Med Billing RES provides full revenue cycle management (RCM) so that primary care physicians can have optimized hepatology billing services without having to manage them themselves. We have a staff of certified billers and coders who are experienced in their fields so outsourcing gastroenterology hepatology billing and coding services to us results in fewer claim denials and rejections—and significantly more revenue.
There are a lot of people offering medical billing consulting services, but working with the right team will yield far better results. It is important to find hepatology billing companies that are who are professional and experienced in the specialization. Here are just a few of the reasons you need to outsource your billing services
The details of what kind of physician and what kind of medical facility must be specified in the coding for a claim, but it must also specify what level of diagnosis was done, whether there has been a previous diagnosis, etc. By the time a patient is seen by a hepatologist, there is likely to be a trail of examinations beginning with the family doctor. Each of these must be correctly coded, or the payer is likely to deny the claim as a duplication.
There are some conditions that are common within the field of gastroenterology hepatology, but even these have many details that must be included in the coding, and they will not be familiar to medical billers who are inexperienced. It is also rare for a patient being treated not to have related symptoms in other organs or body systems, and hepatology billing and coding must indicate when this occurs. Acquiring professional hepatology medical coding services makes the difference between full compensation and lost revenue due to overlooked details.
In an effort to simplify medical billing (and cut their costs), payers have bundled the expected items for certain procedures into one code. This can make billing simpler, if the bundle code exactly matches what was done; but there are often additional steps taken or substitutions required, which must be coded in order to be compensated. However, the coding must then also indicate why it was necessary, in order to avoid the appearance of duplicate charging. It isn’t allowable to simply bill separately for items in a bundle because that may create an over-billing situation, which falls under “fraud,” legally. So, hepatology billing companies understand it and help providers solve these problems.
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