Why Outsourcing Ophthalmology Medical Billing Is the Smart Choice

Are you considering partnering with an ophthalmology medical billing company for your facility? There are multiple reasons why outsourcing can help your practice increase its productivity, efficiency, and profitability.

Outsourcing Your Medical Billing Can Free up Time and Resources for Your Ophthalmology Facility

Those working in the ophthalmology industry often wear many hats while providing comprehensive care for their patients. They may perform a wide range of duties that are beyond the scope and competency of their profession, including billing services. However, managing medical billing can easily become a full-time job. 

To handle patient data and billing accurately and timely, you will need a dedicated team of experts who can ensure a smooth and efficient workflow. By outsourcing your ophthalmology medical billing services, you can save your staff precious time when it comes to managing EMRs. The extra time and resources can be allocated to other responsibilities, primarily for caring for your patients.

Outsourcing your medical billing and coding for ophthalmology services will also eliminate the cost of managing an in-house staff. The money saved can be used to streamline internal processes and enhance overall patient care.

An Ophthalmology Billing Partner Can Help Manage Your Revenue Cycle

A billing partner can bring knowledge and experience in revenue cycle management (RCM), including a team that can work with you to achieve your financial goals. Your billing partner will handle billing and collections, accelerate reimbursements, reduce costs, avoid denials, improve your bottom line, and improve the patient experience.

Your RCM and medical billing ophthalmology partner may provide the following services: 

• Denial management
• Coding assistance and claim scrubbing
• Charge entry
• Collections
• Staff training and best practices

Results of an optimized revenue cycle include:

• Increased revenue
• Decreased days in AR
• Reduced denials
• Higher average encounter rates
• Accelerated and steady cash flow
• Increased clean claim rates
• Lower processing costs per claim

The Importance of Accuracy and Efficiency in Billing for Ophthalmology Facilities

Efficient medical billing is as essential as patient care for your ophthalmology practice. The following are the top reasons why it is vital to remain compliant and accurate in billing all of the time:

• Cleaner claims – Efficiency in ophthalmology medical billing codes will result in cleaner claims, increased first-pass rate, and reduced denials. By maintaining accurate billing protocols, you can ensure your facility remains compliant and financially protected while reaping the benefits of a healthy bottom line.
• Patient protection – Accurate medical coding and billing for ophthalmology services protect your patients. The use of accurate medical billing codes not only helps assess the patient’s health but also aids in improving the quality of healthcare overall. Medical coding is used to keep track of everything from diagnosis to treatments performed, and patients may need access to this information. Inaccuracies can harm the patient and impact the quality of future care. 
• Improved business decisions – Efficient, accurate billing allows your practice to make more intelligent future decisions. You gain the tools needed to analyze data on costs, revenue, write-offs, etc., allowing you to make informed decisions about business and how to maintain your financial independence in the future –whether these business decisions involve staffing or adding more services to your practice. 

How to Choose the Right Ophthalmology Billing Partner for Your Facility

Here are some critical tips to remember as you select a company that will partner with you to boost your bottom line:

Expertise in your specialty

Ophthalmology comes with unique billing and coding challenges. This means it’s important to find a medical billing company that has coding expertise in your type of practice. They’ll have a better knowledge of your specialty’s requirements for documentation, coding, compliance, and more. Failure to go with a company that has expertise in your specialty may result in coding inaccuracies and claim denials.

Revenue cycle management support

You need a partner that can support your facility throughout the entire revenue cycle management process – from before a patient’s appointment to the final reimbursement for claims. The vendor you choose must excel at every stage of revenue cycle management, including claim submissions, follow-up, payment processing, patient invoices, accounts receivable follow-up, and more. 

Security

The company you select must securely handle all your data (you will be entrusting them with sensitive patient and financial data). Top companies can provide secure, HIPAA-compliant billing processes to ensure that your data is kept confidential. Companies will also prioritize transparency so you know exactly what is going on with your finances at all times. In addition, you want to know the company you choose is really fighting for every dollar and that you can see those efforts every time you look at your books. 

