Medcare MSO’s Hepatology Medical Billing Services

More and more physicians are reporting dissatisfaction due to the many hours of paperwork involved in their jobs that both create stress and deny patients the time and attention they deserve. Medical billing for hepatology is a complicated process that requires a considerable amount of time to deal with the hectic paperwork, but it is key to the success of the practice, as it determines the compensation received for services provided to patients.

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Doctors Can Have an Optimized Revenue Stream

Medcare MSO 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.

Why Hepatology Billing Needs Specialists?

There are a lot of people offering medical billing 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

Multiple Physicians Involved in the Diagnosis and Treatment Process

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.

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Highly Specialized Diagnoses and Treatments

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.

Bundled codes

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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Let Medcare MSO’s Experts Increase Your Revenue and Give You Back Your Time

Our innovative hepatology billing solutions include proprietary software to make coding simple and assure that all the latest changes are included. We also can take care of payer credentialing and annual payback and compliance reviews.

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Coding And Submission Of Claims

While coding and submitting claims is central to RCM, the process actually begins with getting payer approval when the appointment is scheduled. Once the patient has been treated, the claims are submitted and any issues resolved, but there may also be a portion of the bill that the patient is responsible for. Medcare MSO handles all phases of RCM or only those aspects you want to outsource to us. Our hepatology billing services are fully customizable to fit your needs.

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We Can Increase Your Income

Our clients report that having us manage the results of their claims reduced stress and increased income, allowing their practices to thrive while becoming much more enjoyable. Contact us today to get a free demo, and let us show you how our hepatology medical billing company experts can relieve you and your staff from the administrative burden of billing, so you can get back to focusing on your patients.