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  • Accurate Coding
  • Dedicated Team
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End-to-end Rheumatology Medical Billing and Coding Services from Industry Leaders

End-to-end Rheumatology Medical Billing and Coding Services from Industry Leaders

From checking E/M codes to avoiding RAC and OIG audits, we provide comprehensive rheumatology medical billing and coding solutions. Accurate coding in this specialty requires proper understanding of the nuances of disease manifestations, treatment modalities, and documentation requirements.

Our team is specialized in providing complete revenue cycle management solutions for the Rheumatology specialty. We serve rheumatologists in group practices, multi-specialty groups, clinics, free-standing diagnostic facilities, long-term care facilities, acute care facilities and hospitals. Our HIPAA-compliant company provides customized solutions that reduce your overhead expenses by 30% to 40%.

Rheumatology documentation includes multi-joint assessments, infusion therapy details, and longitudinal disease activity notes. To support this level of clinical complexity, our team uses MedGenX, OSI’s proprietary AI medical coding platform, to surface patterns such as recurring infusion schedules, therapy adjustments, and chronic condition carry-over requirements that influence code accuracy. Instead of simply flagging missing fields, the AI helps our coders maintain continuity across episodes of care, which is crucial in a specialty where long-term disease management impacts reimbursement.

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Comprehensive Rheumatology Medical Billing and Coding Services

Medical Billing

Ranging from charge entry and procedure coding to claims submission and denial management, we handle every aspect of your billing process with precision and expertise. We strive to ensure seamless revenue cycle management for your practice. Our team uses AI-supported review prompts to catch missing infusion details or biologic therapy parameters early – helping prevent delays and avoidable denials specific to rheumatology claims.
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Medical Coding

Our team of AAPC- and AHIMA-certified coders is well-versed in the latest ICD, CPT, HCPCS codes and modifiers. We analyze your medical documentation carefully to make sure that the most appropriate codes and modifiers are used on the medical claims. MedGenX assists this process by identifying disease-activity indicators, bilateral joint involvement, and drug-related nuances that influence code specificity in rheumatology.
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With our medical billing services, you can correctly bill for:
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Laboratory and X-ray Procedures

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Evaluation and Management Services
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Synovial (Joint) Fluid Analysis
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Bone Scan
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Dual-energy CT Scan
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MRI
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Trigger-point Injections and Joint Injections
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Ultrasound-guided Cortisone Injections
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Cortisone Shots
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Hip Replacement
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Knee Replacement
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Consultations and Special Services

Benefits of Accurate Rheumatology Billing and Coding

Accurate medical billing and coding services offer several benefits for providers, patients, and the healthcare system as a whole. Professional billing support helps avoid under billing or overbilling, maximizing revenue for the practice.
  • Increases revenue by ensuring proper reimbursement
  • Minimizes claim denials and audits, reducing financial risks
  • Facilitates accurate patient records and treatment histories
  • Supports research and data analysis for improved care strategies
  • Enhances efficiency in administrative processes
  • Improves compliance with coding standards
  • Boosts confidence among patients and providers
  • Enables better tracking of treatment outcomes
  • Improves coding consistency for recurring infusion cycles through automated cross-visit validation

Why Choose OSI?

Why Choose OSI

OSI has more than two decades’ specialized experience, which helps us ensure accurate claims and optimal reimbursement for our clients. We stay abreast of the latest billing developments in this specialty, in the best interests of our valued clients.

  • Services of skilled coding experts
  • Improved coding precision with automation
  • 30% to 40% cost savings
  • Regular QA checks, reports and meetings
  • No long-term yearly contracts
  • Proven track record
  • Stringent quality assurance checks
  • Faster turnaround time

We serve all 50 states

Our Rheumatology Medical Billing Process

We have established procedures and processes in place for successfully carrying out all bill submission and collection processes.

1

Patient Scheduling
9
Claim Submission & Payment Posting
4
2
Eligibility Verification
9

Accounts Receivable (AR) Follow-up

5

3
Medical Coding
9
Denial
Management
6

1

Patient Scheduling
"
2
Eligibility Verification
"
3
Medical Coding
"
4
Claim Submission & Payment Posting
"
5
Accounts Receivable (AR) Follow-up
"
6
Denial Management

Affordable & Flexible Pricing Plans

With our transparent pricing and customizable packages, you can optimize your medical billing and coding process without breaking the bank.

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.

AR is only FTE

In this model, you will be charged a fixed monthly or annual fee based on the number of full-time equivalent staff required to manage your practice’s AR follow-up activities. We are also considering a blended model for AR.

Healthcare and Dental Revenue Cycle Management Process
Grow your rheumatology practice with our precise medical coding solutions.
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FAQs

How do you ensure compliance with billing regulations?

We stay up to date with the latest billing guidelines and regulations, conducting thorough documentation reviews and maintaining strict adherence to industry standards to minimize audit risks. We also use automated checks that alert our team for rheumatology-specific elements such as infusion timing or drug units that require clarification before submission.

How can OSI’s specialized services improve financial performance for our practice?

Specialized billing and coding in rheumatology ensures adherence to complex coding requirements specific to rheumatic diseases and treatments. This precision reduces claim denials, accelerates reimbursement cycles, and optimizes revenue generation, ultimately boosting your practice’s financial health.

How do you handle insurance claim denials and appeals?

We accurately track claim submissions and promptly address any denials. Our team conducts thorough reviews, prepares comprehensive appeals with supporting documentation, and communicates effectively with insurance companies to resolve issues swiftly and maximize reimbursement for your practice.

What are your fees for medical billing and coding?

We offer transparent and competitive pricing structures to fit your practice needs. Contact us for a free consultation to discuss customized pricing options.

Can automated coding maintain continuity across recurring rheumatology visits?

Yes. The automated system tracks patterns across follow-up visits such as medication adjustments, flare indicators, or chronic condition carry-over to ensure that the codes reflect accurate clinical progression from one encounter to the next.

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