MBC Billing Specialists are Progressively Improving Rural Health Centers’ Revenue

   Medical billers and coders with its extensive experience in medical billing, coding and consulting provides extensive support to Rural Health Centers (RHC) billing requirements. The experience of the talented medical billers and coders on board with MBC is available to Providers as well as independent rural health clinics and facilities.
Understanding unique requirements of Rural Health Centers
The billing requirements of rural health care centers are unique and MBC has an in depth understanding of their specific billing requirements. The complexity of RHC billing escalates with professional as well as institutional billing components. MBC billing professionals are aware of the criticality of claim filing to both institutional (Medicare 'A') and professional (Medicare 'B') along with Medicaid filing processes. Most Rural health clinics struggle with medical billing and other administrative burdens and this can adversely affect their reputation, thereby affecting their performance.
Rural health centers are set up to be reimbursed from Medicare & Medicaid on cost based methods, rather than the traditional fee schedules. Since the reimbursement is cost based and medical necessity plays such an important role, gathering billing intelligence itself is a challenge for most billers and Medical billing agencies. The previous experience in Rural Health Billing makes all the difference to RHC clients’ reimbursement ratios.
With a decade long expertise in healthcare field, MBC has an extensive database of highly experienced medical billing professionals along with proven processes and solutions that can identify and meet the specific revenue management needs of rural health clinics. Ultimately MBC can help rural health clinics improve their functioning and improve the accessibility of their services in the rural areas.
MBC can help rural health clinics to achieve significant savings through specialized services:

• Detailed handling of electronic claims submission to multiple insurance companies
• Effective coding processes so as to help in improved collections
• Development of effective entry system pertaining to demographic information
• Development of accurate reports pertaining to visit as well as payments along with cost rate analysis
• Compliance reviews on an annual basis
• Plugging loopholes to ensure reduced rejections pertaining incorrect Medicaid FFS as well as Medicaid HMO claims.

MBC has on board highly experienced medical billers and coders specialists in the country. With their network of professionals spread across all the 50 US states, the rural health centers can be assured that well equipped and knowledgeable professionals will deliver their revenues into their bank accounts. With the specialized services on offer, rural health centers can immediately enjoy improved patient flow as well as improved operational efficiency. Smooth processes and efficient technology interface will support the rural health centers to effectively reach out to a higher number of patients thereby amplifying chances of increased revenue. The experts at MBC design efficient processes that keep the rural health centers updated of changes affecting the costs and effectively revenue of the practice. 

MBC is Leading the Way for Medium-Size Clinics Revenue Management

  In the aftermath of reforms, as a sizable portion of small to mid-sized healthcare providers in all the states of the US strive to improve their revenue management, Medicalbillersandcoders.com has seen a sudden increase in the number of small and medium sized healthcare providers either outsourcing their financial administrative activities required for compliance and reimbursement purposes to billers and coders or improving their in-house Revenue Management System (RCM) with their help.

MBC has been helping a sizable number of small to mid-sized clinics, who are feeling a greater pinch of the healthcare regulations that are draining their already limited resources – financial and otherwise.

The administrative activities brought about by the reforms that affect the revenue mainly include handling of data (use of correct codes and medical necessity where required) which being intricate in nature exposes the provider to the possibility of errors, leading to claim denials, resulting in not just loss of time which could be better spent on care but also dented profitability, which hurts providers of all sizes but leaves small clinics more paralyzed.

MBC’s Role in this Endeavor

The RCM consulting services offered by MBC is a point in case. Often medium-sized care providers have an in-house revenue management process which, they think, can do better with some amount of up-gradation and streamlining. MBC specialists do thorough study of your in-house revenue management process and helps physicians to plug sources of revenue leakage, minimize data-handling errors by identifying training needs of clinic staff and recommending appropriate software applications.

With MBC’s outsourcing services,  many medium-sized care providers have also been able to optimize their  resource utility by directing internal staff to core healthcare activities, improve their control over operating costs and have seamless claim realization.

However, the services Medicalbillersandcoders.com offers are not just holistic but also varied – particularly so that they can meet the needs of care providers of all sizes, giving them the flexibility to choose what exactly suits their business model in terms of effectiveness and organizational needs and nature.

Medical Billing Service from Top Specialist to 100,000 Physicians Across All 50 States

Physicians across United States can now breathe easy and relax about their Medical billing requirements. They no longer have to scrawl through local job portals or hire expensive recruitment services to look for experienced 'Medical Billers and Coders,' in their cities.

Medicalbillersandcoders.com (http://www.medicalbillersandcoders.com/) is the largest 'Consortium of Medical Billers and Coders,' across US. The portal brings together hundreds of billers, with experience in different specialties, on the same platform to service physicians in their cities.

This network of coders and billers is growing rapidly with over 200 billers having signed up in the past two months and almost immediately getting connected to doctors looking for billers and coders. The network includes billers with 25 years of experience and billers who have just started out or have very little experience. It services over 50 specialty physicians with most prominent being Cardiology,  Dental and General Practice.

Billers are trained on the latest versions of available 'Medical Billing' software including Medisoft, Altapoint, NueMD and/or any other software that the doctors use or are considering using in the future. Billers keep themselves updated about the latest healthcare trends and government regulations apart from maintaining their certifications.

Doctors who are already using this portal, to locate a biller close to their practice have found the service to be extremely convenient. They appreciate the quick turn-around time of the billers (experienced in their specialty) in getting in touch with them.

The CEO of Medicalbillersandcoders.com, says, "I find this business model unique and cannot believe the potential convenience and business this portal is creating for its users. With the service being free for doctors and billers, everyone wants to explore this portal almost immediately. Let me tell you, the doctors loving it."

