As important as a traffic cop is to road traffic control, since healthcare services are closely linked with medical insurance, a medical billing and coding specialist is an important link between a healthcare provider and the insurance company.
The responsibility of a billing and coding specialist includes processing and documenting data related to patient care which includes treatment records, bills, insurance claims and receivables for the services rendered by healthcare providers.
A good medical billing and coding specialist must have extraordinary skills in analyzing the accurate codes that will apply to disease and diagnosis recorded by the physician, in addition the billing and coding specialist must also be responsible for corresponding with insurance companies for policy verifications and obtaining maximum reimbursements for the services provided by a physician.
If a patient does not have sufficient coverage in an insurance plan, the specialist has to arrange and submit the bills to the patient and recover the costs for the physician.
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If you’re struggling to get more revenue, the answer might just lie in these FREE reports
A medical billing and coding specialist no longer needs to operate from within a healthcare facility, thanks largely to web technology that has made it possible for specialist to offer their services from remote locations.
The specialist by using software applications that are custom built for billing and coding can process and document them on behalf of the healthcare provider, the medical insurance claim documents are sent to the insurance companies for processing the claim and recovery.
BillingParadise is supported by billing and coding specialists that are experienced in using most advanced Medical billing and EMR/EHR softwares', such as Medic, IDX, Medisoft, Medical Manager, Kareo, Practice Fusion, eClinicalWorks, Amazing Charts, Care 360, Allscripts, NextGen, eMDs, NextGen, AdvancedMD etc, besides the standalone applications the specialist are also trained to log into the healthcare providers EMR applications and provide billing and coding services using the applications built-in modules
Your ICD-10 implementation costs are going to decrease by as much as 50%, due to the round-the-clock support we offer, thus decreasing your consulting expenses.
We coordinate with insurers to set up your ICD 10 testing schedule. All ours systems have been upgraded to HIPAA 5010
We have specialized teams of medical billers and coders who hold speciality specific certifications to handle your billing and coding tasks
Hire one/combination of services/all, we at BillingParadise will meet your needs 100%
Find resources to help you run a more successful practice
Insurer specific denial report. Track denial patterns easily. Simple, engaging and data rich template
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Insurer specific collection breakdowns. Know payment TAT of every insurer
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Incorrect physical status modifiers. Inefficient coding process. Dwindling collections
Inability to keep pace with regulatory changes. Unstructured billing workflow processes
Inefficient insurance eligibility verification process. Kareo EHR + PracticeFusion Integration Issues
Improper documentation caused 16% of denials. Erroneous codes led to 70% of denials
Sharp increase in clearinghouse rejection rate. Difficulties in billing for secondary claims
Inexperienced staff handling the billing department. Most claims went unpaid
With Billingparadise's collaboration, female patient's tranforming acuity about Obstetrics and Gynecology practice.
No periodic follow-up on denied claims. Haywire appointment schedules. Frequent patient billing errors
Every medical billing firm they'd approached over the last few months had scared them off with exorbitant rates.
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Advancing Care Information Objectives and Measures and 2017 Advancing Care Information Transition Objectives and Measures are available to add and download now..
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Compare your total Part-B Medicare revenue per year with the payment adjustments starting 2019.
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Find resources to help you run a more successful practice
Insurer specific denial report. Track denial patterns easily. Simple, engaging and data rich template
Know monthly work RVUs. Monitor productivity ratio. Track visits per workday
Insurer specific collection breakdowns. Know payment TAT of every insurer
Track appointment counts. Customization and integration options. Reduce your no show percentage
Know your average reimbursement TAT. Access insurer wise payment details. Gain actionable insights
Net Collections by DOS and several other financial KPIs no smart practice can do without!
5 Important denial management metrics that your tool should track. Figure out preventable denials
Areas where group practices can minimize cost. How to manage your financial challenges
Incorrect physical status modifiers. Inefficient coding process. Dwindling collections
Inability to keep pace with regulatory changes. Unstructured billing workflow processes
Inefficient insurance eligibility verification process. Kareo EHR + PracticeFusion Integration Issues
Improper documentation caused 16% of denials. Erroneous codes led to 70% of denials
Sharp increase in clearinghouse rejection rate. Difficulties in billing for secondary claims
Inexperienced staff handling the billing department. Most claims went unpaid
With Billingparadise's collaboration, female patient's tranforming acuity about Obstetrics and Gynecology practice.
No periodic follow-up on denied claims. Haywire appointment schedules. Frequent patient billing errors
Every medical billing firm they'd approached over the last few months had scared them off with exorbitant rates.
A Medicare podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
An urgent care centre based in Florida found it an everyday struggle to remain financially stable. Learn how...
A podiatry practice based in Houston, Texas was in need of a billing company that was well-versed in podiatry coding.
Anesthesiology revenue cycle and contract management is incredibly complex. See how..
Revamping the AR Process of Texas Healthcare System..
The Practice Profitability KPI template is a must-download template that will give you a clear picture of your practice’s key performance indicators.
As patient payment responsibilities rise, tracking Time of Service collections is now more important than ever.
Protect your healthcare organization from RAC audits. This free template provides state-specific contact details of RAC contractors. Download.
Evaluation and Management Tool designed by BillingParadise helps providers come up with the code that best represents the leve...
The Incident to self-service tool designed by BillingParadise helps providers understand the CMS Part-B incident...
OLD AR Calculator | Calculate your huge aging AR backlog and collect more...
Payer group A/R assessment tool serves the purpose of analyzing the impact of most common payers across healthcare organizations.
Advancing Care Information Objectives and Measures and 2017 Advancing Care Information Transition Objectives and Measures are available to add and download now..
Review and select up to six measures which best fits your practice. You can add the measures which best fit your practice.
This performance category deals with care focused on care coordination, beneficiary engagement and patient safety.
Compare your total Part-B Medicare revenue per year with the payment adjustments starting 2019.
Sample Practice Sale Executive Summary and 2018 Sales Compensation Trends Survey Executive Summary
Revenuecycle Workflow Transparency and Efficiency Management...
CRC certified experts Holly Cassano and Kim Dues discuss all things risk adjustment....
Industry experts Kim Dues and Holly Cassano share useful information and shed the much needed light on MACRA and MIPs...
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Orthopedic surgeons are underpaid. This free webinar on contract negotiation strategies to improve reimbursement for ortho surgeons will help....
Know How BillingParadise increased 60% revenue for an OB/GYN Center
Get paid Three times faster with our 24/7 medical billing services.
Work with medical billers who understand your EHR's billing process backwards and forwards
Avail Free RCM Audit Worth $2,000! Check out 19 different KPI reports that stops your cash flow.