From Claims to Collections, We Provide All the Services You Need
MedCare MSO offers billing services that optimize your workflow and simplify your medical billing. Our solutions include all aspects of revenue cycle management (RCM). We have the coding and billing expertise to easily manage your claim denials and ensure maximum reimbursements.
Outsourcing medical coding and billing has become a popular solution for medical institutions of all kinds, and can be especially helpful for nursing homes. It is important to work with a professional organization, like MedCare MSO, with certified coders and staff who are trained in HIPAA best practices, and have experience in nursing home medical billing.
Running a nursing home requires medical staff to stay focused on patient care and be available to handle emergencies. That makes it very difficult for those same people to also deal with billing concerns. It is far more efficient to have skilled nursing collections experts deal with all the medical billing and coding processes for you. Our in-depth knowledge of industry regulations, coding requirements, and reimbursement guidelines ensures that we can maximize your revenue.
Are the Medicare guidelines overwhelming for you? Medicare provides coverage for nursing homes, but changing rules make it complicated. The simplest error while coding can result in loss of payment. Our medical billing company will accurately code and document each claim and then track it until they have ensured that you are successfully reimbursed.
Medicare Part A covers a nursing home stay requiring skilled nursing care for a limited time, but there are also many people who must live in a nursing home for a condition that is not related to a recent hospitalization, which requires different billing and documentation. Additionally, some private insurers provide long term care plans and Medicaid provides coverage for those who need to be in a nursing home, but don’t have the money to pay for it. On top of all that, the amounts covered—and conditions under which Medicaid applies-vary from state to state. That combination of rules, requirements and exclusions makes it necessary to have experienced billers filing claims and proactively managing appeals.
Most services and medications provided in a nursing home are included in the “consolidated billing” daily rate set by the Centers for Medicare & Medicaid Services (CMS), but there are several categories of exceptions, such as oncology. These claims for specialized services must be processed through the nursing home, so it is important for billers to be aware of what the additional services are, and how to code them correctly.
Medical professionals are highly trained to care for patients, and nursing home billing paperwork are often the cause of stress and reduced job satisfaction. MedCare MSO is experienced with nursing home billing services and revenue cycle management. Our certified, experienced staff is ready to provide you with outstanding billing solutions.
Our innovative approach to medical billing makes the process simple and efficient, starting with our proprietary medical billing software that makes sure all the latest code changes are incorporated. Our additional RCM services include annual payback, compliance reviews, bill collection, payer credentialing, and much more.
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