best Neonatology billing services

Best Neonatology Billing Services Companies

What is it?

Neonatology is a pediatric discipline that focuses on the medical treatment of newborn babies, particularly those who are sick or preterm. It is a hospital-based specialty, with the majority of cases occurring in neonatal critical care units. Best Neonatology billing services primary patients are newborn babies who are unwell or need special medical care as a result of preterm, low birth weight, intrauterine growth restriction, congenital abnormalities (birth defects), sepsis, pulmonary hypoplasia, or birth asphyxia.

Why Should You Choose Us in Your Neonatal Practice?

As a neonatal care practitioner, you are in charge of the tiniest patients who may offer the greatest problems. Premature infants, those who are underweight, or those who are battling a life-threatening medical condition need round-the-clock care to guarantee their safe return home. Families depend on you and your team to care for their kids, which is why dealing with complicated medical billing concerns may be distracting.

A medical billing and coding partner may manage your department’s financial operations, freeing you your time and resources to focus on patients and their families.

Utilizing the finest options available for Neonatal Billing and Coding

We correctly classify both E/M services provided to healthy infants and NICU care provided to neonates with congenital impairments. To prevent clearinghouse rejections and re-submissions, our team files clean claims the first time and adheres to all-payer policies, rules, and laws. Our coding team leverages their wide experience and assists in the right use of modifiers to prevent rejections.

best Neonatology billing services

Our customer base spans all 50 states and includes a diverse spectrum of hospitals with neonatal intensive care units, physician offices, and medical billing organizations. and Our coders are certified by the American Academy of Professional Coders in ICD-9/10, CPT, and HCPCS coding rules supplied by CMS and AMA (AAPC). We have almost a decade of expertise in neonatal billing and coding. Additionally, we are experts in LEVEL III NICU billing and coding.

Adhering to industry standards for Neonatal Billing and Coding Services

We use the appropriate codes for both E/M services provided to healthy babies and NICU care provided to neonates with congenital impairments. To prevent clearinghouse rejections and re-submissions, our team files clean claims the first time and adheres to all-payer policies, rules, and laws. Nixxe coding team leverages their wide experience and assists in the right use of modifiers to prevent rejections.

Neonatal Coding Best Practices

Physicians should add codes for Newborn Care Services for evaluation and management (E/M) services delivered to healthy babies during the first days of life prior to a hospital release. The following codes apply to the first care of a typical newborn:

99460 Initial hospital or birthing center care, per day, for E/M of a normal newborn infant
99461 Initial care per day, for E/M of normal newborn infant seen in other than hospital or birthing center
99463 Initial hospital or birthing center care, per day, for E/M of a normal newborn infant, admitted and discharged on the same date

Codes 99478-99480 describe the intensive care provided to evaluate and manage the recovering low or very low birth weight infant. The code is selected based upon the present bodyweight of the infant as below:


Present bodyweight less than 1500 grams

99479 Present bodyweight of 1500-2500 grams
99480 Present bodyweight of 2501-5000 grams


The Advantages of Our Neonatology Coding and Billing Services

We provide expertise, understanding, and precision in neonatal billing and coding services while also ensuring that your hospital’s revenue cycle is error-free. Our staff works to ensure that the billing, coding, claim to file, and payment posting processes. That is as painless as possible. We follow up on accounts receivables persistently and get prior permission to prevent claim rejections. Medical Billing Wholesalers assists hospitals in providing superior care to their pediatric patients by concentrating on administrative and financial excellence. We provide you with a team of professionals that includes the following:

  1. Certified by The American Association of Professional Coders (AAPC) and trained on the majority of popular medical coding software.
  2. Successfully processed medical claims with commercial insurers. Such as UHC, WellPoint, Aetna, Humana BCBS, and Anthem, as well as with government payers such as Medicare.
  3. Successfully collaborate with Medicare and have a thorough understanding of state-specific Medicaid policies
  4. Cost-cutting experts dedicated to assisting you in achieving greater clinical and operational efficiency
  5. Our customers generally notice an increase in revenue of 20% and a decrease in rejections of at least 15%. This is accomplished via the application of our knowledge and process rigor.
Gastroenterology Medical Billing Medicare

Gastroenterology Medical Billing Medicare

Gastroenterology is a medical specialty that focuses on the digestive system and related problems. This specialty focuses on illnesses of the gastrointestinal system, which includes the organs from the mouth to the stomach, as well as the organs along the alimentary canal. Gastroenterologists are doctors who specialize in this discipline.