"Soon every physician will be able to locate an experienced biller catering to his/her specialty in a radius of less than 30 miles from the place of their practice. That's our goal." "We would like to be as close to the physicians, as possible," members of the consortium opined in a short statement when asked about the aim of the consortium.

MBC Registers a Surge in Outsourcing of Physicians Billing Requirements

As the US healthcare industry is buffeted by rising healthcare costs, gigabytes of health and health-related technology information, and the latest reforms and regulations, it is inevitable that the providers are going to adopt new patterns to successfully manage their professional duties while keeping track of their reimbursement processes.

In order to cope with this dynamic scenario, a significant number of providers have chosen to focus on the core areas of their practice such as patient care and research by opting to outsource the non-core areas such as revenue cycle management and affiliated administrative services to experts who specialize in handling them.

Medicalbillersandcoders.com, the largest consortium of medical billers and coders in the US across all specialties, have observed a spike in the outsourcing of the physicians’ billing requirements across various specialties.

Florida Medical Billing, Delaware Medical Billing, Minnesota Medical Billing, Maine Medical Billing

Why do physicians feel that billing is a specialist job?

With the introduction of latest compliances such as HIPAA 5010, ICD10, PQRI (Physician Quality Reporting Initiative), CPOE (Computerized Physician Order Entry), HIE (Health Information Exchange), and the latest EHRupdates, physicians have realized the wisdom of treating billing as a specialist job. Add to it the emerging options in physicians’ practice such as part-time practice, Tele-health and Tele-medicine for some specialties, and other possibilities such as IPAs, ACOs, and PCMH, and one can begin to see how these changing patterns have led to the simultaneous revolutionizing of the reimbursement processes.  

• A physician’s billing cycle is a complicated one including almost 12 individual steps. 
• The reimbursement regulations for each payer can differ, and can even be contradictory; sometimes, payers change their regulations arbitrarily while, at other times, more than one party (primary, secondary, or even tertiary payers) might be responsible with coverage gaps.
• The unique billing and coding requirements for each physician specialty further add to these complex and stringent billing imperatives.
• As payers fine-tune their claims adjudication process, physician practices will have to face more stringent objections to get paid.

Physicians are finding it increasingly cumbersome to manage and incorporate these changes within the limited resources of their staff as it requires aggressive and pre-emptive efforts, the problems only compounding in the case of smaller or single practices. The paucity of trained and experienced billing staff and the difficulty in their retention exacerbates the issue. In fact, the routine processes involved in medical billing and other RCM functions are inevitably intricate requiring specialized skills and are better outsourced to expert professionals for optimum realization.      

How is MBC equipped to provide expert billing services across specialties? 

MBC, in its role as an established and responsible billing and coding consortium has expanded their RCM and consultancy services across the states of the US to cater to the needs of the evolving healthcare industry. We have practically hundreds of trained billers well versed in the billing intricacies and issues of each specialty, with hands-on experience in single practices as well as multi specialty clinics and hospitals.  We offer complete RCM services as well as consultancy and partial outsourcing services for compliance programs, coding services, and accounts receivables follow-up.

With its comprehensive and customized solutions for optimizing your RCM as well incorporating the latest innovations in healthcare technology, regulations and compliances, Medicalbillersandcoders.com is well-equipped to provide specialized support to healthcare providers who would like to invest their time, efforts, and resources in focusing on their core competencies.

MBC Caters to the Highest Number of Radiologists in Ohio

Radiology practices across the State of Ohio have been rushing to seek MBC’s medical billing services as an increasing number of radiology practice managers in Ohio face complex billing problems in the current healthcare environment.

As a growing number of radiologists face rising costs and reduced payments, billing errors, obsolete technology, business communication problems, recruitment challenges– they are left with little time to focus on their practice and are proactively turning towards MBC to combat declining reimbursements and concentrate on patient care.

Understanding & dealing with Radiology Billing Challenges in Ohio

“The conventional trade of radiology billing in Ohio is quickly changing and becoming increasingly challenging making it crucial for groups to embrace the use of technology and automation¨ stated Aman Gupta CEO at Med DataCare Pro.

The primary radiology challenges facing radiologists in Ohio include -

• Declining reimbursements
• Healthcare reforms
• Conversion of conventional healthcare payment models
• Increasing bad debt as a result of the weakening economic conditions

Impact of challenges & changes in radiology billing in Ohio include -

• A statewide effort to reduce costs and increase efficiencies as the state witnesses a move to electronic claim transmission - an initiative taken by the Department of Jobs and Family which also governs Medicaid
• An increasing trend of teleradiology picking up in Ohio
• Increased numbers of emergency centers opting for outsourcing their radiology services
• As radiology plays an ever increasing role in hospitals in terms of revenue; radiologists are opting for means to acquire optimized hospital revenue management services.

Ohio being a progressive state is taking these changes within their stride and hastening to find solutions. Aman Gupta believes that “most radiology practice and hospitals are looking to overcome increasing billing challenge by acquiring a specialized billing service in order to secure maximized revenues”.

Role of MBC in helping Radiologists in Ohio

Faced with these obstacles and uncertainties, there has been a high increase from both small and large radiology groups opting for radiology billing services in Ohio. Medical billers and coders have been able to successfully accommodate the large amounts of billing and coding volumes in the past few months. Additionally providing revenue cycle management, denial management, interaction with payers, HIPAA compliance for hospital based radiology departments MBC has successfully managed to cut costs, free up time and resources for various hospital radiology departments.

