Medical claims can get denied or rejected for many reasons. Physician practices are increasingly relying on professional medical billing management services to prevent reimbursement issues and ensure increased cash flow and revenue.

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Medical Billing Management Services - Increased Cash Flow
and Revenue
Medical claims can get denied or rejected for many reasons. Busy physicians
find it difficult to deal with mounting reimbursement issues on their own. If
not tackled at the right time, medical billing problems badly affect the
revenue of the practice. Relying on professional medical billing management
services is the best option. Medical billing companies providing these
services have specialists to handle the entire billing and coding process to
ensure increased cash flow and revenue for physician practices.
Services to Prevent or Overcome Claim Denials and Rejections
Some of the common reasons for
claim denial are insurance
coverage is non-effective or
terminated, incorrect policy holder
information, the diagnosis does not
support procedure coverage, non-
covered benefit, failure to meet the
filing deadline, and so on. Claims
can also be rejected, the reasons being missing information, incorrect codes,
incorrect place of service codes, incorrectly filled forms, and typographical
errors.
The medical billing management services that an established medical
billing company offers can prevent or overcome these issues. Its team of
Medical Billing Management Services

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medical billing specialists, AAPC certified medical coders, accounting
specialists, quality assurance staff, and other professionals would work as an
extension to the medical practice. Besides striving to ensure clean claim
submission, they also follow up on denied and rejected claims to maximize
reimbursement. Services provided to manage the practice revenue cycle
would cover:
• Enrollment into the billing system – entry of demographic and
insurance information
• Verification – verification of primary and secondary health
insurance, and insurance authorizations
• Coding to ensure compliance – Hospital / in-patient coding,
emergency room e-code evaluation, DRG/ICD-9-CM coding
validations, CPT coding, Ambulatory Surgical Centers Coding, ICD-
9 coding based on AMA and CMS guidelines, and more
• Billing and reconciling of accounts – charge entry, cash posting
and reconciliation
• Accounts Receivable collection – payment collection from
insurers and patients, and follow up and collections of old accounts
receivable.
Each insurance company use different denial codes, and therefore awareness
of each insurance and what its denial codes mean is crucial for follow up of
the denial. As part of its efforts of overcome denials, the medical billing
Medical Billing Management Services

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company would submit a written appeal to the insurer to evaluate and
reverse the denial on a valid claim.
HIPAA Compliant Medical Billing Services
It’s obvious that medical billing management services are specifically
planned to ensure increased cash flow and revenue for all medical
specialties. It is an advantage to outsource your practice revenue
management tasks to a HIPAA-compliant medical billing company that
offers:
• System based eligibility checks
• System based claims checks before they go out
• Custom service with an exclusive team on each client project
• Stringent quality assurance
• Regular reports, analysis and forecasts
• Coding updates
• Timely solutions
• No long term yearly contracts
Reliable outsourcing companies offer a free trial of their services. Test drive
the services of a few selected providers before you make your final choice.
Medical Billing Management Services

4. Outsource strategies International Call: (800) 670 2809
MOS Outsource strategies International
8596 E. 101st Street, Suite H
Contact details Tulsa, OK 74133
Phone: (800) 670 2809
URL: http://www.outsourcestrategies.com/
Medical Billing Management Services