Medical Laboratory Billing Services

Specialist Billers for Internal Medicine

Internal Medicine Billing

Introduction

Internal medicine is a medical specialty that focuses on the diagnosis and treatment of adult patients. Internist refers to a physician who specializes in internal medicine. Internal medicine subspecialties include:

  1. Immunology and allergy
  2. Cardiology
  3. Endocrinology
  4. Hematology
  5. Viruses and other infectious disorders
  6. Gastroenterology
  7. Nephrology
  8. Oncology
  9. Pulmonology
  10. Rheumatology

Internal medicine practices having unique billing and revenue cycles, which medical coders are familiar with. Our staff uses their combined experience and attention to detail to ensure that you are reimbursed for the patient care you deliver in a timely and appropriate manner.

Internal Medicine vs. General Medicine

  • Internal medicine professionals specialize in the prevention, diagnosis, and management of disease and chronic disorders in adults. They’ve been educated to identify difficult diseases that only affect grownups.
  • Patients of any gender or age, including children and adolescents, can be treated by general practitioners.

Medical Billing in Internal Medicine

Internal medicine faces unique issues in terms of billing coverage that other medical disciplines may not face. To make the first diagnosis, internists may need to perform a number of tests, which will be followed up by the expert. Internal medicine medical billing is difficult because consultations aren’t confined to certain diseases, body systems, and symptoms, or procedures/treatments. Furthermore, even if a patient does not have a specific problem, internists provide frequent preventive and periodic evaluation services.

As an internal medicine physician or institution, you will undoubtedly require a billing provider that understands the complexities of this medical specialty. The internal medical billing company you’re looking for is undoubtedly ours. We can provide you with focused, dependable, and quick medical billing services at a 30% to 40% discount.

Benefits of Utilizing Our Billing services

Take advantage of this chance to take advantage of internal medicine medical billing services that eliminate the problems of collecting money from patients. For billing, we’ll employ our high-end software and infrastructure to make the process go faster and smoother. We will bring orders to your business and handle all correspondence with payers, ensuring that you receive your money on schedule and without problems.

  • A thorough investigation of all patient accounts
  • Each account is evaluated on a regular basis.
  • Diagnostic and procedural codes are audited on a regular basis.
  • QA checks are performed on a regular basis, and reports are available.
  • Fewer appeals and/or refiles due to cleaner claims
  • Client benefit reports are generated on a daily, weekly, and monthly basis.
  • Weekly meetings and phone calls to discuss progress are held on a weekly basis.
  • For immediate support, use instant messaging, Skype, or the telephone.
  • TAT tailored to your needs
  • There are no yearly contracts that are longer than a year.

Our Working Methodology

  • Provide Us With Information About Your Practice
  • Fill out a form with information about your practice, including any providers and insurance companies you work with.

Initial Step: Send Us Your Documents

  • Become a member of the Claim Submission Program.
  • We will provide you with any insurance clearinghouse forms required to submit claims on your behalf.

Working Step: Signing -up for Claiming Submission

  • We’ll go over the paperwork we’ll need to bill your insurance claims and assist you with any papers you’ll need to provide us with the correct patient and insurance information. We’ll also consult with you or your employees to figure out the best way to get that information to us, as well as how to prepare it so that nothing is overlooked.

Final Step: Provide Us With Your Paperwork

  • That concludes our discussion. You’ll be on your way to getting your Internal Medicine Billing done correctly by expert coders and medical billing professionals in three simple steps. Simply follow these three simple steps to ensure that your practice is successful.

Conclusion

It’s simple to have NixxeMBS start working on your Internal Medicine Medical Billing. We’ll collaborate closely with your current medical billing business or in-house employees to ensure a seamless transition to our service. Internal medicine billing is something we know a lot about. Our team of Certified Professional Coders and Experienced Billers will walk you through the process of establishing you’re practice.

Dealing with rejections and denials is one of the most costly components of internal medicine billing revenue cycle management for practitioners. Each one can take hours to decipher, correct, resubmit, and occasionally follow up on.

