How accurate ob-gyn coding can generate quick reimbursements?

Ob-Gyn coding is complex, and at times if coders are ill-informed about changed codes the practices can lose considerable revenue on account of partial reimbursements. These issues are easily overcome, if regular updates are made available to the billing staff of the practice. It does not however happen because practices do not have adequate staff, this results in claims not being filed on time and as a result getting time barred.

Billing Paradise is a billing service provider to ob-gyn practices, the billing and coders attend refresher courses and conferences to keep abreast of any changes made to policy guidelines or ICC codes. The Ob-Gyn clinics that solicit the service form them are assured of quick and timely reimbursements that boost the revenue earnings of the practices.

Billing service providers with expert oncology & hematology coders can make a wealth of difference

Oncology practices face a colossal task while documenting insurance claim documents, first because of complex oncology and hematology codes and then because of inadequate in-house billing and coding staff. The codes related to oncology undergo constant changes, and added to that are compliance issues that need to be addressed.

Billing Paradise keeps track of changes made to oncology and hematology codes, the company’s billing and coding experts attend regular oncology and hematology coding conferences, enabling them to stay updated on a day-to-day basis. The oncology practices that signup for billing services benefit from quick reimbursements, without setting up an expensive in-house billing infrastructure.

The need for dermatology coders to stay updated on CPT and ICD-9 codes

There are significant changes made to CPT codes in the past few years, new guidelines have been formatted which many dermatologist may not be aware of, as a medical billing and coding company we offer our services to dermatology clinics in filing insurance claims that provide them with timely reimbursements.

At Billing Paradise we have a specialty specific team of dermatology coders that stays updated on frequent changes that are made to CPT and ICD-9 codes. Our coders regularly attend orientation courses and Q&A sessions to stay abreast of new or changed dermatology codes. The information update ensures that claims filed on behalf of dermatology clinics are quickly processed by insurance companies and not delayed on account of wrong and inaccurate coding.

The importance of internal medicine codes

The billing staff are not updated on a complete list of changes in internal medicine codes, in order to sync with the changes the knowledge of tips and tools help the practice to get the best reimbursements boosting the revenue opportunities, this becomes possible only when the billing staff participate in conferences that are held to update them on the changes in the internal medicine codes.

Ophthalmology coders need to be abreast of the changes in coding and billing rules

When it comes to ever-changing coding and billing rules, the ophthalmology coders may not be as updated as required. The knowledge of CPT and ICD-9 code that is specific to ophthalmology practice determines the accurate reimbursements an ophthalmologist is entitled to receive. This is in addition to having a comprehensive knowledge of Medicare edits and CCI codes that can help in overcoming claim problems and reducing audit liabilities. medical billing classes

Anesthesia coders can reap the benefit by observing the basics

When new coders are hired for documenting claims the anesthesia codes may not be easy to comprehend, the basics that they will be required is to follow about how anesthesia charges are calculated and understanding the methods of anesthesia time. The coders also need to determine on how to assign crosswalk codes from the different options that are listed, besides the CMS steps of medical direction and exceptions are required to be reviewed, observing these basic anesthesia coding fundamentals will result in getting the best possible reimbursements and certify you as an expert coder. Anesthesia medical coding

Using cardiology coding techniques judiciously for proper reimbursements

The cardiology coders should possess a sound ability to decipher complex procedural reports which will assist them in using complex coding regulations that are needed in filing reimbursement claims. The coders are often unaware of cardiology coding techniques which result in confusions and result in delayed or partial reimbursements for the clinic. The coders will be well informed if they participate in specialty audio conferences that are specific to cardiology coding and in the AR’s of the clinics.

Coronary Artery Bypass Grafts - (CABG)

The inaccurate code deprives clinic a big payment:

What is the relevant code for CABG? To know about it, one needs to understand the hearts anatomy. The Heart Anatomy 101 maps the heart and assists the coder in identifying the appropriate code, which eventually facilitates in capturing the proper reimbursement.

The coders have access to visual graphics of the CABG surgery enabling cardiology coders to choose the code that will apply to coronary artery bypass graft procedure. The billing and coding process should be as per CPT guidelines, the cardiology clinics may or may not have updated resources, but billing companies are cut-out for the task.

Medical billing company

The ICD-9 coding that clinicians need to be familiar with……

If you are a clinician unaware of the importance of ICD-9 coding, then its time to be familiar with the essentials of knowing it in and out, because it has a bearing on the A/R of your clinic. The Medicare contractor has the available resources for reimbursements to practices, but ICD-9 coding blunders can prevent clinicians from being reimbursed capitation payments or bonuses.

