A busy medical clinic will likely see a wide range of patients, from infants to the elderly, for anything from preventive treatment to severe illnesses. Medical billers must be familiar with all areas of medical clinic billing and coding, including unique modifiers for newborns, children, and other special populations. Even the slightest chart mismatch or coding issue will result in a claim being refused or rejected.
Outsourcing medical clinic billing services has proven to be an ideal alternative for medical clinics that require excellent revenue cycle management (RCM) to maintain a sustainable income. Medsurebilling provides licensed and experienced billers and coders that are familiar with medical clinic procedures.
Medical clinics are frequently the initial point of contact for patients when they enroll in a new insurance plan or begin seeking treatment for a serious ailment. Dissatisfied patients at this level will easily switch doctors, so it’s critical that they have a positive experience with your office. Professional billers can concentrate solely on processing your claims, allowing physicians and medical personnel to devote their time to patients. Some parts of billing have an impact on medical clinics, making outsourcing especially valuable. This includes:
When medical billing is done in-house, there is usually only a small staff working on it, which means that if one person goes on vacation or becomes unwell, the entire revenue stream suffers.
The more patients a clinic sees per day, the more probable certain payment claims will be rejected or denied. Medical clinics frequently deal with a wide range of payers and insurance, which increases the likelihood of claim issues. Outsourcing medical clinic billing to professionals who are only focused on the revenue cycle rather than patient care significantly reduces the frequency of errors, resulting in less income lost due to claims not being paid.
Medical clinics see a significant number of patients, each with a unique problem that day. Each patient who walks through the doors may have a different insurance company or government payer, thus insurance setup and processing must be completed for each one. Patients typically have little awareness of their coverage and expect medical professionals to comprehend it and interact with the insurance on their behalf.
Our patented medical billing software extends our creative approach to medical clinic billing services directly to your front office. When a patient sets up an appointment, the RCM process begins. We keep track of everything, and claims are submitted and addressed quickly.
We are also well-versed in HIPAA security and privacy laws, and all of our billing staff is trained and certified to ensure that our clients never have to worry about HIPAA violations. Our medical clinic billing solutions include all areas of RCM, including payer credentialing, bill collection, compliance reviews, annual payback, and more—but they are also customizable to deliver exactly what you need, allowing you to continue doing whatever components you wish to perform yourself.
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