Occupational Therapy Billing Services
Are you looking for a stable and efficient way to manage your practice’s occupational health billing needs? Look no further than our HIPAA and OSHA-compliant occupational therapy billing services. We provide comprehensive solutions to address complex billing and coding requirements, thereby reducing chances of claims denials and maximizing reimbursement.
Get a QuoteHow We Help Streamline Occupational Health Billing for Your Practice
We are home to Certified Professional Coders (CPC) and Certified Professional Billers (CPB) who understand every aspect of charge capture to billing and claims to payment processing and follow-up. Backed by advanced billing technologies, our team leverages their expertise to make billing more streamlined, accurate, and on-time. Our expertise yielded the desired revenue results for occupational health providers specializing in pre-employment medical examinations, drug and alcohol testing, medical surveillance, ergonomic assessments, immunizations, injury management and rehabilitation, and more. Here is how we will do it for you:
- Harness digital capabilities like EDI, EHR, EMR, and PMS to digitize workflows facilitating timely and accurate electronic claims submission.
- Ensure all patient information (patient demographic details, medical records, insurance provider information, coverage details, effective date, expiration date, etc.) is accurate and up-to-date.
- Determine pre-authorization needs and process subsequent documentation summarizing the medical necessity of services, seeking the payer’s approval.
- Align with the payment guidelines and fee schedules of different insurance payers, including government agencies (Medicare & Medicaid), employer-sponsored health plans, self-insured employers, and private insurance companies like Aetna, Cigna, and Humana.
- Stay informed about the latest coding updates in ICD-10, CPT, E/M, HCPCS, modifiers, and revenue codes. Our occupational billing specialists are well-versed in the latest CMS and AMA guidelines and are certified by the American Academy of Professional Coders (AAPC).
- Adhere to the pertinent regulatory requirements while filing claims for occupational health billing models such as capitation billing, fee-for-service billing, episode-of-care billing, etc.
- Examine the Explanation of Benefits (EOB) statement from the insurance provider to review reimbursement discrepancies, address any issues, and assist in the appeals procedure when necessary.
- Analyze EOBs to get a clarity on premiums, coverage durations, deductibles, and co-payments for subscribers, policyholders, and additional beneficiaries.