Inviting radiology practices to acquire MBC’s radiology billing to get access to-

• Medical billers and coders who are regularly updated with latest radiology billing trends
• Strong clientele-base and voluminous operations which help in offering highly competitive professional rates
• Physician credentialing with both commercial and public payers
• Commitment to quality and reliability with pre-qualifications such as certification by the American Association of Professional Coders (AAPC); and expertise at applying standard CPT, HCPCS procedure and supply codes, and ICD-9-CM diagnosis codes

The biggest advantage we offer to radiology practices in Ohio is our long standing presence across all major cities like Columbus, Cleveland, Cincinnati, Toledo and Akron. In tandem to the above benefits radiologists can utilize Medicalbillersandcoders.com services known for its affordability and efficient reimbursement of Radiology Billing.

MBC Caters to Physical Therapy Payment Issues through Expert Billing Services

Physical therapy Services have often faced issues while billing for medical reimbursement due to their inherently complex nature as also because they cannot be billed for reimbursement unless medically deemed necessary, making physicians wary of undertaking certain physiotherapy services.Moreover, healthcare providers’ intention to stringently scrutinize the patients’ eligibility for medical reimbursement does not fully translate into action because of their preoccupation with patient care and other core services.

MBC has established expert billing services in Physical therapy

Medicalbillersandcoders.com has actively fulfilled healthcare providers’ Physical therapy billing services needs for years by providing hundreds of qualified medical billers across the US and offering a streamlined system for efficient claim submission and realization. The largest consortium of billers and coders across the US states and specialties, MBC medical billers and coders are synonymous with accuracy, knowledge of latest healthcare regulations and compliances, as well as exposure to diverse healthcare software.

The changing face of Physical therapy reimbursement

The recent changes introduced in the Medicare fee schedule for Physical therapy services payment include the multiple procedure payment reduction which will have the effect of lowering the reimbursement amount by $2.48 for a half hour session. Healthcare industry experts also indicate a possible further scrutiny of the physician self-referral for Medicare and Medicaid patients which could also impact reimbursement rates for physician-owned physical therapy clinics. Once Medicare starts this decrease in provider reimbursement for Physical Therapy services, other insurance companies will follow suit. On top of that, the trend of decreasing third party payments with increasing co-pays is leading the Physical therapy billing into unfamiliar ground.

However, along with these potential reimbursement issues, the demand for Physical therapy services is likely to grow in the coming times as physiotherapists encourage preventive care as well as fitness and wellness strategies, and also emphasize the significance of pro-active intervention to minimize damage, both in terms of expenditure as well as body functions.

How can Medicalbillersandcoders.com support Physical therapy reimbursement?

The Physical therapists are caught in a bind as they bear the brunt of cuts in provider reimbursement and still try to manage the balancing act of handling ever growing documentation, catering to reimbursement regulations of various payers (which can often be contradictory as well as change arbitrarily), and incorporating the upcoming health care compliances. Add to this the inevitability of growing patient volume to make up for the loss in income as well as to cater to the baby boomers’ generation, and one can see why outsourcing the billing and affiliated services becomes such an attractive and sensible option for Physical therapists.   

In this scenario, Medicalbillersandcoders.com can extend its billing as well as other revenue-related consultancy services to assist you in coping with the dynamically changing health care industry. Our experts can provide HIPAA compliant reporting, with appropriate CPT codes for diverse specialty-specific Physical therapy services to efficiently realize your claims with leading private insurance carriers as well as Medicare and Medicaid. And with a pro-active outlook to ICD-10 and HIPAA 5010 transition, our Physical Therapy billing experts promise to be a forward-looking integrated solution for operational efficiency and revenue maximization.

MBC Interprets Specifics Of OB GYN Billing For Practices Across US

Increasing number of OBGYN providers across US are streamlining their medical billing processes successfully with Medicalbillersandcoders.com. On-going success with these practices has made it possible for MBC experts to focus and acquire an in-depth understanding of OBGYN billing.
Understanding the Intricacies related to OBGYN billing...
Obstetricians specialize in pregnancy, labor and postpartum; while gynecologists specialize in treatments related to the female reproductive system. OBGYN practices comprise of both obstetricians and gynecologists, hence providing great value to the patients, but also creating unusual billing concerns. MBC experts serving many practices have been able to interpret various intricacies related to the billing like -
Broken Global – this is one of the most frequent billing challenges related to OBGYN billing and occurs when a pregnant patient acquires a new payer or switches to another practice during the pregnancy. As every insurance carrier have their own specific policies and procedures, billers need to be well versed with all insurance policies related to broken global

• Multiple surgeries at one time In this case each surgery needs to be billed separately, and the biller needs to have in-depth knowledge in order to acquire maximum reimbursement

• Underpayments –for OBGYN billing it is more complicated compared to typical medical billing due to the rules surrounding multi-procedures; hence a proper follow up of underpayments can increase collections by 7 -10%

• Patient collections – Due to the large patient balances the patient collection process is more complicated for this specialty. The biller requires being knowledgeable with good expertise in order to understand and explain complexity of the procedures/ EOBs to the patients

Additionally billers require having the knowledge and skill to tackle various challenges and complexities, involving - global billing, antepartum and postpartum care billing, complicated surgeries billing, modifier usage, on-going changes to recommended tests and new billing procedures and technologies . Tackling various billing intricacies, such as antepartum billing challenges and so on, has given MBC an opportunity to acquire expertise in the specialty, with a team entirely focused on OBGYN billing.
MBC approach to OBGYN medical billing
MBC team in addition to guiding doctors and their staff through the OBGYN medical billing process handles -

• Coding - MBC experts are up-dated with new and revised CPT codes, modifier codes and E & M codes for OBGYN billing hence ensuring accurate coding and also offering coding analysis to help replace non-payable or obsolete codes

• Procedures – well - educated and able to provide billing services for a variety of billing procedures, such as – Endometriosis, Pap Tests, Pregnancy and Pregnancy Complications, etc

• Follow-Up Services - constantly review revenue cycle management aggressively until the payment is procured; plus regularly striving to achieve clean claim submission the first time

The OBGYN billing team at MBC also provides individualized consultation services upon request, where they analyze and provide recommendation to practices. Overall the MBC approach is unique being a combination of the latest technology and exceptional people to operate it.