If the clinicians do not have sufficient time for comprehensively knowing the ICD-9 codes, the services of medical billing and coding service providers should be solicited. These experts are familiar in analyzing a risk score, besides entering an appropriate signs and symptoms code in the note.

The common documentation blunders do cost practices thousands of dollars, the diagnosis coding is like a puzzle that coding and billing experts are able to easily resolve, be it for Ml, COPD, hypertension, CVA, late effects, diabetes again.

Is HIPAA compliance a top priority of healthcare providers?

It does not appear so, because many healthcare providers have not even looked at it for years. There were changes made to HIPAA last year and after the new regulations were announced, only then some have actually taken the trouble to review the new enforcements.

The new regulations focus on Protected Health Information (PHI), Electronic Protected Health Information (ePHI), and Unsecured Protected Health Information

(UPHI). The other issues relate to privacy practices, business associate agreements and third party disclosures and other changes relate to encryption of data exchanged through remote portable devices.

It is a matter of concern that HIPAA compliance is not being followed in its totality, there are certain regulations of which many physicians are not even aware of, and for such healthcare providers attending workshops that provide updated information on HIPAA can prove to be beneficial.

From consults to the OIG Work Plan to Never Events - see what's in store for anesthesia in 2010.

Will all of the changes for anesthesia in the New Year, it's easy to get lost or confused.
Don't worry BILLINGPARADISE is here to help you.

Our medical coders have mastered ASA CROSSWALK® for the proper coding of anesthesia doses. Current practice of anesthesiology has undergone many changes and we already have new 2008 anesthesia coding updates. This is includes current CCI edits, medical necessity and other compliance issues regarding anesthesiology. Our company has incorporated all these with a view to provide quality medical coding services for anesthesiology. Joanne will cover the most important topics for 2010:

Have additional questions? You have the floor with the speaker during an interactive Q&A.
Who should attend? Anesthesia providers, Anesthesiologists, Practice, administrative staff at all
levels, teaching institutions.

Why use Billingparadise?

Pricing of services is a very sensitive issue as it involves comprehensive understanding of the scope of work. However, some estimates can be made which depends on:
ing of services is a very sensitive issue as it involves comprehensive understanding of the scope of work. However, some estimates can be made which depends on:
1. Full Service Package
2. FTE Package
3. Data Processing Package
4. Account Receivable Package
Full Service Package - 5% to 7% of the collections
Full Service Health care claims Processing - Demo Entry - Charges Entry ->Payment/cash Posting - AR Follow up - Patient /Insurance Calling.-
The pricing would be in the range of 5% to 7% of the total collections of the practice per month.

How we do & what you get?

FTE Package - $8 to $12 per hour We can dedicate Healthcare Claims processing professionasl on a FTE Model. Our Claims processing staff are certified and experienced. They can perform tasks like Patient Entry/Charge Entry/Payment Entry based on the client requirements.

Our Professional Entry capabilities working at the rate of 8Hrs/Per Day are:
• Demographic Entry – 75 – 100 Face Sheets.
• Charge Entry – 100-150 Charge Sheets.
• EOB Posting - 250 – 300 Line Items.
The pricing would range from $ 8 to $ 12 per hour depending on basic data processing to calling. This is inclusive of Infrastructure and communication cost.

How we do & what you get?

Data Processing Package This package is designed to help customers who are keen to outsource Data processing involved in Medical Billing.
a) Patient Demographic Entry, Charge Entry & Payment/Cash posting Entry
$ 1.25 per Claim entry.
b) Patient Demographic Entry & Charge Entry - $ 0.75 per Claim entry.
c) Payment/Cash posting Entry $ 0.50 per Claim entry.

How we do & what you get?

We will take care of your Health-care Claims processing activities as required by client. Less than 36 hours TAT upon receiving super bills.
Save about 20-30% of your existing cost or owning billing staff.
Ensure Clean claim submission claims within 30 days from the date of service.

How We Do?

Super bills will be collected from your office daily thru FTP upload or PC Anywhere access.
Patient Demographics and charges will be keyed into Online/ offline Medical claims process software will be used to submit claims electronically.
EOB- Explanation of Benefits will be updated into billing software on a daily basis.
Does not include Clearing House charges or charges incurred for sending paper claims.
Paper claims submission charges would be $0.50 per claim entry.
Account Receivable Package
This package is designed to help customers who are keen to outsource Account Receivables processing involved in the Medical Billing.

How We Do? what you get?

Per call- inclusive Pt calling --- $ 0.75 per resolutions

300 Resolutions per week. Inclusive Pt calling - Guaranteed Or Calling @ $ 7.00 /hr.

Old AR Pending -	31-60 days 2%
	61-90 days 3%
	91 > 4%