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:

99478

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.
Medical Billing and Coding Pediatrics

Medical Billing and Coding Pediatrics

Pediatrics Medical Billing

Pediatrics is the branch of medicine that identifies & treats diseases in newborns, children & adolescents. Per the American Academy of Pediatrics, Medical Billing and Coding Pediatrics care refer to the care delivered for people up to 21. Pediatricians deal with different illnesses, procedures, treatments, and preventive healthcare.

Pediatric billing & coding is different from other disciplines as it requires the billers & coders to be mindful of elements such as immunizations. Careful coding must be undertaken for immunization data so that the practice is reimbursed accordingly. Pediatrics might be challenging due to its many modifiers & bundling needs.

Methodology regarding Handling Issues in Pediatrics Medical Billing

Medical billing in pediatrics involves a number of particular issues. Pediatricians must manage a wide variety of disorders, procedures, treatments, well-child care, and preventative health care using a diversified array of diagnostic and treatment methods. Additionally, the healthcare coverage landscape for children is highly complicated. Without correct coding and claim submission systems, managing your revenue cycle and guaranteeing maximum reimbursement is impossible. Outsource Strategies International (OSI) possesses the specific knowledge and resources necessary to provide doctors and pediatric practices with accurate and fast medical billing services. Our HIPAA-compliant services assist you in obtaining maximum compensation by ensuring that your claims are clean and require fewer re-files and/or appeals.

Individual physicians, multispecialty groups, clinics, free-standing diagnostic facilities, long-term care institutions, acute care facilities, hospitals, and ambulatory surgical centers all benefit from our medical billing company’s bespoke solutions.

The in-house personnel in pediatrics practices have more on their plates than other specialties, as dealing with youngsters can be hard. The front-office crew should ensure a reduced waiting period since children are susceptible to contagious infections and can be highly restless. They also keep vaccination records, age change documentation, and government compliance standards. Specialized coding and billing experts are essential to prevent compromising patient care and assuring accuracy in processing.

Whatever be the size of your pediatrics practice, outsourcing your billing & coding obligations to seasoned pediatrics billing service providers like Medical Billing Wholesalers will help you reduce money and pump new vigor into your revenue cycle. We offer prior authorizations, claim submission, accounts receivable, denials management, and credentialing services. Our team of pediatrics billing specialists can help construct a leakage-free revenue cycle for your practice.

The Advantages of Our Pediatric Coding and Billing Services

We provide competence, knowledge, and precision in pediatric billing and coding services while also ensuring that your practice’s revenue cycle is error-free. Our team works to ensure that the billing, coding, claim submission, and payment posting processes are as painless as possible. We follow up on accounts receivables persistently and obtain prior authorization to avoid claim denials. Our denials team is dedicated to refocusing your efforts away from denial management and toward denial prevention. Medical Billing Wholesalers assists pediatricians in concentrating their efforts on providing exceptional care to their small patients by focusing on administrative and financial excellence. We provide you with a team of specialists that includes the following:

  • Successfully collaborate with Medicare and have a thorough understanding of state-specific Medicaid policies
  • Cost-cutting experts dedicated to assisting you in achieving greater clinical and operational efficiency
  • Our clients often notice an increase in revenue of over 20% and a decrease in denials of at least 15%. This is accomplished through the application of our expertise and process rigorous.

Expertise

  • Serves all specialized fields, including cardiology, dentistry, orthopedics, and infectious diseases.
  • Understands how to bill for infants, well-child and sick child visits, nebulizer treatment, and other pediatric procedures.
  • Appropriate knowledge of ICD-9, ICD-10, CPT, and HCPCS codes
  • Maintains current knowledge of new regulations governing major insurance companies, including Medicare, Medicaid, and Workers’ Compensation.
  • Suggestions for pending or refused claims
  • Audits of charts to ensure the correctness of claims
  • Can bill claims use any advanced software suite?

Our Services

We offer comprehensive services ranging from patient enrollment to claim filing, patient billing, and receivables management

  • Enrollment and scheduling of patients
  • Verification of insurance
  • Authorizations for insurance
  • Coding
  • Payment posting and account reconciliation
  • Management of receivables
  • Management of denials of claims

The Fundamental Benefits

  • Reduce the number of days in A/R
  • Regular quality assurance checks
  • Status reports on a daily, weekly, and monthly basis
  • Meetings held on a weekly basis to discuss progress and review reports
  • TAT tailored to your specifications
  • There are no long-term annual contracts.