Providing a complete solution to OBGYN billing – By utilizing billing tools specially intended for the specialty, the focus at MBC is to lessen the uncertainty surrounding OBGYN billing and help medical practices obtain maximum revenue for the services they provide.

24Hours Podiatry Medical Billing Services

Orthopedic Billing Solutions for Their Cash Flow Problems

Orthopedic billers at medicalbillersandcoders.com have been glad to offer their expertise as various orthopedic physicians and surgeons across US turn towards MBC to resolve their cash flow problems in today’s challenging billing scenario.

These physicians struggling with a varied mix of payers and encountering cash problems in terms of large amount of revenue left outstanding due to uncollected receivables; are now relieved to have found a solution by opting for MBC’s orthopedic billing solutions.

Identifying cash flow problems associated with orthopedic physicians & surgeons

Increasing number of Orthopedic set-ups today are facing serious cash flow issues due to confusion along with time and effort associated with dealing with a varied payer mix comprising of – Medicare, Medicaid, Private health insurance, Workers compensation and personal injury liens/lop.

The cash flow problems at orthopedic practice set-ups can additionally be attributed to-

• Increased practice costs and reduced payments
• Increased denials and AR days
• Increasing patient demands & changing technology
• Regulatory intervention and changes

Orthopedic billing experts at MBC while billing for our orthopedic clients have observed that one major problem facing orthopedic surgery centers is that “as these centers normally have only 1 billing specialist, the center inevitably faces the issue of meeting the billable target, finding a replacement, or training the person to the billing system hence resulting in major disruption to the cash flow. “

Urgency to improve cash flows now - orthopedic billing future

MBC’s billing experts are of the view that large number of orthopedic surgeons and physicians both are looking for strategic and new ways to generate working capital and improve their bottom line are turning to orthopedic billing specialists. This trend has set in particularly as they foresee an increased shortage of time with the predicted shortage and increasing demand -

• With orthopedic surgery jobs expected to grow faster than average even in 2014, BLS predicts continued growth for surgery jobs particularly in rural areas
• By 2020- 33% of today’s orthopedic surgeons & physicians are expected to retire
• Aging population will attract higher incidence of musculoskeletal conditions that occur with aging
• Rural areas could run into a problem of attracting orthopedic physicians in the face of increasing demand due to an aging population
• Uncertainty due to the upcoming healthcare reforms and its effect on reimbursement rates from Medicare

How MBC is making a difference to orthopedic surgeons & physicians?

Our orthopedic billing service manages your entire billing cycle ensuring as less as possible disruption your cash flow by looking into issues like - unpaid claims linked to a specific payer, payer denial patterns, and slow paying payers and so on. Our billing services also help our clients alleviate issues like cash flow stoppage due to staff issues as we can solely concentrate on training staff to handle large volumes of claims.

Our orthopedic partners have been able to see a growth in their cash flows as our experts constantly updated with reforms deftly deal with their varied payer mix. The following successes are proof of the great relationship and synergy we’ve developed with our clients-

• Regularly  achieve monthly and annual cash collection goals
• Average MBC  clients’ accounts receivable days are in the range of 18 days, mostly below the industry average
• Improved daily working capital & financial growth of the practice
• Quicker payments and increased revenue from claims

Orthopedic surgeons and physicians who have partnered with MBC for their medical billing needs are now experiencing the advantage of utilizing their time usually spent on worrying about medical billing completely invested in the enhancing patient care. According to most of them as patient interaction and practice management has taken precedence over medical billing activities their cash flow too has fallen into place.

Podiatry Practices Falling Short of Collections Turn to MBC For Billing Solutions

Medicalbillersandcoders billing experts have lately been swamped with escalating demand from podiatry specialists to help counter denials from payers and increase their collection ratio. MBC has witnessed a growing trend amongst these practices and facilities across US for demand of medical billing outsourcing.

The reason behind podiatry practices falling short of collections and losing more than 20% of their practice’s potential revenue can primarily be attributed towards specific challenges linked with billing and patient interaction. MBC recognizes that medical billing expertise is the financial strength and hence extremely essential for this specialty. Billing experts at MBC with significant expertise required to tackle billing challenges; have recently helped numerous specialists across US to maximize collections and revenue.

MBC identified these as prominent Podiatry billing challenges-

• Practices need to upgrade their medical billing expertise as most podiatry practices face difficulty in being able to properly track and follow up insurance underpayments. MBC’s billing experts believe that “overcoming this shortcoming though challenging; is necessary in order to increase collections; as underpayments generally cost majority of podiatrists approximately 10% of their probable income”
• Complexities of medical billing encompass patient billing also, and the podiatrists require an efficient billing system which can appropriately bill and interact with patients. Since most patient balances are quite large for the specialty; the patient balance process is quite challenging for most of these specialists. Coupled with this explaining to patients the complicated Explanation Of Benefits and podiatry terminology used on their bills can be quite an insurmountable task for most of the practitioners with time constraints

MBC with its vast experience and expertise has been able to successfully help various practices and facilities evade all these billing related perils.

How can MBC help these specialists overcome the billing challenges?