Customer support

Work with a billing company that offers quick responsiveness and customer support when you need it, especially when you face problems along the way. You will always need quality customer support and helpful resources to enable you to achieve consistent success.

Quality for your money

While you want to find a competitive price, you also need to know exactly what you are paying for. The cost of outsourcing can vary based upon the specific size and scope of your facility. When discussing the cost of services with a vendor, examples of things you’ll consider would be the specific services included each month, any additional clearinghouse fees, or charges for co-pays.

By bringing together the best healthcare revenue cycle management and medical billing professionals, Coronis Health has the workforce and technology to provide the most current and innovative solutions to optimize the billing process, minimize errors, lower your costs, and comply with the latest regulations.

Ready to Partner With Ophthalmology Medical Billing Experts? Contact Coronis Health Today!

Outsourcing your billing and coding is one of the most significant financial decisions your facility will ever make. Use this information to make the right decision, so you find a company that will help you achieve your financial goals. To learn more about how Coronis Health can help you achieve your bottom-line objectives, contact us today to request your free financial check-up.

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https://www.coronishealth.com/blog/why-outsourcing-ophthalmology-medical-billing-is-the-smart-choice/

5 Anesthesia Billing Tips Every Medical Facility Should Know

Anesthesia providers face several unique billing challenges that make the process more involved and complex than what many other healthcare providers experience. 

Navigating these difficulties is crucial to any facility’s financial health. Below are 5 anesthesia medical billing tips to help you achieve compliance and safeguard payer reimbursement.

Understand the Different Types of Anesthesia and Their Billing Codes

Anesthesia services include but are not limited to pre-operative evaluation of the patient, administration of anesthetic, other medications, blood and fluids, monitoring of physiological parameters, and other supportive services. 

Anesthesia codes in medical billing describe a general anatomic area or service which usually relates to several surgical procedures.

Make Sure You’re Using Correct Modifier Codes to Accurately Bill for Anesthesia Services

Any claim for a healthcare service must clearly define what service/procedure was performed and why it was done.

Modifiers refer to the two-character indicators that help identify relevant details on a claim. Modifiers and codes are essential to increasing accuracy in reimbursement and coding consistency. They also help avoid duplicate billing and unbundling.

The Healthcare Common Procedure Coding System (HCPCS) code set indicates modifiers that are specific to anesthesia care and are required on claims submitted to Medicare and many other payers. 

Know When to Use Global Billing Codes

The global period refers to the timeframe that covers the necessary services performed by a surgeon during the pre-operative, intra-operative, and post-operative stages of a procedure. This also includes any necessary services performed by members of that surgeon’s team. These services are included in the reimbursement of the original surgery, and they cannot be separately reported.

Under the global surgery rule, all the work surrounding and related to a surgical procedure are grouped into a single claim.

Understanding the specifics of the global surgery process is essential to ensure maximum reimbursement for your services rendered. 

View the Global Surgery booklet here.

Use Appropriate Anesthesiologist Modifiers to Ensure Accurate Billing

Modifiers are important because they provide additional information and details concerning a procedure or service provided by an anesthesiologist. Modifiers help further describe a procedure by clarifying whether a service was personally performed, medically directed, or medically supervised by an anesthesiologist. 

These modifiers are required to process a claim, so accuracy is imperative.

Examples of HCPCS Modifiers used in anesthesia medical billing and coding are:

• AA – Anesthesia Services performed personally by the anesthesiologist
• AD- Medical Supervision by a physician: more than 4 concurrent anesthesia procedures
• QK- Medical Direction of two, three, or four concurrent anesthesia procedures involving qualified individuals
• QX – Qualified nonphysician anesthetist service: With medical direction by a physician
• QY – Medical direction of one qualified nonphysician anesthetist by an anesthesiologist
• QZ – CRNA service: Without medical direction by a physician

Understand How Anesthesia Services Are Reimbursed by Insurance Companies

To be reimbursed for anesthesia services, you have to bill insurance companies.

