoenix , AZ
MBC provides Medical Billing Services in Phoenix, Arizona, 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 Arizona market. Explore our Phoenix Medical Billing Services to see how MBC supports revenue cycle performance for practices in Phoenix.
Components & challenges of Radiation-Oncology billing
Cancer being among the most common ailments in the US, radiation oncology is one of the most used medical services in the US with care providers of all types (independent practitioners to hospitals) involved in it. This means a sizable amount of medical resources (money and medical effort) spent on healthcare in the US is claimed by radiation oncology. Alas, most part of it goes unrealized given the demanding nature of insurance procedures.
The radiation oncology insurance procedure involves patient registering, charge entry, claim generation and transmission, payment posting, making appeals for denials and incorrect claims and collection management and electronic submission of claims to be HIPPA compliant.
Unfortunately, successful reimbursement of a radiation oncology episode requires more than careful adherence to policies, accurate handling of details and ability to transfer data electronically, it also needs:
- Thorough understanding of how much coverage Medicare plan entitles you to (there are three of them Plan A, B and C)
- Establishing whether the oncology treatment was medically necessary and recommended by a licensed physician
Our medical billers in Phoenix, AZ 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 Phoenix, AZ providers billing procedures so that they can devote more time, energy and resources in providing the highest level of patient care. These Billers 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:
Our billers and coders in Phoenix are proficient in all the aspects of medical billing, medical terminology, coding, worker’s compensation, clearinghouse set up, charge entry follow up, payment posting et al.
The experience they carry across various specialty help them see the overall industry trend and motivates them to update themselves to technology and government regulations.
They have an in depth knowledge regarding industry standard billing and coding rules in order to correct errors and resolve problems in terms of preparation and submission of accurate medical bills for physicians catering to outpatient.
In case of denials, they follow up on reasons of denial, file appeals and post cash for payments made, determine payment arrangements, identify accounts leading towards collection and reply to queries on from customers.
Our Billers understand and are well aware of the Arizona Healthcare Cost Containment System (AHCCCS) program which is governed by the statutes along with two written agreements with the federal government called the State Plan and the Waiver. These Billers take into consideration the efforts of the government support your billing process in order to have a clean but profitable business
With utmost attention to compliance of HIPAA laws and regulations, our phoenix billers strive to protect client information, support the use of electronic processing and data transfer securely.
With more than 15 years of medical billing experience, our medical billers in all the major cities in Arizona like Phoenix, Tucson, Mesa, Glendale, Chandler have been providing expert medical billing and accounts receivable management over the years. They help in streamlining patient billing, collections and in the process of reimbursement for practices such as yours. The amount of effort put in by these billers guarantee:
- An increase in revenues
- Increase overall efficiency of your practice
- Helps in reduction of overheads
- Assurance of accountability of all billing procedures
Needless to say, this leaves individual physicians, physician groups, clinics, diagnostic facilities, long term care facilities and acute care facilities with unrealized payments (ARs) and consequently ailing revenues.
Outsourcing to MBC:
MBC’s billers and coders possess a comprehensive knowledge of radiation oncology billing and coding procedures. Our years of experience in handling intricacies of radiation therapy billing and coding procedures translates into a very sophisticated level of understanding of the diseases involved in radiation therapy versus the insurance procedures applicable to them.
We have been able to bring down claim denial rates for care providers across all the state of the US through accurate handling of data and rigorous follow-ups done in a methodical manner. Our quality consciousness is responsible for reduction in claim denials. Both during and after preparation of claims, we put them through various cycles of quality checks to make sure that they are completely error free when submitted.
Our service models are flexible, so that you can choose a model that perfectly fits your needs and setup. We offer two types of models:
- RCM consulting
- Outsourcing
Our consulting model involves a thorough study of your revenue management system to help identify areas of revenue leakage, outdated software applications and training needs. By helping you address these areas our RCM service will ensure a smooth revenue management process capable of handling the dynamics of radiation therapy insurance requirements and reduced rejected claims.
However, if you don’t have an in-house billing and coding team, you can ship out your entire billing and coding responsibilities to MBC. Our outsourcing model includes the entire range of billing and coding activities starting from identifying insurance eligibility of the patient to submission of claims and post submission follow-ups.
We provide services across all phases of claim preparation and submission:
- Charge Entry : Our Charge Entry (CE) services ensure error free claim submission through verification of patient demographics, medical codes, DOS, POS, provider information, units, modifiers as also submission of claims to clearing houses and more. CE also involves random quality checks as part of audits.
- Payment Posting : Our billers and coders can work on the most advanced electronic remittance scenarios, including denials, underpayments, overpayments, multiple adjustments, automatic cross-over, secondary remittance, reversals, etc.
- Account Receivable : We reduce your claim rejection rates and ensure a timely payment of your services by following up with insurance officials ensuring that you enjoy improved revenues.
Medicalbillersandcoders.com is a national network with our team spread across all states of the US with each state represented by billers and coders familiar with state-specific exceptions. This helps us to account for the fact that the rules applicable across the US are not uniform. MBC has helped care providers across US to improve their revenues as well as quality of radiation oncology treatment by allowing them to concentrate on their core services.