• Outsourcing billing solutions at MBC help clients properly track underpayments and capture their lost revenue in a systematic manner. The team of experts are well acquainted with the multi procedure rules and have an accurate evaluation system to track and follow up on underpayments without terming every payment on a second procedure as underpaid
• MBC offers accurate and updated knowledge on podiatry medical billing, which assists specialists to effectively handle problems faced while clarifying to patients’ complicated Explanation Of Benefits and podiatry terms used on their bills. The increased knowledge and time of specialists eventually helps improve patient interaction and satisfaction, increase patient collections and hence resulting in fewer complains

Various podiatrists facing ever increasing costs have opted for outsourcing their billing to MBC’s billing experts who-

• Accurately review each billing statement to help ensure it is processed and paid correctly the first time
• Extensive expertise and expansive experience to successfully follow up and appeal denied claims and accurately respond to insurance payers regarding claims
• Knowledgeable team who can accurately judge podiatry claims and complex rules utilized by insurance companies
• In- depth understanding of the specialized industry along with being regularly updated with podiatry billing challenges

MBC experts have grown their client’s bottom lines by handling the entire billing process even as the insurance market changes and federal health care legislation takes effect. MBC has billed for more than 40 podiatrists across US. MBC takes care of the entire billing process including patient demographic information, entering the appropriate CPT and ICD-9 codes, submitting the claims and following them through the process and posting payments.

MBC Helps Internal Medicine Specialists In Florida Tackle Medicare & Medicaid Fee Parity Initiative Challenges

Medicalbillersandcoders.com’s internal medicine experts have recently witnessed an increasingly high demand for medical billing services in Florida. MBC recognizes that this is partly due to several professional challenges intrinsic to the discipline, and also due to the fact that Florida is amongst the lowest paying states for Medicaid internal medicine specialist rates.

This dismal state of payment owes mainly to the fact (apart from Florida being a low fee center) that the services provided by internal medicine specialists come under Medicaid which involves much lower rates than Medicare. To bring about a balance between Medicare and Medicaid, medical authorities have equaled Medicaid rates with those of Medicare on a pilot basis applicable until December 2014.

But, alas, at a state level, this will significantly alter policies, claims systems, provider databases and data reporting. MBC realizes that these state-level policy and procedure alterations will drill down to change the way internal medicine specialists make claims and track claim-related documents. MBC has been helping many internal medical specialists in Florida to handle challenges arising from this new rate parity.

MBC noticed the following areas will be of prime concern for internal medicine specialists-

• Only physicians practicing in certain areas of primary care (internal medicine specialists being one of them) qualify for the increased rates from Medicaid. Physicians have to fill out appropriate forms and furnish accurate documentation to establish their credentials with Medicaid authorities to procure the rate hike
   
• Physicians will have to establish that at least 60% of their Medicaid reimburse claims submitted the previous year to Medicaid were made using primary care codes recognized by Affordable Care Act

The challenges outlined are going to affect internal medicine specialists in all states that are undergoing this fee parity initiative. But MBC understands that the challenges are going to affect the specialist differently depending on size and nature of the practice and consequently has a different approach depending on the practice.

MBC’s role in assisting Internal Medicine physicians in Florida

The challenges outlined above evidence various areas of concern like- right documentation, staff training for appropriate use of codes, tracking codes which have been used previously etc.

As part of the Revenue Cycle Consulting services, MBC performs-

• Thorough assessment of your operations
• Improved documentation and accuracy in billing and coding
• Works out areas of operational lapses and revenue leakages
• Improves in-house operations by spotting areas of revenue leakage and staff training
• When required helps replace old software applications with new
• Helps implement improved RCM and regularly tracks the process

Many internal medicine specialists from small to large sized set- ups, in Florida, have opted for MBC’s services entirely shipping out their billing and coding responsibilities to MBC – so that their staff can continue to focus on medical activities even as they seamlessly realize claims becoming beneficiaries of the rate increase rather than its victims.

MBC has helped internal medicine specialists overcome challenges linked to fee parity initiative-

• MBC guides those physicians who qualify for the rate hike to understand which areas of their medical services qualify and realize payments by helping submit appropriate medical information to establish their credentials with Medicaid authorities
   
• Most internal medicine specialists use Medicaid primary codes; but proving a year later that at least 60% of their reimbursements were procured with Medicaid may be a challenge. MBC helps physicians identify proper documentation and furnish appropriate details

Medical Billers and Coders Charting the Impact of Orthopedic-Billing since Last 2 Years

Orthopedics as a specialty has registered an upward growth, and with it MBC billing experts too have been swamped by increased demand from US orthopedic surgeons and physicians. Due to this development MBC for the last couple of years; has been recording the impact of orthopedic billing to properly interpret all the dynamics involved in order to help clients better.
MBC experts have charted these specifics related to orthopedic growth-

• Innovative care procedures for the specialty introduced
• New technology breakthroughs in the orthopedic industry
• New techniques bought in for anesthesia administration
• Medicare reimbursement reforms continues to be pro-orthopedic

These factors combined together have largely been responsible for an increase in growth, also enabling a shift of orthopedic care from hospital-based inpatient form to; the more affordable outpatient or ambulatory settings. MBC research professionals’ findings reveal that presently the growth rate is 20% for this type of orthopedic care, at par with other fast growing specialties.
Impact of Orthopedic Billing- MBC experts believe that despite being upbeat about the growth, orthopedists are also cautious about the accompanying billing complexities. In addition there are various billing challenges and complexities intrinsic to the specialty, which can become more pronounced with the increased growth.
Orthopedic billing challenges-

• Orthopedics uses a wide range of procedures to treat the various orthopedic conditions, which are interpreted and valued differently by the diverse payers
• Extensive coding revisions in 2013 (500 code changes to the Category I codes, including 251 revisions, 151 new codes and 100 deletions)
• The upcoming ICD-10 - increasing the number of codes along with making coding more complex and detailed
• Every year CMS fee schedules for orthopedics are becoming progressively smaller
• High degree of influence of technology on orthopedic billing; necessarily requires operational functions to be compliant with the requisite degree of automation in most cases
• Insurance underpayments for orthopedics can range between as high as 10 to 15% of the actual claims; with a potential of reaching even 20%. As orthopedic procedures tend to be highly expensive; even a small percent of underpayment can lead to high revenue losses
• Orthopedic patients billing deals with- high balances, complicated explanations from payers and physician invoices that patients do not easily understand, hence if not handled properly can easily lead to loss of revenue and unsatisfied patients

