Medical coding and billing are complex processes that are a challenge for any practice, but specializations like thoracic surgery have such a wide range of procedures and so many alternatives that getting everything correctly coded and submitted properly according to all the insurance claim requirements can seem impossible for a busy office staff.
As costs continue to rise and medical office budgets get tighter, it becomes even more important to maintain an efficient revenue cycle. Payments being unnecessarily held up because of claim denials or even just slow submission affect your bottom line by delaying income that you need to get as soon as possible to keep your supplies paid for and your office running smoothly
Under coding (entering a code that results in too little compensation for your services) can result in serious losses, and worse yet, over coding (submitting claims with codes that indicate a more expensive procedure than was performed) confuses billing and delays payments, but it is also a violation of the law and can not only cause trouble with those who pay you, but can trigger an investigation by the Office of Inspector General (OIG), the US body that is responsible for investigation of waste, fraud, and abuse.
We are experienced with practices of all sizes across the U.S., in all areas of specialization. By maintaining a well-trained and up-to-date staff of billing and coding specialists, we are able to manage your revenue cycle more effectively than your in-house staff can, allowing you and your team to focus on your practice and patient care rather than paperwork, while increasing your income.
For intricate specialties like thoracic surgery, cardiology, pulmonology, oncology and radiology it is important to have a knowledgeable billing team that has hands-on experience in claims recovery for participating and non-participating practices. If your practice is non-par with any payer, you need an expert who knows how to recover payment at the highest and best negotiable rate.
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