For commercial insurance companies, the following formula is used to report time units for provided anesthesia: Base Units + Time + Physical Status Modifier = Total Units
For Medicare, the following formula is used to report time units for anesthesia provided: Base Units + Time = Total Units

Anesthesia is calculated at 15-minute intervals (15 x 4 = 60). When a case runs over seven minutes, guidelines state to round up to the next 15 minutes provided. 

Insurance companies reimburse for anesthesia services billed with codes and modifiers in accordance with the guidelines provided by The Centers for Medicare & Medicaid Services (CMS) and state guidelines/regulations.

Questions about Anesthesia Billing Services? Contact Coronis Health Today!

Coronis Health is a global revenue cycle management company offering specialized solutions to healthcare practices and facilities. By using industry-leading technology combined with high-touch relationship building, Coronis Health allows healthcare practitioners to focus on patient care, maintain financial independence, and cultivate financial success.

Medical billing for anesthesia is no easy feat. Coronis Health can help manage the process by handling its complexities and avoiding errors. To learn more about our anesthesia medical billing services, contact Coronis Health and request your free financial checkup today.

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https://www.coronishealth.com/blog/5-anesthesia-billing-tips-every-medical-facility-should-know/

How to Ensure Billing Compliance in Anesthesia

From improving documentation efficiency to educating your staff on new policies, there are proactive steps you can take to ensure regulatory compliance in anesthesia medical billing.

At Coronis Health, we never underestimate the importance of compliance when it comes to anesthesia medical billing. We understand how centralized technology tools that help achieve accurate medical billing and an organized workflow allow you to have confidence in your compliance. Regulatory requirements are complex and ever-changing, requiring your team and any service provider to stay abreast of potential compliance issues. 

Below are tips on how to stay on top of regulatory compliance.

Understand the Billing Process for Anesthesia Services

Medical billing for anesthesia services can be more problematic than surgeon or hospital charges. While accurate documentation is essential to billing, compliance, and reimbursement for every type of healthcare specialty, the process can prove more complex for anesthesia facilities compared to other providers.

Surgeons, for example, only have to use a single CPT code to cover all necessary services from pre-op to post-op. Anesthesia medical billing and coding, on the other hand, is not as straightforward. Anesthesia services are uniquely calculated based on the following criteria:

• Base units – These reflect the complexity of the surgical procedure. Each procedure has a corresponding code with a base unit value. More difficult procedures that require a higher skill level will have a higher base unit. 
• Time units – A time unit is usually 15 minutes in length, but the valuation can change by contract. Time accrues while the physician assumes patient care, remains in attendance caring for the patient, and continues until the patient is no longer under their care and the report has been completed.
• Modifying units – Emergencies and certain conditions in a patient’s health are considered modifying units. 
• Conversion factor – Specific to the provider’s location, this cost is assigned to each unit.

Follow Coding and Documentation Guidelines to Ensure Accurate Billing

To maintain compliance, you will need to:

• Know the correct modifiers – Modifiers refer to the two-character indicators that help identify relevant details on a claim. Accurate usage of modifiers will help ensure proper claims payment. Modifiers also help avoid duplicate billing and unbundling. 
• Report qualifying circumstances – If particular services are deemed necessary and reasonable, qualifying circumstances can be submitted to the insurance provider. Compliance improves due to more accurate documentation of the patient chart. 
• Append physical status modifiers – These are used for reporting the patient’s overall physical health (ranging from a healthy patient to an organ donor) at the time of encounter or procedure.
• Accurately calculate the time for anesthesia administration – Because anesthesia services must be precise, you must document the exact number of hours and minutes from start to finish. For commercial insurance companies, this is the formula used to report time units for anesthesia services: Base Units + Time + Physical Status Modifier = Total Units

For Medicare: Base Units + Time = Total Units

By being meticulous about documentation and coding, your facility will increase efficiency and compliance in medical billing, resulting in proper reimbursement and an optimized cash flow.

