Physician Billing Services for All Size Practices

MedCare MSO 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.

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Our Key Performance Metrics

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:

1st April

Started On

3 Months

Review Period

$0.7M to $1M

Collection Increased

30%

Revenue Increased by

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.

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Our Core Billing Process

For a detailed guide on our physician medical billing services, please explore the following video:

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Outsourcing Benefits

50% Reduction in Overhead Costs

Reduce overhead expenses by 50% and eliminate the need for an in-house team through our efficient physician billing solutions.

HIPAA Compliance

Our physician billing services are fully compliant with HIPAA protocols. We stay up-to-date with the latest regulatory standards so that there are no chances of errors or penalties

Get Paid Faster

Our expert billing and coding team submits all claims electronically within 72 hours. We vigorously track every claim and ensure that you get the maximum reimbursements from your payers.

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To learn more about our services, please fill out the form below and we will be happy to get back to you.

1 Step 1

Accurate ICD-10, CPT, and HCPCS Coding

Our physician medical billing services guarantee precise coding and remain current with the latest regulations to minimize claim denials and enhance revenue growth. Here’s how:

Review patient charts for relevant diagnoses, procedures, and services.
Accurately select ICD-11, CPT, and HCPCS codes.
Verify codes for accuracy and compliance with coding guidelines.
Apply modifiers when necessary to indicate special conditions.
Use coding software and tools for code selection and verification.

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Denial and Rejection Management

Our AAPC-certified billing and coding team processes up to 75,000 claims daily with accuracy to ensure your practice receives maximum reimbursements.

Identifies patterns and root causes of claim denials.
Ensures precise coding to prevent denials from errors.
Confirms that medical records meet payer requirements.
Crafts compelling appeal letters with the necessary documentation.
Tracks and manages the status of appeals for timely resolution.
Acts as an intermediary to resolve issues with payers.
Engages with payers to adjust or reprocess denied claims.

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:

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.

Nationwide Billing Expertise

Our dedicated healthcare physician management services 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.

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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

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.

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.

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Revenue Cycle Management

Medical Billing

Laboratory Billing

Imaging Billing