For years, Medicalbillersandcoders.com has been synonymous with medical billing management – helping medical practitioners not only realize their medical reimbursements fully but also optimize their clinical and operational efficiency. While the medical billing complexities have consistently been escalating – owing to unprecedented increase in insured population and the risk associated with managing insurance reimbursements

1. http://www.medicalbillersandcoders.com
End to End Medical Billing Solutions
Advocating and Practicing Best Practices in Medical Billing
For years, Medicalbillersandcoders.com has been synonymous with medical billing management –
helping medical practitioners not only realize their medical reimbursements fully but also optimize
their clinical and operational efficiency. While the medical billing complexities have consistently
been escalating – owing to unprecedented increase in insured population and the risk associated
with managing insurance reimbursements – we have been able to off-set its effect through
consistently remodeling our medical billing Revenue Cycle Management (RCM) to the benchmarked
industry standards. As a result, time and again, our ingenious medical billing processes have come to
fore in mitigating adverse impact on our clients’ medical bill reimbursement, and ensuring optimal
realization of reimbursements, clinical and operational efficiency.
Here is a rundown of the “Best Practices in Medical Billing” that we have been advocating and
practicing in ensuring optimal realization of reimbursements, clinical and operational efficiency, and
compliant processing of medical claims as per the Federal Healthcare norms:
• Eligibility Verification or Pre-Screening is the foremost on list of Best Practices in Medical
Billing; the objective is to determine the patients’ eligibility for the insurance coverage for
which the medical intervention is sought. Further, it also ensures knowing in advance what is
covered or what in not before a patient is registered and admitted for clinical management.
• Understanding Coverage: Understanding how the respective insurance carrier would
reimburse the eventual cost of medical services is as important as verifying the patient’s
eligibility for the insurance coverage for which the medical intervention is sought. As it is the
insurance company that ensures the reimbursement on behalf of the patient, there should be
clear communication and clearance from the respective insurance bearer.
• Billing Competence: Often medical coding and claim submission can go wrong owing to
inherent errors while preparing medical bills for the medical services concerned. Therefore,
due vigil needs to exercised while preparing bills that form the basis for eventual coding and
claim submission.
• Coding Compliance and Competence: As much as billing competence, coding too hold its
importance in flawless claim submission and realization. As the outcome of a medical bill
largely hinges on coding compliance and competence, medical bills should invariably
accompany ICD and HIPAA compliant coding procedure for medical procedures.
• Electronic Claim Submission and Follow up: As the system of IT-enabled claim submission and
follow up becomes more common, medical claims submission need to be managed through
electronic medium for seamless and faster realization.
• Managing the Revenue Cycle: As the incidence of claim submission become too voluminous,
your claims may take a little while for realization. But, as the sustenance and growth of your
practice largely hinges on your ability to minimize the Accountable Receivable days as less
possible, an effective and efficient Revenue Cycle Management becomes inevitable.
Medicalbillersandcoders.com’s (www.medicalbillersandcoders.com) ingenious and credible
RCM – comprising Adjudication, Follow Up, Re-submittals, Payments, Adjustments, Secondary
Claims, Denials and Appeals – invariably proves to be indispensable to successful Revenue
Cycle Management.
www.medicalbillersandcoders.com
Copyright ©-2011 M.D.C.P. All Rights Reserved.
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2. http://www.medicalbillersandcoders.com
End to End Medical Billing Solutions
The credibility earned from being perpetually committed to “Best Practices in Medical Billing” has
been instrumental in expanding our reach to the length and breadth of U.S. Our diverse pool of
qualified and competent medical billing professionals has been able offer result-oriented medical
billing practices to diverse clientele (ranging from small practices to multi-specialty groups) in varied
specialties including Allergy & Immunology, Ambulance Transportation, Anesthesiology,
Behavioral Health, Cardiology, Chiropractic, Dental, Dermatology, Family Practice,
Gastroenterology, General Surgery, Hospitalist Billing.
As the success of investing in any business turnaround exercise is measured by the degree of its
impact clients’ cost-optimization and revenue maximization, Medicalbillersandcoders.com
(www.medicalbillersandcoders.com) too had to verify its executed solutions against actual benefits
for its client. Remarkably, the transformation made by our “best practices” has been quite
impressive with:
• HIPAA compliant medical coding ensuring highest authenticity
• Reduced operating costs
• Regular monitoring and auditing
• High accuracy in coding
• Feedback & custom reports
• Multi-level quality assurance
• Quick turnaround
• Reduced claim denials
• Faster reimbursement
• Accelerated revenue generation
• Ample scope for intensive focus on medical care
Therefore, if you are a medical practitioner seeking to turnaround your practice’s clinical and
operational efficiency, Medicalbillersandcoders.com may well be your source.
www.medicalbillersandcoders.com
Copyright ©-2011 M.D.C.P. All Rights Reserved.
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