100+
Satisfied Clients
30%
Practice Revenue Rise
99%
Collection Rate
Comprehensive Billing Solutions for Internal Medicine
Are you struggling to maximize your revenue potential in internal medicine?
As the complexity of the healthcare landscape grows, accurate billing and coding are crucial for your practice’s financial success. Internal medicine billing is fraught with challenges that may not be encountered by other medical specialties. This includes constantly changing regulations, high claim denial rates, and complex clinical documentation requirements.
As the complexity of the healthcare landscape grows, accurate billing and coding are crucial for your practice’s financial success. Internal medicine billing is fraught with challenges that may not be encountered by other medical specialties. This includes constantly changing regulations, high claim denial rates, and complex clinical documentation requirements.
As an experienced medical coding company, we are well-positioned to help you navigate these complexities. Our specialized internal medicine billing and coding services ensure you receive the optimal reimbursement you deserve.
Maximize Your Practice’s Financial Health with Accurate Claim Submission
We have extensive experience in documenting and billing for the services provided by internal medicine practitioners. Our certified coders keep up with updates in coding guidelines and payer policies, ensuring accurate claim submission, preventing denials, and increasing revenue potential.
Medical Billing
We offer comprehensive medical billing services that help providers in adhering to local and federal regulations and private payer rules, and overcome the administrative complexities of running their practice. Our solutions focus on streamlining claim filing, minimizing the challenges of denial management, ensuring HIPAA compliance, and handling follow-ups with insurance companies, allowing providers to focus on patient care. Our support ensures physicians receive a timely reimbursement for their services, improve cash flow and driving a healthy bottom line.
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Medical Coding
Our certified coders have a thorough understanding of internal medicine billing codes, including office or other outpatient visit codes, inpatient hospital care codes, outpatient hospital or ambulatory surgical center codes, evaluation and management (E/M)codes, and advanced care planning codes. They stay current with code changes, and leverage software to ensure accurate ICD-10 and CPT coding of diagnostic and treatment procedures, ensuring accurate, compliant coding. They conduct coding verifications before submission, lowering the risk of code misuse and misinterpretation, audits, and fines.
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Specialized Expertise in Accounts Receivable Follow-Up
Our comprehensive revenue cycle management (RCM) process includes accounts receivable (AR) follow-up and patient eligibility verification services. We simplify the AR follow-up process to ensure you receive payments quickly. Our goal is to help your practice maximize revenue while reducing costs and streamlining AR management. Through strategic oversight by our analysis and calling teams, we effectively address issues related to unpaid claims.
Benefits of Our Internal Medicine Billing Services
Our dedicated RCM support can ensure:
- Accurate coding
- Thorough patient eligibility verification
- Timely claim submission
- Reduced Denials
- Increased cash flow
- Enhanced compliance
- Reduced administrative burdens
- Cost efficiency
Why Choose Us as Your Outsourcing Partner
Our experts handle medical billing for major payers, including Medicare, Medicaid, and private insurers. Our solutions are rigorously aligned with the guidelines set forth by the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA). The benefits of partnering with us include:
- 100% HIPAA compliance
- Savings of 30-40% on overhead costs
- Rigorous QA checks
- Customized TAT
- Strict data confidentiality
- No long-term yearly contracts
- No set up fees or training fees
- Regular reporting
Steps in Our Internal Medical Billing Process
1
Patient
Registration
Medical
Coding
Coding
5
2
Claim
Submission
Submission
AR
Management
Management
6
3
Insurance
Verification
Verification
Charge
Entry
Entry
7
4
Payment
Posting
Posting
Denial
Management
Management
8
1
Patient Registration
2
Claim Submission
3
Insurance Verification
4
Payment Posting
5
Medical Coding
6
AR Management
7
Charge Entry
8
Denial Management
Flexible Pricing Plans
Based on your needs and budget, you can choose from our flexible payment options:
Full-Time Equivalent
In this model, services are billed based on the equivalent cost of a full-time employee (FTE) for a specified duration, usually monthly or annually.
Per Verification Billing
Like an FTE model, a person is dedicated to your practice. Perfect for a practice that is busy. They work as an extension to your business.
FTE/Per Verification Billing
This option is ideal for a practice that is unsure about their work requirements. This can have per request pricing for eligibility and other functions.
FAQs
What do your internal medicine billing and coding services cover?
We provide comprehensive services, including coding for diagnoses and procedures, claim submission, denial management, and ongoing compliance support. We adhere to all relevant regulations, including HIPAA and CMS guidelines, to ensure compliance and protect patient information.
How do you ensure accurate coding?
Our team consists of certified coders who stay updated with the latest coding guidelines and payer requirements. We conduct regular audits and reviews to maintain high accuracy levels.
What is the typical turnaround time for claims processing?
Turnaround times can vary, but we strive to submit claims within 24 hours of receipt and follow up on unpaid claims promptly to ensure timely reimbursement.
How do you handle claim denials?
We have a dedicated denial management team that analyzes the reasons for denials, implements corrective actions, and resubmits claims to maximize recovery.
Will you help with patient eligibility verification?
Yes, our services include verifying patient eligibility before services are rendered, reducing the risk of claim rejections due to insurance issues.
How can your services benefit my practice financially?
By optimizing billing processes, minimizing denials, and ensuring accurate coding, we help increase your revenue and improve cash flow, allowing you to focus on patient care.
Can you integrate with my existing practice management software?
Yes, our services can be tailored to integrate seamlessly with your existing practice management systems for a smoother workflow.