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.
Although rehab is among the most commonly used line of care in the US, there is no separate insurance plan available for rehab billing which makes way for several ambiguities and challenges both for care providers and patients.
Not being covered by any exclusive insurance plan, rehab billing forms a part of an insurance plan and one that insurance providers prefer to be a little vague about concerning the amount of coverage the insured is entitled to for rehab treatment. What further adds to uncertainty about coverage is that states are not very specific about how much coverage is compulsory for insurance providers to give drug detox.
Partial coverage and ambiguity of insurance plans on rehab treatment – together leave care seekers as well as providers confounded, perhaps setting them up to start the process of preparing insurance claims for rehab treatments on a wrong note, which means inaccurately identifying the coverage of a patient eventually leading to waste of the time spent on preparing such claims and mounting account receivables.
However, even after entitlement or coverage has been identified accurately, a care provider post identification (accurate or otherwise) needs to follow a series of procedural activities, including documenting and applying appropriate codes, where a single miss-step can again revive the specter of eventual claim rejection.
MBC billers and coders combine the knowledge of insurance procedures with medical intricacies to provide care providers with an end-to-end solution for insurance billing and coding, starting from accurate identification of coverage through preparation and submission to post submission follow-ups to ensure timely payments.
Our billing and coding services are available in two flexible service models so that you can choose the exact model that works for the size and nature of your rehab centre. Since rehab centers are generally big set ups, you may already have an in-house billing and coding team which could do with some streamlining of processes they are following, some software applications that are in sync with their work environment and help them transact data with greater efficiency and ease, and some cross-competency training so that one member going on leave doesn’t cause downtime with another member stepping in to keep the process going. We will be able to such streamline your revenue management process through our Revenue Management Cycle (RCM) consulting services which involve a thorough study to stop areas of revenue leakage, assess efficiency of software applications in use and identify needs for training.
Whereas our outsourced billing and coding services enable you to fully ship out your billing and coding responsibilities to us so that you can solely concentrate on healthcare.
MBC, the largest billing and coding consortium in the US, has helped care providers from across the 50 states of the US to improve their finances and boost the quality of care by helping them meet with successful reimbursement of claims and spending more time on healthcare.