Besides this commercial carriers process orthopedic surgery claims erroneously 35% of the time, while greater than 25% of submitted claims get denied and 15% of such claims are not resubmitted for appeal. Most denials can be prevented; but orthopedists with a hectic schedule find it rather difficult to do much about the situation. Numerous orthopedic practices considering these variables have opted for specialized medical billing services.
How does MBC help with orthopedic billing?
After an in-depth study for the last 2 years of the various orthopedic billing services challenges– MBC to help clients better has been following systematic Revenue Cycle Management. The RCM includes comprehensive processes such as coding, charge posting, claims filing, payment posting, and A/R follow-up, denial management, and reporting. Additionally to accommodate the changing billing scenario MBC experts also -

• Evaluate the orthopedic practice
• Help physicians understand where to allocate resources in order to track finances accurately
• Appropriately advice physicians on improving front end interaction and billing procedures

MBC orthopedic billers have the requisite knowledge to understand the rules surrounding payer-specific coverage policies, ICD and CPT codes, and post-operative modifiers. Considering the extensive orthopedic coding changes for 2013, MBC orthopedic experts have increased their focus on regularly updating themselves with industry changes and reforms.
With regular training and updates, MBC orthopedic billers can handle-

• Intricate orthopedics billing codes and rules
• Orthopedics-related terminology
• Coding for surgical procedures
• Code variations related to multiple procedure rules

Managing to attain improved AR rates; also reducing underpayment by 7-10%.

How Difficult Can medical Claim Filing and Payment Posting be?

Hospitals, healthcare organizations and dentists have long been occupied with the issue of medical filing. The process of medical claim filing is overtly complex, requiring paper work, filing and adjudication. Moreover, with the introduction of new reforms in the system every other day, which is ironically meant to save time and energy of the physician, is a reason for increasing problems until physicians manage to successfully make the required changes.

Hence more documentation, additional reform requisites requires more administrative staff. At times, the ratio of staff dedicated to handle the paperwork to doctors can even be as high as 1:12. Organizations can end up making 19 copies for every document, for which they have to spend $20 in labor to file these documents. However, 1 in every 20 documents gets lost due to glitches in administration. The increasing documentation requires attention and efforts from physicians as well, which makes it difficult for them to concentrate on what they are supposed to be. Hence, it also leads to the shortage of doctors in the healthcare organizations.

With the electronic filing of the claims made mandatory with HIPAA, it will benefit physicians due to lesser paperwork, but physicians now need to update their systems with the right software to file claims electronically. Also it has become crucial for the physicians and coders to be trained in ICD 10 for future filing of claims. Moreover recently in an event of aberration, the claim has a high chance of being rejected and the physician has to repeat the process all over again. This invariably leads to time consumption and cost delays. Insurance payers recently have become increasingly stringent about the course of claims, thus directly afflicting the physicians and their revenue procurement.

Hiring a trained and professional medical biller and coders services can provide a breakthrough for the physicians from all of these problems. The professional medical biller and coder possesses sound knowledge about the rules and regulations regarding medical coding including constantly changing updates, regulations and compliance. Issues like claims denial, medical necessity, bundling issues and charge capture can be handled by them efficiently.

Reforms like HIPAA which are actually designed to protect the privacy can actually be a reason for major concern among the healthcare organizations. They require claims to be filed only electronically, which is undoubtedly a fast method, but besides challenges like converting to system of electronic payments, there are times when the electronic claims get rejected because of lack of petty things like right payer number, provider’s pin number etc. These issues, although seem to be minor, may end up in over extended deadlines and a loss of revenue to the organization. In this scenario, presence of a specialized billing service may help avoid such problems in the organization.

MBC Guides Family Medicine Practitioners to Effectively Tackle the ACA Impact

With the Family Physicians revenue cycle management in a state of transition due to the upcoming Affordable Care Act (ACA), Medicalbillersandcoders.com has witnessed a large demand from Family Medicine practice centers across US keen on outsourcing their billing functions to MBC in order to enhance their RCM.

The ACO impact on Family practice billing and coding  

The impact Accountable Care Organizations (ACO) will have on these practices explains the reason behind increased number of Family practices currently rushing to MBC for their billing solutions.

Though the ACO environment may benefit these practices by promoting primary care hence making it accessible and improving provider reimbursements; it also brings with it many changes as it prompts federal and commercial payers to change the way they make payments. The challenge it provides to Family Practice billing and coding is that they would require transitioning their reimbursement models from volume-based to value-based to a higher number of patients with little time left for billing.

MBC’s billing and coding experts believe that “Family Physicians within the next five years; will need to adopt the new revenue reimbursement models as a result of ACA. Though this may seem simple enough, practitioners will need to work much harder to maximize their revenues.”

Identifying resulting revenue transition challenges

MBC understands that in the ACO environment accurate medical coding and billing is vital to maximizing revenue, being aware of the resulting issues they face with this transition, -

• Lack of knowledge – Most Family Practices from a recent survey understand the value of population health management, but are at a loss on how put these strategies into practice
• Increased administrative burden, cost and time –practices need to prepare and gear up for short-term disruption of patient care and resulting administrative activities, to procure maximized eventual longer term benefits of improved patient experience and reduced costs
• Lack of management- Though an avenue for practices to successfully move forward most practices lack guidance and support in this area; to help them  acquire maximum benefits

How MBC has been guiding Family Medicine Practitioners?

