Medcare MSO’s Nephrology Medical Billing Services

Paperwork and medical billing tasks are taking up so much of physicians’ time that they have become primary causes of job dissatisfaction. In addition to not being what a doctor went to med school to do, these administrative tasks take away from time that could be better spent caring for patients. On the other hand, medical coding and billing are how the practice gets paid for services delivered, so they must be done as accurately as possible.

We provide premium services so you can take care of patients

IMedcare MSO is dedicated to providing superior medical billing services so that doctors and their medical staff can get back to taking care of patients while we do the work involved with getting you paid. Our services cover full revenue cycle management (RCM) from getting payer authorization upon first contact with the patient to collecting balances due from patients, and we have a staff of certified billers and coders who are experienced in nephrology billing so fewer claim denials and rejections occur.

Why Nephrology Medical Billing Should Be Done By Specialists

Many medical billing services are available, but finding one that is dedicated to staying on top of the latest coding changes and payer requirements that relate to nephrology is important. These are just a few of the reasons you need an experienced team of specialists

Bundled codes

For surgery and other multifaceted treatments, payers have “bundled” included items into one billing code. In theory this simplifies billing, but there are often exceptions to the expected inclusions and not only must these be coded separately, they must also be coded in a way that makes the necessity of each one clear, otherwise it will be denied as a duplicate bill.

Higher level diagnoses and treatments

By the time a patient is seen by a nephrologist, they are likely to have seen a general practitioner and other specialists, and may have a history of previous kidney disease, so examinations and treatment tend to be higher level, more involved processes, which require more detailed coding. This makes it important to have billers and coders who are experienced in the specialization to assure there is no lost revenue due to overlooked details.

Multiple doctors involved in treatment

Surgery and other complicated treatments involve more than one physician and an assortment of medical support staff, who may each be part of a different medical organization. In these cases, the coding must make clear what kind of facility was used and what roles the various doctors played, or not all of them will be compensated.

Outsource Your Medical Billing to Medcare MSO and Increase Your Revenue

Medcare MSO handles all phases of RCM, but our clients have the option to choose which aspects they wish to outsource. Our services are fully customizable to fit your needs, but we highly recommend outsourcing coding and billing at a minimum.

We bring an innovative approach

We bring an innovative approach to medical billing and our proprietary software makes coding simple and keeps the system up to date with all the latest code changes and payer requirements. Unresolved claim issues are a huge source of lost revenue for many medical organizations and having our certified and experienced nephrology billers taking care of your claims ensures that they are submitted clean and any problems are swiftly and accurately addressed.

Just billing and coding

Our services are far more extensive than just billing and coding. We invite you to browse our website to find out more about the ways we can support and protect your revenue. Get a free demo today to see how we can take on the administrative burden of medical billing so you can get back to focusing on patient care.