Primary Care Medical billing services
Primary Care Medical billing services
Primary care physicians are the group of medical professionals most in need of professional medical billing services. As primary care is the cornerstone of healthcare delivery, we understand the importance of supporting practices, financial health, and a billing process that enables physicians to focus on delivering quality patient care.
Scope of Work in Primary Care Medical Billing:
Evaluation and Management (E/M) Services: billing for office visits, consultations, and follow-up visits based on the complexity of the patient’s condition and the level of care provided.
Chronic Disease Management: billing for ongoing care and management of chronic conditions like diabetes, high blood pressure, asthma, and more.
Preventive Care Services: billing for preventive screenings, immunizations, wellness visits and health risk assessments to promote overall patient health.
Minor Procedures: Billing for minor surgeries, wound care, skin biopsies, joint injections, and other office procedures.
Care Coordination and Referrals: Billing for care coordination activities, specialist referrals and communication with other health care providers to ensure comprehensive patient care.
Coding and Documentation: Accurate coding using CPT, HCPCS and ICD 10 codes, with comprehensive documentation to support medical necessity, improve claim accuracy and reduce denials.
How DoctorsBackOffice Experts Support Primary Care Physicians
Accurate coding and documentation: Our experienced coders ensure accurate coding and thorough documentation, minimizing coding errors and optimizing reimbursement rates.
Claims Submission and Follow-up: We handle claim submissions promptly, track claim status, and follow up on unpaid or rejected claims, maximizing revenue collection and minimizing payment delays.
Payer Knowledge and Compliance: We stay updated with Medicare, Medicaid, and private payer guidelines, ensure compliance with billing regulations, and minimize audit risk.
Denial Management and Appeals: Our team efficiently manages claim denials, identifies root causes, and files appeals when necessary to reverse denials and recover revenue.
Transparent reporting and analytics: We provide detailed reporting and analytics, offering insights into practice performance, revenue trends, claims metrics and areas for improvement.
Technology and Efficiency: Using advanced billing software and technology, we streamline the billing process, automate tasks, and increase overall efficiency in revenue cycle management (RCM).
Transparent Reporting and Analytics: We provide detailed reports and analytics, offering insights into practice performance, revenue trends, claim metrics, and areas for improvement.
Technology and Efficiency: Leveraging advanced billing software and technology, we streamline billing processes, automate tasks, and enhance overall efficiency in revenue cycle management (RCM).
Outsourcing Primary Care Medical Billing to DoctorsBackOffice:
Specialized Expertise: Our specialized expertise in primary care billing ensures accurate, tailored, and optimized billing practices based on the unique needs of primary care physicians.
Focus on patient care: Outsourcing billing allows physicians to focus on patient care, improve practice efficiency, and increase patient satisfaction.
Cost-effective solutions: Outsourcing eliminates the need for in-house billing staff, reduces overhead costs, and improves overall practice profitability.
Maximize Revenue: Our continued focus on improving RCM processes, reducing denials and maximizing reimbursement increases revenue generation for primary care practices.
Risk Mitigation: By staying updated with regulatory changes and compliance standards, we help minimize risks associated with billing errors, audits and non-compliance.
Improving Revenue Cycle Management (RCM) – A Continuous Process by DoctorsBackOffice:
At DoctorsBackOffice, we understand that optimizing RCM is an ongoing process. We continuously monitor industry trends, coding updates and payer policies to adapt and improve our billing policies.