Medical Coding Services for Independent Practices

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See how we transform your biggest challenges into opportunities

We get cracking on your codes the minute we receive provider documentation. Every coder is assigned a work list based on prior experience in working with similar claims. Our coding specialists, abstract clinical information from the provider's EMR or scanned paper record.

A powerful tool to help you thrive in a bundled payment arrangement

Appropriate ICD/CPT codes and modifiers are assigned according to instructional notations and conventions. All the codes are sequenced accurately. Clinical indicators and query providers are analyzed to capture the severity of illness of patients. All codes are verified for accuracy, completeness, specificity and appropriateness.

Our coders maintain CEU requirements and have in-depth knowledge of HCC auditing concepts and principles. All coded data goes through several quality checks to ensure complete accuracy and compliance.

“We are in a rural community and local coders are hard to find and retain. Turnover and leaves of absence require overtime. We usually get behind when these occur and morale is impacted. When new services are introduced, we are challenged to find coders qualified to code the new services. Billing gets behind, cash flow suffers and physicians are irritated by late query requests. Overtime is not approved here so performance suffers”, complained Edel Johnson.

Edel is the coding integrity head of a ob gyn medical group based in South Florida.She approached BillingParadise for medical coding support early last year. An coding audit conducted by BillingParadise revealed that the coding accuracy of coders ranged from 70-91%.

Though the DNFB standard of the medical group was no more than 3 days due to technical issues, turnovers and absences it was usually in the 7 day range. BillingParadise proposed a business intelligence system to correct the below-average coding quality and yield strong lasting results. An initial run of the system brought to the surface that numerous claims were denied because they missed a critical modifier. Modifier QW that is used for denoting screening services, was missing on most claims. The modifier was added to the claims and resubmitted. The billing company of the client routinely assigned the wrong codes for bundled payments. Bundles based on sequential procedures were inappropriately unbundled and coded as separate procedures. Fragmenting a single service and separately billing for each component is not only erroneous but also fraudulent.

After making course corrections the ob gyn group was able to see:

40% reduction in coding cycle times
Coding errors were reduced by 97%
Coding accuracy rate improved by 99%

RCM Transitioning from the tried and tested fee for services model to the riskier (though more rewarding) value based payment environment can be tough on group practices. Bundled payments provide a middle path that makes the journey less stressful. The risk and rewards are arguably, the highest for anesthesiology practices. But bundled payments add more complexity to the billing and collections process and this is one reason why healthcare organizations are wary to adopt this model. You need a trusted partner to make the leap. And we are one for several anesthesiology group practices based in California, Texas and New Jersey.

A powerful tool to help you thrive in a bundled payment arrangement

The Physician Productivity Metrics Tracker tool will enable anesthesiology group practices to view the individual productivity scorecard, work RVUs, productivity metrics, charges, collections, productivity ratio and more, of physicians. Track and analyse a detailed scorecard of individual physicians in under 2 clicks. We put the power of accurate data in your hands so taking decisions and apportioning payments is no longer an irksome task.

We've got you covered

See how we transform your biggest challenges into opportunities

Bundled Payments

Transitioning from the tried and tested fee for services model to the riskier (though more rewarding) value based payment environment can be tough on group practices. Bundled payments provide a middle path that makes the journey less stressful. The risk and rewards are arguably, the highest for anesthesiology practices. But bundled payments add more complexity to the billing and collections process and this is one reason why healthcare organizations are wary to adopt this model. You need a trusted partner to make the leap. And we are one for several anesthesiology group practices based in California, Texas and New Jersey.

A powerful tool to help you thrive in a bundled payment arrangement

Patient Billing

We help you adapt to the consumer driven healthcare marketplace of today

In the current healthcare landscape it is important to simultaneously increase patient collections as well as patient engagement. At BillingParadise we help you strike the perfect balance between both.

Key benefits of our patient billing services

We offer patient billing at client-selected cycles
Our patient statements are clear, prompt and help better the patient payment experience
Our patient insurance eligibility checks increase the efficiency of the patient billing and receivables management process
We efficiently manage the pre-authorization and medical necessity requirements of your anesthesiology medical group
Our automatically generated ABNs reduce denials and claims rework

To know more about our patient billing services click here

Monitor vital patient payment metrics effortlessly

To survive in the patient centred healthcare marketplace you to monitor and analyse enormous amounts of patient payment data. Instead of assimilating layers of information BillingParadise helps anesthesiology group practices to trim the fat and view the details that matter.

With our PatientPaymentTracker your medical group can:

View patient specific payment details
Run comparison reports between insurance billing collections and patient billing collections
Receive real-time patient payment information
Streamline patient billing and collection processes

EHR Support

Adopting or replacing an EHR will have far-reaching implications in the revenue cycle of a healthcare organization. To avoid financial risks and temporary setbacks in revenue work with our revenue management experts. With right strategies, teams and technology we help you transform a tough challenge into an opportunity for growth. We recommend revenue cycle best practices to maintain revenue cycle performance during the strenuous adoption/migration stage.

With our EHR focused revenue cycle management services anesthesiology group practices can:

Minimize workflow disruptions
Protect the revenue stream of your anesthesiology group practice
Ensure fiscal fitness throughout the transition phase

No sweat. We work with your EHR

At BillingParadise we love working with EHRs. We work with Allscripts, NextGen, eClinicalWorks, eMDs, Amazing Charts, Greenway, Cerner and several other major EHR and practice management systems every day. To know more about our EHR billing services for anesthesiology group practices click here.

We also offer:

Free EHR troubleshooting support
Template customization services
EHR implementation and ongoing support

Know how we helped a spine care center increase revenue

Inexperienced eClinicalWorks billers
No periodic follow-up on denied claims
Frequent patient billing errors
Haywire appointment schedules

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RCM

The backbone of all healthcare data is claims data. Tracking key revenue cycle performance metrics is essential to make process improvements and identify revenue leaks. A recent survey reveals that the top challenge faced by healthcare CFOS is tracking RCM metrics. Here’s finally a tool that gets it right.

theBillingBridge is a free revenue cycle reporting tool that will enable your anesthesiology group practice to track revenue cycle metrics, view detailed collection reports, understand your claims cycle better and offer you full visibility of your RCM processes. It is built to work in the Smartphone environment and is available on both Android and iOS platforms.

It is integrated with several major PMS, EMRs and EHRs like Kareo. Data that is captured in your PMS is instantly available on theBillingBridge because it is seamlessly integrated with the system you use.

With theBillingBridge you can:

View your claims journey in realtime
Track insurer and patient payment reports separately
Schedule appointments quickly
Know the productivity scorecard of providers
Categorize and manage denials
Know your top paying CPTs and insurance companies
Communicate with your billing team within theBillingBridge

And a host of other secure, HIPAA compliant, customizable features! Sounds good? Please ask for a free demo of theBillingBridge to know why you should download it.