Our family practice billing services encompass a variety of areas, including general behavioral health, therapy services, psychiatric services, skilled nursing, home visits, and assisted living. Implementing effective billing procedures for family practice services is essential for ensuring timely reimbursements and maintaining financial stability.
Our comprehensive offerings include:
– Physician credentialing services
– Patient demographics verification
– Insurance eligibility checks
– Coding services
– Electronic claims submission
– Electronic payment processing
– Denial management
– Accounts receivable (A/R) management
– Financial reporting
– Patient statements and collections
Allow us to streamline your billing process and enhance your practice’s revenue with our expert services!
psychiatric services, skilled nursing, home visits, and assisted living. Effective billing procedures for family practice services are crucial for timely reimbursements and financial stability
Let us streamline your billing process and enhance your practice’s revenue with our expert services!
The financial health of your family practice is closely tied to efficient billing and prompt account reimbursement, which are essential parts of the revenue cycle management process. Our family practice billing services minimize coding errors, quickly address denied claims, and ensure that your revenue cycle operates smoothly and efficiently.
If you work with Med Billing patients, it’s important to know that consultation CPT codes 90241 to 99248 are accepted by commercial payers but are denied by Medicare.
For family practitioners handling office visits and making same-day surgical decisions, modifier 57 is essential. This ensures proper reimbursement for surgical decisions made on the same day.
Common family practice codes include 99202-99205 for new patients and 99212-99215 for established patients. According to CMS guidelines, code 99213 applies to stable chronic conditions.
When used correctly, E&M modifiers 24, 25, and 57 can secure full reimbursement for additional services provided during office visits. Accurate use of these codes and modifiers can boost revenue by up to 35%.
Errors in coding, incomplete documentation, or not following payer guidelines can result in high denial rates, causing payment delays and adding administrative work.
Our IMMP process—Identify, Manage, Monitor, Prevent—effectively addresses claim denials. We start by identifying the root causes of denials. Then, we appeal these denials to recover payments from insurers. Lastly, we aim to reduce future denials through process improvements and staff retraining.
With the rise of high-deductible health plans like HSAs, catastrophic plans, EPOs, PPOs, and marketplace options, practices often face challenges in collecting payments from patients. This can create cash flow issues and highlights the need for clear communication and efficient collection strategies.
Our family practice billing services help patients grasp their financial responsibilities upfront by simplifying complex insurance terms and deductibles. Using advanced software, we track patient balances and send automated reminders to ensure consistent follow-up.
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