5 Advantages of Using Orthopedic Billing Outsourcing Services - PowerPoint PPT Presentation

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5 Advantages of Using Orthopedic Billing Outsourcing Services

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Title: 5 Advantages of Using Orthopedic Billing Outsourcing Services


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5 Advantages of Using Orthopedic Billing
Outsourcing Services
  • Orthopedic billing is a crucial process of any
    orthopedic practice. To keep your practice
    running smoothly by minimizing claim denials and
    cash flow problems, It is important to keep in
    mind a few aspects while billing
  • Double-check patient information,
  • Verify insurance coverage,
  • Use the right code and
  • File your claims quickly
  •  
  • How Does Orthopedic Billing Work?
  • Orthopedic billing begins with proper
    documentation before, during, and after a
    patients visit. Its important to pay proper
    attention to coding during the full extent of
    services. Why?
  • One, for maximizing reimbursement and minimizing
    claim denials and
  • Second, for year-end service cost analysis
  •  

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5 Advantages of Using Orthopedic Billing
Outsourcing Services
Simple errors like missing or incorrect patient
information such as name spellings, date of birth
can result in a rejected claim. Apart from
errors, its important to know insurer
preferences and deadlines. With ICD-10, coding
has become more precise than ever. So, its
important to train your staff completely on the
changing rules, regulations, and practices to
avoid severe fees and penalties. If orthopedic
billing and coding are mishandled or small
details are overlooked, it may result in
disastrous consequences for practices. Even small
errors or inefficiencies may lead to
reimbursement delays and denials or audits. No
doubt, failure to comply with payers is less
detrimental than compliance with HIPAA and state
regulation. Orthopedic provides an extensive
range of services for patients that includes
injury prevention, correction in the joints,
muscles, and ligaments, etc. When it comes to
handling medical billing and coding services, it
surely translates into a complex process. But if
you have no time to train your in-house staff or
feel that your billing management is too complex,
its advisable to outsource your orthopedic
billing services to reduce your stress and
increase reimbursements.
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5 Advantages of Using Orthopedic Billing
Outsourcing Services
  • Advantages of using Orthopedic Billing
    Outsourcing Services
  • Outsourcing your billing to Orthopedic Billing
    professionals with the experience and knowledge
    of perplexities of orthopedics eases all your
    efforts required for updating your staff and
    systems. These professionals have the required
    knowledge of the complex rules utilized by
    carriers to adjudicate claims and the
    ever-changing CPT codes and associated modifiers
    applied to ensure proper reimbursements.
  • With certified medical coders and Orthopedic
    specialized billers, these billing services can
    help you identify past billing problems and
    denied claims. The professionals evaluate the
    underpayments and submit claims appeals with
    correct documentation. The bill appropriately
    using correct ICD, CPT, and modifier codes,
    ensuring maximum reimbursement.
  • Outsourcing billing services help in reducing the
    overall cost of regular training and education of
    the staff, ensuring the staff focuses on the
    tasks they are more experienced and comfortable
    at, and providing valuable care to the community.

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5 Advantages of Using Orthopedic Billing
Outsourcing Services
  • Since all the information and coding of all the
    charges are correctly processed at the very first
    time, reimbursements are quick and your practice
    gains the added benefit of lower than industry
    average accounts receivable balances.
  • Apart from that, these trained and experienced
    professionals track each claim meticulously until
    the payments are received. They do the required
    A/R follow-up with payers and patients.
  •  
  • Outsourcing your orthopedic billing services can
    actually increase your net revenue and ensure
    that you receive the maximum amount covered by
    the insurance companies while minimizing any
    out-of-pocket expenses for your patients.
  • Its important to be sure that the company you
    hire understands the orthopedic specialty while
    getting you every dollar you deserve!
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