Make Sure Your Staff Is Properly Trained

Billing for anesthesia procedures demands that you are more than just familiar with current requirements. Knowledge is power, as the saying goes. You must constantly educate your staff about regulatory compliance and patient safety goals. 

The anesthesia industry, just like other medical fields, is always rapidly evolving –whether in the form of new drugs and devices or approved pain management strategies. You and your staff must keep up with the new guidelines, policies, and patient safety information that go along with these changes, as well as understand and be able to execute what is expected when it comes to processes and documentation. Educate and train your staff to not only stay compliant but to maintain or improve your facility’s organization and efficiency as well.

Use an Automated Anesthesia Billing System to Streamline the Process

You must not only work hard but also work smart. A facility with an optimized workflow runs like a well-oiled machine that enables steady collections while lowering the administrative burden on your staff. An automated anesthesia billing system, in particular, can help streamline all system facets, such as coordinating front and back communication and eliminating lost paper documentation. This allows you to focus on delivering quality care.

When you automate your process, you can bring efficiency to the system so payments are made in a timely manner, while minimizing errors and denials and improving your cash flow. 

If you utilize an Electronic Health Record (EHR) system, for example, you can simplify your facility’s workflow. Improving tasks, such as scheduling, coding and billing, and payment processing allows you to improve efficiency and meet your revenue goals. 

A cutting-edge billing system also updates regulatory changes and contains relevant compliance requirement information that is useful to your facility.

Stay Up-To-Date on Changes in Reimbursement Rates and Other Billing Regulations

Remain updated with all HIPAA policies, guidelines, procedures, and new anesthesia codes in medical billing to avoid claim denials –even fines and lawsuits. 

The law is complex and remaining compliant requires regular review and education. Managing compliance is also an around-the-clock endeavor. Facilities must always be vigilant to address ever-changing regulations, improve healthcare quality and safety, mitigate risk, enable accurate billing and coding, ensure timely reimbursements, and keep patients safe. 

Regularly Audit Your Anesthesia Billing Records to Ensure Accuracy

An audit will examine your current processes and performance, covering all facets of anesthesia medical billing services, from medical coding and patient eligibility verification to claims submission and denial management practices. An audit evaluates records and processes to identify areas requiring improvement or special attention.

Regular auditing will help educate your staff on regulatory compliance. And when everyone follows proper procedures with accuracy, you can better achieve your goal of efficiency, optimized revenue, and safe, high-quality patient care.

Questions about Anesthesia Billing Services? Contact Coronis Health Today!

A compliant facility is an empowered one. If you’d like to learn more about how you can stay fully optimized and compliant, contact Coronis Health to request your free financial checkup today.

from
https://www.coronishealth.com/blog/how-to-ensure-billing-compliance-in-anesthesia/

How to Optimize Your Lab’s Billing and Revenue Cycle Management

Maintaining your facility’s revenue requires a high level understanding of the complete revenue cycle, from the moment a patient presents, to the point at which you receive payment from the insurance company and patient. You can optimize your laboratory’s billing and revenue cycle management by working with an expert that knows your specific needs and how to meet them. When you partner with Coronis Health, you gain more than just a better understanding of billing and revenue cycle management.   

Work With Your Revenue Cycle Management (RCM) Partner to Optimize Billing and Collections

The billing process – for medical or laboratory facilities – is a complex and lengthy endeavor, especially if the facility is consistently busy with a high volume of patients. When you outsource your laboratory billing, you can rest easy knowing that you have more than a billing office at your disposal – you have a revenue cycle management partner that guides you in the optimization of your billing and collections, and ultimately the optimization of your bottom line. 