Medicalbillerandcoders.com is aware that improved Family Practice revenue cycle management requires in-depth, insider industry expertise of the new coding, billing and compliance regulations. MBC specialists continuously correlate higher practice revenue to timely billing and account reimbursements, offering best billing strategies, models and consultancy and providing guidance in areas like population health management.

MBC’s certified coders and billers understand that correct procedures are essential for revenue maximization. By providing accurate, quality control and legal compliance, MBC has successfully undertaken Family Practice revenue cycle management coding for larger groups as well.

Family Medicine Practitioners maximize their revenue with MBC as-

• Billing experts manage to stay updated about rules, edits, coding regulations and documentation requirements unique to the Practice’s revenue cycle management; providing the required knowledge and guidance to implement the best strategies
• Family practice billing specialist with the right expertise can handle the complexities presented during billing and correct usage of modifiers, helping reduce costs significantly

As smooth processes and efficient technology support Family Practice centers to effectively reach out to a higher number of patients, it also increases their chances of increased revenue. Healthcare specialists across all 50 US States ( Arkansas Medical Billing, California Medical Billing, Florida Medical Billing, Georgia Medical Billing,New Jersey Medical Billing ) considering streamlining their RCM process are engaging themselves with MBC to utilize revenue management & consultancy services.

Physicians Collect Incentives as MBC Guides its 100th Physician Practice to EHR Meaningful Use

In tune with the healthcare industry increasingly leaning towards healthcare data automation,Medicalbillersandcoders.com guided its 100^th physician practice towards Electronic Health Record (EHR) implementation. According to National Coordinator for Health I.T. – 2012 is to be a year in which HIT will excel, predicting that approximately 100,000 providers will receive EHR meaningful use incentive payments this year.

Meaningful use is poised to take off this year after 20,000 eligible professionals and 1,200 hospitals received incentive payments last year, however HIE requirements will now become even more precise in Stage 2 and MBC in this spirit are gearing up to help their physician practices and staff to implement this change successfully.  

Guiding physicians practices towards EHR implementation 

Even though there has been an upsurge of EHRs there still are a large number of providers still to adopt the EHR and practices face a challenge in choosing the right EHR platforms along with a need to allocate resources to train staff on these technology platforms; however with change being generally resisted - Medicalbillerancoders.com in this process guide their clients practice staff towards easily adopting the EHR services in a smooth manner.

Our expert consultants review the practice’s operations completely and suggest the perfect practice management solution for optimum utilization, providing vast long-term benefits for the clinic, some key MBC services towards EHR implementation include:

• Mapping the practice management flow of your clinic
• Choosing the right EHR
• Short listing an EMR and Targeting the key areas of your practice which require support
• Helping your staff overcome resistance to change
• Help you set standards to easily achiever meaningful use

Guiding its 100^th medical practice towards EMR implementation and eventual meaningful use, Medicalbillersandcoders.com a consortium unlike billing partners, creates an environment where practices are being able to cope with healthcare changes.

Medicalbillersandcoders.com has been a reliable source amongst medical practices for nearly a decade now. Through our industry network we apply a neutral approach in selecting the right EHR and associated with various EHR platforms – Altapoint, ChartLogic, Medisoft, ClearPractice, MediLink, Aprima, BioSoftWorld, CitiusTech, ChiroTouch, Dentrix, EnSoftek Inc, HealthTrio, eScribeHOST, OmniMD, Eclinicalworks besides 550 others – our billers with experience in varied software’s can quickly adapt their skill sets and use their expertise to work with most EHRs. MBC provides a complete solution to practitioners for better EHR implementation and wants to play an integral role in encouraging physician practices towards improved healthcare.

Physicians find Medical Billers and Coders within 48 hours of posting jobs with MBC

MBC played an active role in meeting the growing demands for skilled and proficient billers and coders by launching a job portal. In order to stay ahead and continually serve the healthcare providers in the only manner we know: that is nothing less than the best, MBC yet again invites all physicians to advertise free job listings on our job board at medicalbillersandcoders.com

For more information visit: Post Your Medical billing Jobs Requirement

How will posting jobs with MBC help you?

• A well developed and a user friendly job portal where listings can be posted for free.
• MBC’s commitment and diligence will find you proficient billers and coders within 48 hours of placing your requirement with us.
• CVs’ are received from certified and accredited billers and coders with extensive experience in this domain.
• MBC provides platform to both billers and physicians to post their requirements on one portal making it easier for them to connect.
• Our success ratio is in direct proportion to the number of job seekers and providers that list their requirements with us.
• Being well connected in 50 states and through 40 specialties allows us to meet physician requirements timely.

How is MBC making a difference?

MBC’s expertise in the healthcare sector for over a decade has helped physicians and health care providers to head hunt the most accomplished professionals in the billing industry. We understand the challenges faced by providers to deal with consistent administration issues arising from medical billing; hence we created an exhaustive database of medical billers and coders to match aptitude with right opportunity. Many experienced and practiced medical billers and coders trust us to showcase their potential and find them lucrative opportunities.

MBC’s extensive reach in 50 US states and across 40 specialties makes it the favorite job portal for many healthcare providers. Physicians, clinicians and hospitals have unvaryingly benefitted from the candidatures that provided from our candidate pool. Our stringent screening works a filter and brings forth worthy candidates to meet your requirements.  MBC have sought the most seasoned professionals in the industry that are capable of managing multiple tasks that range from basic coding functions to managing and improving revenue management of your practice. 

Besides supporting a comprehensive job board, MBC is an exclusive portal that brings to you healthcare solutions in medical billing along with industry news and latest trends that affect the service delivery paradigms.