Billing services tailored for Cardiologists

Billing services tailored for Cardiologists

In cardiology billing, there is consistently an opportunity for upcoding or under-coding a strategy. As continuous changes in codes happen in methodology like an iliac fix, angioplasty, stent substitution, ECG recording, and so on, Billing services tailored for Cardiologists rehearses lose a lot of income to incorrect charging.

So have a coding and billing group that is knowledgeable about cardiology. That way they can limit mistakes and proficiently handle dismissed and denied claims, not at all like less experienced office staff, who are probably going to wind up going through a few hours figuring out each guarantee and may not sort out the more convoluted coding issues in the necessary time, bringing about neglected cases and huge income misfortunes.

Different Coding of Cardiology from other Speciality billing

In many regards, cardiology coding contrasts with another forte coding. We are one of the most amazing cardiology clinical billing organizations, with the information to manage the always-changing universe of cardiology code.

We have years of involvement with cardiology billing and coding. Cardiology suppliers in Florida, Texas, and different states are charged by us. We have broad involvement with cardiology billing and coding in different states.

Our AAPC confirmed coders go to online classes and workshops consistently to stay aware of their schooling. They keep awake to date on all of the coding changes that happen during the year. We commit assets to keep our insight current so we can properly charge claims as per payer guidelines.

Using excellent billing practices for cardiology

Our group knows about the CMS rundown of codes and proper modifiers for cardiology charging and ensures that we follow it. Contingent upon whether the patient was an inpatient, outpatient, treated around the same time, or treated on a resulting day, we utilize distinctive billing measures. To stay away from approval dissents, our doctors comprehend the significance of heart medical procedure preauthorization. The accepted procedures recorded underneath are our proposals.

  1. Electronic Health Records are utilized.

    EHR frameworks can help you in guaranteeing top-notch clinical documentation and staying away from wrong desk work. Cardiology, specifically, sees a ton of changes in methodology, and having a strong clinical recording technique set up will assist you with remaining agreeable.

  2. Combo Codes are a sort of code that joins at least two things.

    For different heart problems, ICD-10 utilizes countless mix codes. Our coders are encouraged to utilize these combo codes.

  3. The significance of agreeable coding couldn’t possibly be more significant.

    You can keep awake to date on consistently changing coding and billing prerequisites and guarantee agreeable coding by giving normal preparation to the two coders and doctors.

  4. Not intended for Symptoms, but rather for Diagnosis.

    At the point when side effects aren’t important for the treatment, don’t code them. Ensure the determination is right, and just code for the medicines and conditions that were dealt with.

Cardiology Medical Billing Services Expertise

Our medical billing and coding specialists are solid, taught, and committed to guaranteeing that our Cardiology customers’ billing measures are pretty much as basic as could be expected. We have an assorted customer base that traverses 50 states and incorporates clinics, doctor practices, and medical billing associations. Our coders follow CMS and AMA models and are qualified by the American Academy of Professional Coders in ICD-9/10, CPT, and HCPCS coding (AAPC).

Values of Our Company

Our team analyses potholes in your billing process. From beginning to end and recommends practical solutions to turn them into revenue. Cardiologists can focus on patient care as Medical Billing Wholesalers handle their administrative tasks. We have assembled a team of experts who are:

  • The American Association of Professional Coders (AAPC) has certified them and they have been trained on the most common medical coding software.
  • Most commercial insurance providers, including UHC, WellPoint, Aetna, Humana BCBS, and Anthem, as well as government payers like Medicare, have been successful in processing medical claims.
  • Working with Medicare is a breeze, and you’ll be well-versed in state-specific Medicaid policies.
  • Experts in cost-cutting and assisting you in improving clinical and operational efficiency.
  • Ability to expedite the accreditation of cardiologists for specific payers.

Reasons for Denials in Cardiology Coding

Invalid finding codes/don’t meet LCD proposals are the most well-known purposes behind refusals in heart coding. Monitor LCDs for each code range; we update our LCD library week after week and send duplicates to our customers. We stand apart from other Cardiology Medical Billing firms since we assist with instructing our customers on appropriate coding. So everybody is in total agreement and cases are documented precisely the initial time.

