Physician Billing Services
Curesync Solution provides comprehensive physician billing services for over 50+ specialties. Whether you run a large practice or a smaller one, our expert industry knowledge and advanced technology will help you meet your goals.
Result-Oriented Physician Billing
We know how important it is to keep your medical practice running smoothly. That’s why we have put together these key performance indicators (KPIs) to help you track the success of our physician billing management. These metrics provide a clear picture of our expertise and results:
Nationwide Billing Expertise
Our dedicated healthcare physician billing team ensures you get the best possible reimbursement for your claims in all 50 states.
- Update payer databases with contact info, reimbursement policies, and eligibility details.
- Following California’s SB 137 for detailed billing and the No Surprises Act for out-of-network costs.
- Using state-specific codes and modifiers to improve claim accuracy and reduce denials.
- Adjusting billing for Medicaid expansion and Medicare Advantage plans in different states.
- Optimizing reimbursement for telehealth services.
Let’s Collaborate to Streamline Your Practice Management!
Our physician billing services manage all aspects of your administrative tasks, including appointment scheduling, patient record management, and insurance claim processing.
Our Core Billing Process
- Medical Coding and Documentation
- Claims Submission
- Payment Posting
- Claims Denial Management
- Payment Reconciliation
For a detailed guide on our physician medical billing services, please explore the following video:
Old A/R Collections
As a premier physician billing company, we specialize in recovering overdue accounts, including those over 120 days old. Our team uses smart tracking and follow-ups to reduce your AR by up to 30%. This means better cash flow for your practice and more time for patient care.
Optimize MIPS by Over 75 Points
The MIPS program by Medicare 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.
MIPS scores use a weighted system with specific point values and reporting timelines. The requirements can be challenging, but our expertise can help you meet the 75% quality reporting target.
Medical Credentialing
We handle all aspects of verification and renewals so that you can focus on providing exceptional patient care. Our provider credentialing process includes the following steps:
- 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.
Frequently Asked Questions
What Factors Should I Consider When Choosing a Billing Service?
Choosing the right billing services for your medical practice is key to accurate and timely claim filing, coding, denial resolution and unpaid claim follow up. When choosing a billing services company consider the following:
- Experience and Expertise: Look for a company with a history of medical billing. Their experience will mean they understand the ins and outs of medical billing and can handle any issues that come up.
- Reputation and Testimonials: Research the company’s reputation and read reviews. Other healthcare providers positive feedback 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’s requirements.
- Flexibility: The healthcare industry is always changing. Choose a company that keeps up with the latest regulations and industry news.
- Communication and Support: Good communication and fast customer support is key. The company should be easy to get in touch with and respond to any questions quickly.
- Technology and Systems: Advanced technology can simplify billing and improve productivity. Make sure the company uses the latest software and tools.
- Fees and Contracts: Know their fees, payment terms and contract requirements. They should have transparent pricing and flexible terms.
- 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 you will know you have chosen a billing services company that will 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.
A good billing services company should also give you detailed reporting and metrics to help you make informed decisions about your practice. They should be easy to get in touch with and have good customer support.
Additional Services Include
- Revenue Cycle Management (RCM)
- Charge Entry and Review
- Patient Billing and Statements
- HIPAA Compliance and Audit Support
- Medical Transcription
- Pre-Authorization and Eligibility Verification
- Accounts Receivable (AR) Follow-Up
- Refund Processing
- EMR/EHR Integration
- Financial Analysis & Reporting
Outsource Physician Billing Services to Get Maximum Revenue!
Ready for a streamlined billing process and improved revenue growth of up to 30%? Outsource your physician billing solutions to MedCare MSO and see the results for yourself.
Have questions? Request a callback, and our billing expert will get back to you right away.
