WOUND CARE BILLING
Remote Expert Solution’s Wound Care Billing and Coding Services
Remote Expert Solution enables wound care specialists to concentrate on patient care, alleviating the burden of medical billing.
Wound care presents complexities for several reasons
Coding for outpatient wound care is intricate due to several factors. Firstly, it can occur across various types of facilities for a single patient, addressing the same wound. For instance, a patient may transition from receiving wound care in a hospital to continuing treatment at an outpatient center upon discharge. Each encounter necessitates accurate billing, including specific code details denoting the location where the care was administered.
Rising Cost And Budget Cuts
Amidst today’s financial challenges, marked by escalating costs and budget constraints, efficient medical billing assumes paramount importance to ensure proper reimbursement for all claims. Practices lacking dedicated specialists to oversee coding and billing processes often experience substantial revenue losses.
Top Reasons to Outsource Wound Care Billing
The complexity of medical codes, compounded by annual changes, poses a significant challenge for staff in medical practices, leading to costly errors. Outsourcing to a professional revenue cycle management (RCM) company such as Remote Expert Solution guarantees optimal reimbursement. These factors underscore the particular benefits for wound care centers in outsourcing medical billing.
Referrals
When patients are referred for wound care, it’s common for the referring physician’s office to check their insurance coverage. However, it’s important not to assume coverage for each patient. The wound care center must verify insurance coverage for every new patient making an appointment.
Rising Costs And Lowered Reimbursements
Wound care supplies encompass costly items like cellular and tissue-based products for skin wounds, yet reimbursements are declining. Hence, it’s crucial to accurately code and bill every service rendered to prevent revenue loss from claim rejections and denials.
Prior Authorization
Numerous insurers and payers mandate prior authorization for treatments, rejecting claims lacking authorization in their system, regardless of their potential approval and payment. Thus, it’s vital to ascertain authorizations when confirming coverage for the exam/visit. Additionally, wound care often extends over time, necessitating additional authorizations. Hence, staff must be proactive and diligent in addressing such constraints.
Outsourcing Medical Billing
Outsourcing medical billing has emerged as a cost-effective means to enhance revenue streams. Our staff undergo rigorous training in HIPAA compliance to safeguard patient information, and our certified billers possess extensive experience in wound care billing and coding. Moreover, entrusting us with the intricacies of billing and coding not only leads to a significant reduction in stress for physicians but also fosters a renewed sense of enjoyment in managing their practice, as reported by our clients.
We Are Dedicated To Medical Revenue Cycle Management
Remote Expert Solution is committed to medical revenue cycle management (RCM), with billing being our flagship service. However, we provide a tailored suite of solutions to our clients, which includes our proprietary software to ensure all claims are filed with the latest codes. Additionally, we offer services such as payer credentialing, compliance reviews, annual payer adjustments, payback management, and more.
Schedule a complimentary demo today and discover how we can enhance your financial performance, allowing you to redirect your attention to patient care.