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.
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:
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.
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:
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consulting model involves a thorough study of your revenue management system to help identify areas of revenue leakage, outdated software applications and training needs.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.
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.