Physician Billing

Physician Billing Services for All Size Practices

Why Choose Our Physician Billing Company

Our Core Billing Process

Medical Coding and
Documentation
Claims Submission
Payment Posting
Claims Denial Management
Payment Reconciliation

Depending on your specialty and practice size, our physician medical billing services offer complete revenue cycle management, from charge capture to rejection follow-ups.

Benefits of Outsourcing Physician Billing

Cut overhead expenses by 50% and eliminate the need for an in-house billing team with our efficient physician billing solutions.

Our physician billing services are fully compliant with HIPAA protocols. We stay up-to-date with the latest regulatory standards so that there are no chances of errors or penalties

Our expert billing and coding team submits all claims electronically within 72 hours. We vigorously track every claim and ensure that you get the maximum reimbursements from your payers. We utilize real-time claim scrubbers and payer-specific rules engines to reduce rejections.

How Our Billing Services Reduce Overhead

To reduce claim denials and boost revenue growth, Medsurebilling’s physician medical billing services ensure accurate coding and stay up to date with the most recent laws. Here’s how:

Review patient charts for relevant diagnoses, procedures, and services.
Accurately select ICD-11, CPT, and HCPCS codes.
Verify codes for accuracy and compliance with coding guidelines.
Apply modifiers when necessary to indicate special conditions.
Use coding software and tools for code selection and verification.
We also track first-pass acceptance rate and implement predictive analytics for coding accuracy.

At Medsurebilling, our AAPC-certified billing and coding staff accurately processes up to 75,000 claims every day to guarantee your practice gets the most money possible.

Identifies patterns and root causes of claim denials.
Ensures precise coding to prevent denials from errors.
Confirms that medical records meet payer requirements.
Crafts compelling appeal letters with the necessary documentation.
Tracks and manages the status of appeals for timely resolution.
Acts as an intermediary to resolve issues with payers.
Engages with payers to adjust or reprocess denied claims.

Old A/R Collections

The MIPS program by Medsurebilling will remain active in 2024, promoting excellent patient care. It evaluates performance across categories such as:

Quality: Measures care quality.
Improvement Activities: Assesses efforts to improve patient care.
Promoting Interoperability: Encourages patient engagement and electronic data sharing.
Cost: Evaluates resource efficiency.

With a weighted system, particular point values, and reporting deadlines, MIPS scores might be difficult to satisfy, but Medsurebilling’s experience can help you reach the 75% quality reporting target.

We take care of every part of renewals and verifications so you can concentrate on giving patients the best treatment possible. The following steps are part of Medsurebilling’s provider credentialing process:

Submit applications and required documentation to the credentialing body.
Verify the authenticity and accuracy of documents.
Conduct background checks.
Confirm licensing status with the medical board.
Perform peer review if needed for clinical skills assessment.
The credentialing committee evaluates qualifications and makes a recommendation.
Notify the provider of the decision and any required corrective actions or additional documentation.

Nationwide Coverage for Physician Medical Billing

At Medsurebilling, our committed staff of healthcare physician management services makes sure you receive the highest possible compensation for your claims in all 50 states.

Provide contact information, reimbursement guidelines, and eligibility information to payer databases.
Implementing the No Surprises Act for out-of-network expenses and SB 137 for comprehensive billing.
Enhancing claim accuracy and lowering denials by utilizing state-specific codes and modifiers.
Modifying billing to reflect state-specific Medicare Advantage and Medicaid expansion schemes.
Maximizing telehealth service reimbursement.
Payer adaptation and region-specific compliance are
Guaranteed by our national physician medical billing network.

Additional Physician Management Services

Frequently Asked Questions

What Factors Should I Consider When Choosing a Billing Service?

Choosing the proper physician billing services partner is crucial to accurate and timely claim submission, coding, denial resolution, and unpaid claim follow-up. When choosing a billing services business, consider the following:

Experience and Expertise: Look for a company with a history in medical billing. Their experience means they understand the ins and outs of medical billing and can handle any issues that arise.
Reputation and Testimonials: Research the company’s reputation and read reviews. Positive feedback from other healthcare providers will give you peace of mind.
Your Needs: Make sure the company understands your specific needs and requirements. They should be able to tailor their services to your practice.
Flexibility: The healthcare industry is always evolving. Choose a company that keeps up with the latest regulations and industry changes.
Communication and Support: Good communication and fast customer support are essential. The company should be easy to reach and responsive to any questions.
Technology and Systems: Advanced technology can streamline billing and improve productivity. Ensure the company uses the latest software and tools.
Fees and Contracts: Understand their fees, payment terms, and contract requirements. Transparent pricing and flexible terms are a must.
Reporting and Metrics: Detailed reporting and metrics will help you make informed decisions about your practice. Choose a company that gives you visibility into your financials.

By considering these factors, you can be confident you've chosen a billing services partner that will truly work for you.

What to Expect from a Billing Services Company

A billing services company should offer:

Accurate Claim Filing and Coding: Filing all claims correctly and coding accurately to reduce errors and increase reimbursement.
Denial Resolution and Unpaid Claim Follow Up: Managing denied claims and following up on unpaid claims to get timely payments.
Patient Billing and Account Management: Handling patient billing and managing patient accounts to take administrative burden off your staff.
Practice Management Solutions: Solutions to simplify practice management from scheduling to patient record management.
Administrative Tasks: Doing data entry, reporting and other administrative tasks so your staff can focus on more important things.
Compliance: Staying on top of changing healthcare regulations to avoid fines and disruptions.
Patient Focused: Focusing on patient care and satisfaction by providing clear and accurate billing information and support.
Expect transparency, HIPAA compliance, and deep understanding of physician billing services standards.