Professional Medical Coding and Billing Services – Get Paid Promptly and Correctly

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Professional Medical Coding and Billing Services – Get Paid Promptly and Correctly

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In reliable medical coding companies, expert professionals manage the claims submission process and help physicians get paid promptly.

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Outsource Strategies International 8596 E. 101st Street, Suite H Tulsa, OK 74133

The advantages of professional medical billing and coding services are well known.

Outsourcing coding and claims submission processes to a reliable service provider helps physicians get paid correctly and promptly. These experts know how to avoid errors in patient registration, coding and billing and use the right strategies to help their clients obtain maximum reimbursement.

Key Strategies used by Experienced Medical Billing and Coding Companies 

Ensuring accuracy in coding: In an established medical coding service company, experienced AAPC-certified coders handle the medical coding process efficiently.

Their skills allow them to code correctly the first time, which ensure that clean claims are submitted. The team is well-versed in ICD-10, the latest CPT codes, HEDIS coding and all other major coding systems. They are also knowledgeable about specialty requirements as well as the rules pertaining to major payers including Medicare. Working as an extension of the physician’s office, front desk and other personnel, these experts ensure accurate claim submission for appropriate and faster payment.

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Avoiding barriers to claims processing: A professional coding service provider would be well aware of the potential barriers to proper claim submission and take steps to prioritize and manage them. Claims can be rejected if modifiers are not used properly and to avoid this, the outsourcing company would ensure that the coders are properly trained and up-to-date with all the rules in the field. Moreover, they also make sure that all the details are entered correctly on the claim form and ensure that there are no errors in the registration process by avoiding common reasons for denials such as incorrect ID, eligibility, or group number and coverage termination.

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Ensuring insurance authorization and verification: These companies also have insurance eligibility verification experts to check patient benefits and coverage for specific medical procedures before services are provided. They will also perform precertification and preauthorization to prevent denials. Many non-emergency medical procedures and services require pre-authorization or prior approval for reimbursement. Failing to get this clearance can have a negative effect on accounts receivable. Insurance authorization service providers are knowledgeable about these

www.outsourcestrategies.com

Phone: 1-800-670-2809

requirements and will ensure that all of their client’s patients receive approval before they are scheduled for the medical procedure. 

Appealing denied claims: Reliable companies also handle claim denial appeals as part of their medical coding and billing services. They will track unpaid and denied claims after verifying if the correct codes have been used, the documentation is complete and medical necessity requirements have been met.

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AR management: Medical billing companies will work directly with the payer, physician and patient (if necessary) to get a claim processed and paid. Their AR management services range from filing appeals and evaluating low payments to receivables analysis and reporting of receivables risk exposure, and handling insurance-related correspondence.

Improved Practice Workflow Physicians’ practices that rely on outsourced medical coding and billing services can also expect customized monthly financial reports. Such reporting is crucial to successful practice management.

Professional HIPAA-compliant medical billing outsourcing companies help busy physicians save time and money. With the comprehensive services that they provide, they can prevent errors in coding, registration and billing and improve the health care provider’s workflow and bottom line.

www.outsourcestrategies.com

Phone: 1-800-670-2809