PROSTHESES BILLING SERVICES
Remote Expert Solutions Prostheses Billing Services
Remote Expert Solutions certified billing team comprises members well-versed in the complexities of prosthetic medical billing.
Prostheses Care is Complex for Several Reasons
The challenges of medical billing extend beyond medical services alone. Prosthetics, orthotics, and durable medical equipment (DME) also require coding and submission in a claim before insurers or government payers will provide coverage. Each payer has unique guidelines and rules regarding prosthetic billing, dictating what is covered and under what circumstances. This variation makes it challenging for medical office staff to stay abreast of all the details.
Outsourcing Medical Billing and Coding
Entrusting medical billing and coding to a proficient revenue cycle management (RCM) firm such as Remote Expert Solutions has demonstrated itself as a hassle-free remedy, elevating our clients’ revenue. Our certified billers boast expertise in managing prosthetic billing intricacies, while our entire staff undergoes HIPAA compliance training, ensuring the security of patient data without any concern on your part.
Why Prostheses Medical Billing Should Be Outsourced
Even in practices conducting routine exams and treatments, the oversight of dedicated billing professionals proves advantageous. However, when it comes to prosthetics, which may be tailored to individual patients, medical billing demands a high level of experience and expertise for accuracy. Given the potentially substantial amounts involved in each item, precise coding is paramount; otherwise, significant revenue losses may occur. Here are a few more complexities in prosthetics that contribute to the intricacies of coding and billing:
Fitting And Adjustment Appointments
When coding for fitting and adjusting prostheses, it’s important to note that the office visit is already included. Therefore, billers need to be mindful that they cannot also include the code for a separate visit in the claim.
Overlapping Codes
There’s a degree of overlap between the codes for furnishing and adjusting prostheses and the time spent by a skilled clinician in user training. Those handling prosthetic billing must adeptly distinguish and code for each scenario, employing modifiers to denote reduced services and prevent duplicate payments. Neglecting this process can lead to over-coding and, consequently, potential fraud charges against the physician.
Uncoded Products
Some prosthetic devices lack their own codes due to not undergoing product review. In such instances, medical coders and billers must possess the skills to locate the appropriate codes. This process of research can be time-intensive, potentially causing labor costs to surpass the value of the claim.
RES BillingMaximizes Reimbursement and Protects Your Revenue Stream
Top Dedicated Experienced Billers
Remote Expert Solutions is a comprehensive provider of prosthetic billing revenue cycle management (RCM) services, equipped with a sizable team of dedicated and seasoned billers. Our pioneering approach to medical billing incorporates proprietary software, guaranteeing the integration of the latest codes into our system. With this tool at their disposal, our billers are adept at navigating coding intricacies, minimizing the occurrence of rejected and denied claims.
Correct Coding Resubmission
In instances where claims face rejection or denial, our billers promptly identify the issue, gather all necessary information, and resubmit with accurate coding. When managed by less experienced coders and billers, this process can consume hours of office staff time, exacerbating revenue loss through increased labor costs. Outsourcing to a professional prosthetic medical billing company ensures maximum reimbursement and minimizes the occurrence of unpaid claims.
In addition to medical billing, we offer comprehensive services such as payer credentialing management, compliance reviews, annual payer adjustments and payback, bill collection, and more. Our prosthetic medical billing services are fully customizable to accommodate clients of any scale. Schedule a free demo today to witness how we can optimize your revenue cycle management (RCM) processes and enhance your income.