Think of revenue cycle management as a fluid process, like a relay race around a track. The runners depend on one another to hand off the baton and finish the race. Your partnership with expert laboratory billers and coders will ensure that your relay race – your billing and collection process – is optimized to gain the most out of your reimbursements. Coronis Health has the experts you need to guide you through every step in the revenue cycle process, from analyzing codes to submitting claims and finalizing patient collections.

We work quickly – just like runners depend on one another to keep the pace, providers can depend on us to create the most efficient billing process for your facility. The finish line is in sight, so partnering with a strong runner will guarantee that your claims are clean, your reimbursement is optimal, and your collection rate is in first place.  

Implement Best Practices for Patient Payment Collection

Insurance payers reimburse facilities at a contracted or set rate, and once that payment is determined and charges are adjusted, the patient may be left with some responsibility to pay a remaining balance. This may result from only partial coverage of a laboratory test, or the test not being covered at all. The following are some best practices to help guide your team when talking to patients about making payments:

• Educate your staff – When your team understands the nuances of speaking with a patient about a bill, the patient is more likely to listen and comply.
• Effective communication with patients – Engage the use of the patient portal. Eliminate long hold times on the phone, and maximize the use of your facility’s technology to benefit the patient.
• Payment technologies – Debit cards and automatic payments help to streamline your billing process, and adds convenience for the patient. If you have a patient portal or can store payment information for future bills, give your patients the option to use every convenience possible. 

Use Technology to Improve Billing and Collections Processes

Billing technology is advancing as fast as the technology labs used to analyze specimens. In an effort to improve your facility’s billing and collections processes, Coronis Health uses technology that sees far beyond the old school billing process with paper claims and the check in the mail. 

• RCM Clarity to integrate laboratory information systems with billing software
• Integration with multiple electronic health record platforms, such as Epic, Cerner, NextGen, eClinicalWorks, and many more
• Benchmarking and dashboards to provide high-level analysis for your profitability, opportunities, and threat analysis, including accounts receivable information, payer statistics, and billing performance
• Incorporating the technological knowledge from billing and coding experts who are former lab professionals

Coronis Health strives to provide quality service through the entire billing and collection process, and we do this by creating a unique platform that caters to your facility and its services. Between our expert teams and our top of the line technology, we offer the opportunity to improve your revenue cycle by maximizing your collection rate and streamlining your billing. Coronis Health’s expertise, technology platforms, and passion for quality is the perfect package for your laboratory billing needs. 

Questions About Optimizing Your Lab’s Billing and RCM? Contact Coronis Health today

Your patients demand quality service and an excellent experience from your laboratory. You should demand the same from your billing team, and Coronis Health can do both and more. To learn more about how you can optimize your billing and revenue cycle management, don’t hesitate – contact Coronis Health and find out how you can start your journey to a healthier revenue cycle management partnership with an expert laboratory billing team.

from
https://www.coronishealth.com/blog/how-to-optimize-your-labs-billing-and-revenue-cycle-management/

How outsourcing your laboratory billing services can maximize reimbursements

Medical billing is known to be a complex process, requiring a dedicated and skilled team of billers and coders to create efficiency and success with revenue cycle management. Coronis Health provides outsourced medical billing for primary and specialty physicians, hospitals, behavioral health – and also for laboratory services. If you want to maximize your reimbursements and eliminate the administrative burden of billing for your laboratory services, Coronis Health can provide you with better reimbursement and peace of mind so you can focus on what counts – your clients and patients.. 

The benefits of outsourcing your laboratory billing services

Outsourcing your laboratory billing is a logical step towards creating more than just efficiency in your facility – it is the best step you can take to ensure that you are receiving the most out of what you do every day. From clean claims, to lowering your days in accounts receivable, to increasing your overall reimbursements, outsourcing your medical billing is creating the optimal environment for your finances. 

