Family Practice Billing Services
Is your family medicine practice struggling to generate error free bills for reimbursements? Is this challenge leading to partial reimbursements or outright claims denials? Look no further! We are providing HIPAA-compliant family practice billing services to streamline billing processes end-to-end and increase revenue for your practice.
Get a QuoteHow We Simplify Family Practice Billing for Your Practice
A team of family practice billing experts with AAPC and AHIMA certifications drives us. They have first-hand experience with common and complex coding challenges for acute and chronic illnesses. Our team leverages this experience to facilitate seamless and error-free billing solutions encompassing ailments such as preventive care, routine check-ups, immunizations, and minor procedures. Here is how we assist you in simplifying the family practice billing process:
- Integrate digital systems such as electronic medical records (EMR), electronic health records (EHR), and electronic data interchange (EDI) into family practice-specific billing software integrated to facilitate seamless electronic claims processing.
- Verify patient information (registration number, SSN, medical history) and insurance information (name, address, history, coverage details, effective date, expiration date, fee structure), physician referral, etc., to ensure accurate claims documentation.
- Determine and process pre-authorization requests as needed before the family medicine practice completes a medical procedure.
- Accurately assign codes (CPT codes, ICD-10 codes, HCPCS Level II codes, E/M codes, modifiers, place of service codes, etc.) for the family practice services rendered to the patients.
- Adhere to regulatory guidelines and code specificity while working on multiple types of family practice billing models such as fee-for-service, capitation, bundled payment, value-based payment, etc.
- Validate claims before submitting them to the payers, including government programs (Medicare, Medicaid), private insurance companies (Blue Cross Blue Shield, Aetna, Cigna), Tricare, Self-Pay Patients, Managed Care Organizations (MCOs), and more.
- Obtain the EOB statement from the insurance payer to check for any discrepancies in the reimbursement value, address the same, and support the appeals process.
- Examine EOBs to generate a clear summary of patient copays, deductibles, and other out-of-pocket expenses.