Dissatisfaction due to the many hours of paperwork
More and more physicians are reporting dissatisfaction due to the many hours of paperwork involved in their jobs that both creates stress and denies patients the time and attention they deserve. Medical billing for hepatology is a complicated process that is responsible for much of that time spent on paperwork, but it is key to the success of the practice, as it determines the compensation received for services provided to patients.
Doctors can have an optimized revenue stream
Medcare MSO provides full revenue cycle management (RCM) so that doctors can have an optimized revenue stream without having to manage it themselves. We have a staff of certified billers and coders who are experienced in hepatology billing so outsourcing to us results in fewer claim denials and rejections—and significantly more revenue.
Why Hepatology Medical 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 medical billers who are professional and experienced in the specialization. Here are just a few of the reasons you need to hire specialists to provide your hepatology medical billing services.
Multiple doctors involved in the diagnosis and treatment process
The details of what kind of doctor 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.
Highly specialized diagnoses and treatments
There are some conditions that are common within the field of 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 medical coding must indicate when this occurs. Having billers and coders who are specialized in the field 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.
Let Medcare MSO’s Experts Increase Your Revenue and Give You Back Your Time
Our innovative approach to medical billing services also includes a 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 pay back and compliance reviews.
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 services are fully customizable to fit your needs.
We can increase your income
Our clients report that having us manage their claims results in 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 we can relieve you and your staff from the administrative burden of medical billing, so you can get back to focusing on your patients.