MBC is a juncture where knowledge, skill and opportunity come together.

MBC Encourages AAPI’s Endeavor in Improving Global Healthcare

In 2012 the 5th annual AAPI Indo- US Healthcare Summit was successfully held in Hyderabad, India on January 3^rd & 4^th 2012, addressing key health care issues across the globe. Medicalbillersandcoders.com reaffirming AAPI’s commitment to improve healthcare globally were part of the summit, which was chaired by the AAPI President Sunita Kanumury, MD.

Post this term the arduous responsibility of taking this noble cause will be headed by Dr Narendra Kumar. AAPI being a premier ethnic medical association, headquartered in Illinois serves more than 150 member associations in the United States. The association founded in 1982, currently comprises of over 60,000 physicians and over 20,000 Medical Students and Residents.

The association strives to counteract major challenges in healthcare globally such as heart disease, diabetes, cancer and through these summits for the past 5 years AAPI endeavors to bring together healthcare professionals across the globe in spreading awareness for this venture.

The summit areas of focus included various healthcare specialties endeavoring to spread awareness about healthcare. The discussion and speakers enlightened the audience about crucial key areas in healthcare like Cardiology, Ophthalmology, Oncology, Gynecology, providing insight and fresh perspectives. AAPI’s focus of improvement in quality of healthcare in these areas coincides with MBC’s aim to help physicians catering to varied specialties deliver quality healthcare and the summit gave MBC an avenue to interact with and discuss the same.

Medicalbillerandcoders.com supports AAPI‘s efforts

MBC salutes AAPI’s attempt through the summit and other avenues in encouraging Young Physicians, Medical Students, Residents and Healthcare professionals in the US and across the globe in addressing healthcare issues and providing the right path.

It was a pleasure for MBC to interact with physicians who mirror concerns that plague healthcare across the globe, at the summit.  At Medicalbillerandcoders.com we are constantly striving to facilitate healthcare by alleviating the financial burden of physicians - as once the financial burden is resolved the physicians can solely concentrate on improving healthcare, hence MBC completely supports and appreciates this venture by AAPI to take healthcare to the next level.  

MBC post the summit in the New Year is optimistic & eager to promote positive healthcare initiatives and looks forward to similar ventures in the future.

MBC Offers 35 Weeks of ICD-10 Training Updates for Billers & Coders Across 50 US States

  Medical Billers and Coders consistently updating themselves on industry requirements, is gearing up for ICD-10 and is launching an 87 week journey towards ICD-10 orientation today. Being more than two years since the final rule was released and at the mid-point for ICD-10-CM/PCS implementation, Medicalbillersandcoders.com cautions all Medical Billing and Coding Professionals especially those who haven’t, to start planning for the transition right away!

The 1st step in a long journey being the most important, Medicalbillersandcoders.com invites all Medical Billers and Coders to take the first step in the initial 35 week journey - when updates and training material will be shared to help  them evolve with the US healthcare industry.  

For Medicalbillersandcoders.com ICD 10 orientation, countdown begins 1st of March 2012 and ends 13thof October 2013- in this 87 week program Medicalbillersandcoders.com in the first 35 weeks will share updates and build base for the latest coding updates, while in the remaining 52 weeks will comprise of actual training. In the scenario where The Centers for Medicare and Medicaid Services stands firm on the ICD-10 compliance date of 1st October 2013, stating there will be no delays or grace period, and post this date providers claims only in ICD-10 format will be paid, Medicalbillersandcoders.com urges all related healthcare professionals to get ready to ensure smooth flow of revenue and avoid reimbursement issues.

Medicalbillersandcoders.com boosts billers and coders to face the humungous ICD-10 challenge

Preparation for ICD-10 brings huge and exciting challenges to the healthcare industry along with benefits in the form of improvement of the capture of healthcare information. However Medicalbillersandcoders.com in anticipation of the changes it can bring about in medical billing practices, likely to cause considerable slowdowns in billing and payment and the upheaval it can create if not implemented the right way, encourages all medical billers and coders to be ready for this challenge.

ICD-10 & challenges:

• ICD-10 has 10 times the number of codes compared to ICD 9CM - Coders knowledge of anatomy and physiology, as well as medical terminology will require to be more detailed
• Coders will need to work more closely with doctors to update them on proper coding methods
• More codes to choose from may eliminate use of super bills – a means of quick coding diagnoses
• Providers may need to invest in new software designed to accept the longer digit codes
• Physicians will need to be more specific in their documentation and code observations as ICD-10 codes include more payment limitations for services
• Case managers will need to increase patient education on coverage charges

Medicalbillersandcoders.com is gearing up for this change already and wants to contribute in propelling the concerned professionals to meet these challenges keeping in mind industry standards and ICD-10 deadline of 13th October 2013. The expert panel of advisors at Medicalbillersandcoders.com is striving through the ICD training program to help all billing and coding professionals on any training or information they may need to gear up for this change.

Brief insight into what MBC’s ICD-10 training program is offering to counteract ICD-10 challenges:

• Tips for a smooth transition from ICD 9 to ICD 10
• Problem solving webinars
• Weekly updates of ICD implementation
• FAQ documents of ICD 10
• Coding Practices forum with other experts and participants

This training program also offers subscribers to share their views participate in polls and associate with industry experts and contribute to ICD-10 in their own way at no cost.

As physicians are undergoing healthcare revolution, we as Billing & Coding professionals will need to go through a learning evolution to streamline practices. Medicalbillersandcoders.com billing and coding professionals are charged up for the change and to further this trend Medicalbillersandcoders.com is offering a platform to a career revamp ensuring transition to ICD-10 with confidence. All Medical billers and coders are invited to be a part of this endeavor along with Medicalbillersandcoders.com at no cost from the 1st of March.