You can benefit more than you think from outsourcing your laboratory billing as well:

• Timely claim resolution and better data supplied for analysis 
• Improve efficiency and create optimal strategies for growth
• Increase cash flow by improving and streamlining your operational processes
• Reduce or eliminate billing and coding errors – more accuracy equals better data to analyze
• Automated verification of benefits and eligibility

• A dedicated team of billers and coders who are consistently updated on adjustments with coding and regulatory changes
• Faster reimbursement – Your team will process claims quicker than an in-house billing team that may be tasked with other responsibilities outside of their billing tasks. . 

How to maximize reimbursements through accurate and timely billing

Your team at Coronis Health has a goal to ensure your claims are accurate and submitted in a timely manner. This guarantees that you will maximize your reimbursements. Time and accuracy make the difference between consistent and optimum reimbursement and resubmitted claims because of errors or lack of information. 

Coronis Health focuses on a high level of accuracy, which can easily increase your laboratory’s efficiency and reduce the amount of unpaid patient bills – resulting in maximum profit for your laboratory facility. When you weigh the options, it makes sense to go with a billing option that gives to your facility, and doesn’t take away from your bottom line. 

What to look for in a qualified billing service provider

Coronis is well-versed in medical and laboratory billing and coding. When you are researching medical billing companies, it’s important to understand laboratory billing is more complex than medical billing, as it focuses on a unique set of CPT codes, and the more experience a company has with laboratory billing, the better chance you have with increasing your revenue. 

Look for the following attributes of a billing company for your laboratory services:

• Specialized experience and expertise in laboratory billing
• What types of laboratories are serviced
• Clean claims and error rates
• Whether the company performs in-network and out-of-network billing
• What analytics or dashboards are provided for your review
• Available training and collaboration for your team
• Whether the company integrates with any LIS

How to reduce the administrative burden on your staff

If your lab is considering outsourcing, ask yourself: Is billing a core competency of our operation or can our resources be better utilized elsewhere?

Most labs agree that billing remains secondary to day-to-day specimen collections and testing. Maintaining billing within your facility creates more than just an administrative burden on your staff – it can increase overhead costs and time spend on hiring, recruiting, training, and developing a robust billing team. 

The cost to maintain a billing team includes more than just salaries – training and employee benefits are two big factors, but it’s necessary to also cross-training other employees to fill in if your billing team has absences or gaps in staffing due to turnover. 

Outsourcing your laboratory billing goes beyond maximizing your reimbursements; you will see an increase in job satisfaction, morale, and job stress that is created by the complex process of billing. 

Coronis Health has team members who only focus on laboratory billing, so your team can focus on everything else. The teams at Coronis Health are subject matter experts who have decades’ worth of experience specifically in laboratory billing. Many of the team members are former lab managers with high-level insight into the challenges that laboratories face. The team stays abreast on current and upcoming industry and regulatory changes to ensure your lab can address these shifts proactively rather than reactively.  Their expertise in billing and coding allows your team to set goals, organize, strategize, and focus on what matters the most – operating a laboratory. 

Questions about outsourcing your laboratory billing services? Contact Coronis Health today

If you want to eliminate staff turnover, increase your reimbursement, decrease your days in A/R, and reduce the cost of operating your laboratory facility, you are one step closer to maximizing your revenue and efficiency when you contact Coronis Health. When you call us today, you are making the decision to step away from the stress of in-house billing and partner with subject matter experts that can make the difference for your laboratory facility. 

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https://www.coronishealth.com/blog/how-outsourcing-your-laboratory-billing-services-can-maximize-reimbursements/

Laboratory Billing and Coding Services: How They Can Help Your Facility

When it comes to clinical lab testing, you want the staff within your facility to focus on providing expert care and promoting optimal patient experiences. Tracking down revenue and dealing with insurance companies can feel like daunting tasks to healthcare workers, often leading to heavy workloads, drifts in focus, and high turnover rates. 

By outsourcing your facility’s laboratory billing and coding services, your staff can continue putting patient needs first while relying on a team of experts to handle your ongoing reimbursement needs. 

What Are Laboratory Billing and Coding Services?

