Billing and Coding in a nutshell- The pictorial section will help you understand the 'this and that' of billing and management. Go through the infographs for an understanding of process, in short.
Otolaryngology, being the specialty that is dedicated to the diagnosis and treatment of disorders associated with multiple locations ear, nose, throat, and head and neck, requires physicians to be thorough in an exhaustive list of investigative and treatment procedures that apply to ear, nose, throat, and head and neck regions. Adding to this imposing requirement, there are as many CPT codes that physicians should remember and aptly apply while submitting their medical claims with insurance carriers. With the ensuing ICD-10 system and HIPAA 5010 Version, the compliance coding and medical reporting is going to be much more demanding.
Relieving them off cumbersome task of medical billing, our Otolaryngology Billing Services have been crucial to a majority of physicians’ focus on their core-function of medical services, and operating efficiency and revenue maximization through delay-free and denial-free medical bill reimbursement.
On the confidence of possessing requisite pre-qualifiers certificated by the American Association of Professional Coders (AAPC); proficient in using advanced medical billing softwares such as Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc., and latest coding softwares such as EncoderPro, FLashcode and CodeLink; and expert at applying standard CPT, HCPCS procedure and supply codes, and ICD-9-CM diagnosis coding as per CMS guidelines and HIPAA compliant medical coding for comprehensive orthopedic medical services our billing specialists have been able to successfully manage medical bill reimbursement for the entire gamut of Otolaryngology: Otology/Neuro-Otology, Head and Neck Surgery, Rhinology, Laryngology, and Facial Plastic and Reconstructive Surgery.
Combining apt CPT codes for diverse diagnostic and preventive Otolaryngology procedures Bendoscopic sinus surgery, non-endoscopic sinus surgery, turbinates, nasal surgery, tonsillectomy & adenoidectomy, treatment to sleep apnea, medical procedures of disorders of oral cavity, pharynx, larynx, trachea/bronchus, esophagus, salivary glands, neck, and bleeding surgery, abscess, and fractures) with appropriate modifiers (modifier-50, which indicates a similar procedure performed on both the left and right sides during the same surgical session; modifier-51, which indicates more than one surgical service performed by the same physician during the same surgical procedure; modifier-58, which is applicable to secondary thyroid surgery for malignancy; modifier-59 which indicates a procedure or service not normally done together; and modifier-79 used with debridement codes) our Otolaryngology billing advisory has been able to mitigate undesirable delay and denial of medical bill reimbursements.
Traversing a sequential order patient enrollment, scheduling, insurance verification, insurance authorizations, scheduling and re-scheduling, coding, billing and reconciling of accounts, collections, and AR collections our Otolaryngology medical billing advisory has been able to add value in terms of simplicity in submission and retrieval of documents, pre-audit on coding, real-time report generation, and application of suitable modifiers.
Consequent to such Best Practices in Otolaryngology billing management, our clients have been able to efficiently realize their claims with a portfolio of leading private insurance carriers such as United health , Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid as well.
With unblemished track-record, and ICD-10 and HIPAA 5010 Version for medical coding and reporting, Medicalbillersandcoders.comcomplete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards is well-poised to be 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.