Gastroenterologists must stay current on the numerous coding rules and payer-specific protocols in order to maintain a compliant and financially successful practice. Medical billing and coding in gastroenterology is difficult and necessitates a wide variety of expertise to secure optimal compensation. Billing for colorectal cancer screenings vs. colonoscopies, motility, and GI function investigations, documenting adequate levels of evaluation and management services, category III codes for GERD treatment, and using modifiers -51, -59, and -26 are just a few of the issues. Receiving payment for the services you provide necessitates meticulous attention to detail and constant communication with your whole staffing team, including all providers.

Additionally, invoicing for gastrointestinal and endoscopic services necessitates the capacity to properly track underpayments. Most billing software and in-house billing professionals are unable to meet this need. GI practices that do not successfully target underpayments are at risk of losing a lot of money.

We have a client base at Nixxe MBS that includes hospitals, physician offices (including GI practices), and medical billing organizations from all 50 states. We use our ten years of experience and knowledge working with gastroenterologists to help you fix and improve your revenue cycle. Our coders are qualified by the American Academy of Professional Coders and are familiar with CMS and AMA’s ICD-9/10, CPT, and HCPCS coding rules (AAPC).

Gastroenterology Billing and Coding Services: Best Practices

We understand the complexities of GI medical billing, such as how to bill a colonoscopy with a splenic flexure advancement. Otherwise, the documentation would be lacking and would only allow for a sigmoidoscopy to be performed. Our certified coders are available to you 24 hours a day, 7 days a week to help you avoid problems caused by erroneous modifier use and to teach your in-house billing specialist how to avoid them. Our qualified billing and coding specialists seek to reduce claim denials while improving payouts. This is accomplished by concentrating on effective, streamlined systems that reduce the amount of time required to charge orthopedic services accurately. Our delivery model is based on a solid technological foundation and a staff dedicated to offering data-driven solutions. That results in fewer denials and higher revenue.

Benefits Associated with Gastroenterology Billing

Our Gastroenterology Billing and Coding Services have a number of advantages.

We provide GI billing and coding services with expertise, knowledge, and precision, all while ensuring. A revenue cycle free of errors for your clinic. We can bring value to your company through analytics-driven and result-oriented processing across the revenue cycle chain, including patient demographics entry, insurance verification, insurance authorizations, coding, invoicing, account reconciliation, and rejection management. Our team aims to make the billing, coding, claim submission, and payment posting processes as simple as possible. To avoid claim denials, we maintain constant accounts receivable follow-up and prior authorization. Shifting your focus from denial management to denial prevention is our denial management team’s top priority. Medical Billing Wholesalers assists gastroenterologists in providing exceptional patient care while focusing on administrative and financial excellence. We have assembled a team of experts.

  • Who knows how to use medical billing software from companies like Advanced MD, Athena, CureMD, Office Ally, EzClaim, and others.
  • EncoderPro, Supercoder, CodeLink, and other coding software have been taught to them.
  • As per CMS recommendations, use conventional CPT, HCPCS procedure and supply codes, and ICD-10-CM diagnosis coding.
  • Successfully processed medical bills for major commercial carriers. United Health Care, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, and others.
  • Able to successfully negotiate Medicare and Medicaid policies specific to each state.
  • Our medical billing firm has extensive knowledge of all elements of gastrointestinal billing.

We are well-equipped to deal with all of the intricacies that come with coding, invoicing, and payment. Our billing professionals will ensure. That clean claims are submitted to optimize revenue, and our staff of experienced billers has excellent gastroenterology-specific coding expertise.