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.
OB GYN Billing and Coding Services

OB GYN Billing and Coding Services

Obstetrics & Gynecology is a subspecialty of medicine that focuses on the care of women during pregnancy and childbirth, as well as the diagnosis and treatment of illnesses of the female reproductive organs. Additionally, it focuses on other aspects of women’s health, such as menopause, hormonal imbalances, contraception (birth control), and infertility.

An OB/GYN practice performs a variety of operations, including surgeries, pre-and postnatal care, and routine health checks for women.

Expertise in OB/GYN Billing & Coding Medical Billing Wholesalers

At Nixxe MBS, our client base spans all 50 states and includes a diverse spectrum of hospitals, physician offices (including OB/GYN clinics), and medical billing firms. Our team of OB/GYN billers and coders leverage their experience and knowledge gained from working with obstetricians and gynecologists for the purpose of increasing revenue and driving growth. Nixxembs 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). Our billing and coding expertise in OB/GYN includes the following specialties:

  • Obstetrics and Gynecology
  • Endocrinology of the Reproductive System and Infertility
  • Uro-gynecology and Pelvic Reconstructive Surgery Gynecological Uro-gynecology and Pelvic Reconstructive Surgery
  • Laparoscopic Advanced Surgery
  • Planning a Family
  • Gynecology in Children and Adolescents
  • Gynecology in Menopause and Geriatrics

Adhering to industry standards for OB/GYN billing and coding services

At Nixxe MBS, we understand the difficulties that OB/GYN clinicians encounter, including rapidly changing policy requirements, ICD revisions, and the sensitive nature of your specialty. Our certified coders are capable of selecting appropriate codes based on operative reports from actual surgical cases. We are available to you 24 hours a day to help you avoid problems caused by erroneous modifier usage and to teach your in-house billing professional how to avoid them.

OB GYN Billing and Coding Services

OB GYN Billing and Coding Services

Our specialized billing and coding staff works to minimize claim denials while improving payouts. This is accomplished through the use of effective. Streamlined methods that reduce the amount of time required to accurately bill for Ob/Gyn services.

Our strategy is based on strict adherence to coding standards and best practices, as well as the use of modern technologies. The MBW team is committed to providing data-driven solutions that aid in the reduction of denials and the growth of revenue.

Pros of Using our Facilities

OB GYN practitioners see a large number of patients, some infrequently, such as for yearly checkups, and others on a continuing basis for prenatal care and postpartum care. This requires medical coders and billers to be proactive in processing numerous claims and to understand all the components of bundled claims in order to avoid over or under coding, which not only results in charging too much or too little, but also constitutes a violation of the law and can be disastrous for a practice.

  1. Coverage Is Extremely Diverse

Obstetrics and gynecology are two of the most frequently excluded or limited fields of medicine from insurance coverage. Many have elaborate regulations indicating which items are covered and which are not. This is something that should be clarified before the patient schedules. An appointment to avoid any unexpected costs being issued to them later.

  1. Numerous Facilities

A practitioner may visit the same patient in the clinic and in the hospital, necessitating meticulous coding for each. Billers must understand which procedures are billable in certain circumstances and ensure that everything is documented properly.

  1. Claims at the global level

Certain payers and insurers combine care provided during pregnancy and childbirth into a single claim, which means the practitioner must provide nine months of service before being paid, and each claim is for a significant value, making it critical that claims are not rejected or refused.

Why are we here?

Our obstetrics and gynecology billers and coders would initiate a follow-up on patient claims that have been pending for more than 18 days and optimize your current cycle to 21 to 25 days, depending on the type of insurance accepted by your clinics, using their accumulated knowledge of the following:

  • Coding accurately on the ICD 10 and CPT platforms
  • Printing and distributing paper and electronic bills
  • Pursuing unpaid and outstanding claims
  • Pre-authorization for approaching operations is being worked on.

Some Important Highlights of OB/GYN Coding and Billing Services

  1. J2675 (Injection, progesterone) is a frequently used HCPCS code in OB/GYN, generating significant money for physicians.
  2. Reimbursement for HCPCS codes G0101, Q0091 is permitted just once per year, except in cases of medical necessity.
  3. To be reimbursed for CPT code 59514 (Cesarean delivery alone). An assistant surgeon must be present, as this is a highly compensated and complicated procedure.