Collecting on unpaid accounts should not be at the forefront of your staff’s responsibilities. Outsourcing your laboratory billing services allows your in-house team to make optimal patient care their primary goal. Billing services include selecting appropriate modifiers, billing patient insurance providers, and assuring timely receipt of payments. 

What Modifiers Are Used in Laboratory Coding?

Laboratory modifiers differ from codes used in standard healthcare billing, as determined by both Current Procedural Terminology (CPT) and the International Statistical Classification of Diseases and Related Health Problems (ICD). Outsourced billing and coding experts have the time, expertise, and resources to stay abreast of coding changes to establish a smooth billing process. 

Ensuring that the proper modifier is used can prevent claims from being denied by insurance companies. Laboratory coders work diligently by comparing services rendered to the patient’s benefits to verify coverage under their insurance premium. This attention to detail can hasten the reimbursement process, saving time and repeated paperwork while helping your facility’s billing department stay out of the red. 

The Benefits of Using a Professional Laboratory Billing and Coding Service Like Coronis Health

Facilities that outsource their medical laboratory billing services enjoy a long list of benefits, such as: 

• Maintaining focus on quality patient care
• Acquiring higher rates of reimbursement 
• Controlling costs and delinquencies
• Reducing revenue cycle management challenges
• Scaling down high operational costs
• Lowering staff turnover rates 
• Improving patient experiences 

How to Choose the Right Laboratory Billing and Coding Service for Your Needs

Selecting a third party to outsource your facility’s laboratory medical billing services should be a well-researched decision. You want to know that you’re choosing the best of the best so you can let the experts take the financial weight off of your staff’s shoulders. The provider you choose should:

• Employ certified, trusted advisors with decades of experience
• Utilize innovative technology to stay ahead of the industry
• Provide measurable results, transparency, and expertise
• Offer concierge-level service and attention at every turn
• Work with you to create a focused revenue cycle strategy
• Feel like a true partnership in your financial success

Tips for Getting the Most Out of Your Laboratory Billing and Coding Service

Once you select a competent, revenue-driven company to maintain your facility’s clinical laboratory billing for lab services, you can immediately enjoy the various added benefits outsourcing can provide. 

Relying on a team of professional billers and coders allows your staff to redirect their focus to providing the best patient care possible. By freeing up time they may have spent on adhering to proper HIPAA guidelines and dealing with insurance companies, your team of healthcare providers can put all of their energy into superior service. 

Not only does this change improve the balance of your staff’s daily tasks, but patients who receive individualized attention will also enjoy the benefits. An attentive and caring provider is a requirement of most patients and often leads to improved satisfaction rates and a loyal client base. 

By letting your healthcare staff focus on patients rather than laboratory billing and coding services, you can reduce the prevalence of employee burnout and high turnover rates. Instead, you can rely on the expert organization you entrusted to minimize billing errors and get outstanding accounts up to date.

While you focus on patients and allow your new outsourced partner to monitor your reimbursement rates, your facility will gain the financial benefits of cost savings and increased cash flow. By eliminating the overhead of maintaining an in-house billing and coding staff, your facility can use these funds to improve other areas of service. Relying on a team of professionals also ensures quicker collection rates and a more consistent cash flow as a result. 

Ready to Outsource Your Laboratory Billing and Coding Services? Contact Coronis Health Today!

The trusted advisors at Coronis Health Laboratory & Pathology provide specialized solutions to healthcare facilities by building a high-touch relationship with their clients. Coronis understands that staff retention, high-volume, low-dollar collections, and changing modalities can stretch labs thin and diminish their revenue. 

With 35+ years of revenue cycle management experience, Coronis Health Laboratory & Pathology has the skill, experience, and resources to maximize collections for labs.
If you’re interested in all the benefits your facility can gain by outsourcing your laboratory medical billing services, contact Coronis Health to request your free financial checkup today.

from
https://www.coronishealth.com/blog/laboratory-billing-and-coding-services-how-they-can-help-your-facility/

What is FQHC medical billing, and why is it important?

