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General mental health, therapy, psychiatric care, skilled nursing, home visits, and assisted living are all covered by our family practice billing services. Maintaining the financial stability of your practice and ensuring timely reimbursements depend on accurate and effective billing procedures.
Allow us to use our professional solutions to improve your practice’s earnings and expedite your billing process!
Consultation CPT codes 90241–99248 are approved by private insurers but not by Medicare; claims using these codes will be rejected if your clinic treats Medicare patients.
Modifier 57 must be used by family physicians who conduct office visits that lead to same-day surgical decisions. This guarantees that the surgical portion of therapy is appropriately reimbursed.
E/M codes 99202–99205 for new patients and 99212–99215 for existing patients are frequently used in family practice. When addressing stable chronic illnesses, 99213 can be used in accordance with CMS guidelines.
When E/M modifiers 24, 25, and 57 are used correctly, additional services rendered during an office visit can be fully reimbursed. Because of our experience, practices have seen a 30% boost in revenue with the proper application of modifiers and coding.
High denial rates are frequently the consequence of inaccurate coding, lacking documentation, and disregard for payer requirements. Payment delays and extra administrative work for your practice may result from these denials.
At Medsurebilling, we use our IMMP approach to methodically handle claim denials:
Determine: We carefully examine the reasons why claims are denied.
Manage: In order to get insurers to pay us back, we start the appeals procedure.
Monitor: We keep a careful eye on the status of claims and pursue unresolved matters.
Prevent: To reduce future denials, we improve our procedures and train employees.
You may lessen the administrative burden on your clinic, speed up payments, and decrease denials with our committed approach.
Many clinics have difficulty collecting payments from customers as a result of the increase of high-deductible health plans, such as marketplace plans, EPOs, PPOs, catastrophic policies, and HSAs. This necessitates efficient patient communication and collection techniques and may result in cash flow problems.
Our family practice billing services at Medsurebilling make sure that patients are aware of their financial obligations right away. We assist patients understand what to expect by demystifying complicated insurance words, deductibles, and coverage information. Our cutting-edge software ensures prompt follow-ups and reliable collection efforts by tracking patient balances and automating reminders.
At Medsurebilling, we place a high priority on staying current with the major laws affecting family practice billing, such as the Affordable Care Act (ACA), HIPAA, and the Medicare Access and CHIP Reauthorization Act (MACRA). Our experience guarantees the continued compliance and smooth operation of your clinic.
Furthermore, we assist family practices in adopting value-based care models including Pay-for-Performance, Shared Savings Plans, and Patient-Centered Medical Homes (PCMHs). We assist you in enhancing patient outcomes and streamlining your practice’s revenue cycle by putting these strategies into effect.
Our medical billing provider, Medsurebilling, has fixed all of our billing issues, including credentialing and prior authorization, and decreased claim denials by as much as 20%. They have been really polite and responsive during our weekly meetings, which we have booked on a regular basis.
Co-Founder, AW Care
We always refer Medsurebilling to others because of their excellent medical billing and customer support services, which help us boost our earnings.
Chief Operating Officer, MAKO MEDICAL LABORATORIES
Because Medsurebilling fixed every error made by my former medical billing partner, I am really grateful to them. They work so quickly and effectively.
Chief Executive Officer, CARE NOW CLINIC
Your office can benefit greatly from collaborating with a top family practice billing provider like Medsurebilling. It improves cash flow, saves time, and increases operational efficiency so you can concentrate on what really matters: giving patients the best treatment possible.
The following are the main advantages of using Medsurebilling for your family practice:
For the most part, text messaging should be considered safe and effective. There are many ways that texting can improve communication.