Federally qualified health centers (FHQCs) are federally funded health centers that provide medical care for historically underserved areas, ensuring everyone has the right to healthcare services. These facilities provide affordable access to primary and preventative care for patients and qualify for reimbursement through Medicare or Medicaid. 

FHQCs must meet several requirements for not only the services they provide but the way those services are reimbursed. FQHC medical billing can get complicated, as the medical coding rules and guidelines for Medicare and Medicaid are rigid and ever-changing. 

Let’s dive deeper into the nuances of FQHC billing and how it affects your center’s ability to reach its highest potential. 

What is FQHC medical billing and what services does it include?

Because FQHCs are federally funded, it’s important for medical billing and coding to be performed in compliance with the rules set by the Centers for Medicare and Medicaid (CMS) and the Health Resources and Services Administration (HRSA). The services performed at FHQCs must be carefully captured and billed so the facility can receive the necessary reimbursement and continue generating a healthy revenue cycle. 

An FQHC medical billing company does the hard work of medical billing and coding, adhering to the complex requirements involved. These are experienced billers and coders who understand the Medicare and Medicaid requirements—ensuring claims are clean, profits increase, and days in A/R decrease. Beyond FQHC medical billing service, some companies even provide revenue cycle management and financial reporting to identify and correct revenue cycle problems. 

How can FQHC medical billing help your clinic or practice run more efficiently and improve patient care?

Unfortunately, most health care teams don’t have the time and expertise to stay up-to-date with the ever-changing Medicare and Medicaid reimbursement requirements. The complicated nature of FQHC medical billing can lead to delays in financial reimbursement, financial errors, and overall team frustration. Accurate FQHC billing is crucial to yielding profits and creating a healthy revenue cycle. Abiding by the CMS and HRSA guidelines and avoiding denied claims allows for consistent net profit and more time to dedicate to patient care. 

The time-consuming nature of keeping up with the FQHC billing and coding guidelines can burden your staff. Many facilities handling the billing and coding in-house see poor collection rates and high claim denial rates, leading to lower staff morale, higher burnout, and less time for the most important aspect of your FHQC center—the patients. FQHC medical billing services relieve healthcare staff from the frustration of navigating the rules and regulations and puts the focus back on the patients. 

How does FQHC billing differ from traditional medical billing services?

FHQCs are reimbursed for their services on an all-inclusive model through Medicare and Medicaid. However, FQHCs often struggle to collect fair payment for their services, encountering higher claim denial rates and more lost revenue than traditional healthcare centers operating with commercial insurance. There are many unique aspects of FQHC billing, including:

• Sliding fee scales
• Cost-based reimbursement
• Encounter rates
• Wrap payments
• PPS Medicare reimbursement
• And more… 

All claims for services performed at an FQHC must also be documented with HCP and HCPCS coding that differs substantially between Medicare and Medicaid. These billing and coding differences are constantly changing as CMS releases updates. 

Due to the complicated nature of FQHC billing, it’s vital for FQHCs to closely analyze their revenue cycle and make changes that will support their growth plan. Lost revenue and high denial rates can stunt the growth of these centers, making it imperative to find the root cause of denials and correct them with experienced medical billers and coders to maximize their revenue cycle. 

Questions about FQHC medical billing? Contact us at Coronis Health today!

Coronis Health differs from a typical FQHC medical billing company by providing FQHC and CHC services for not only medical billing and coding, but collections and denial management, revenue cycle management, financial analysis, and reporting. 

We understand the importance of FQHC medical billing done right. Our highly trained, certified professionals will ensure timely financial reimbursements, an improved clean claims rate, and excellent customer service so you can put the focus back on patient care. 
Contact us today to learn more about what Coronis Health FQHC billing services can do for your team.

from
https://www.coronishealth.com/blog/what-is-fqhc-medical-billing-and-why-is-it-important/