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Results-Driven Infectious Disease Billing Services
< 30
Days in AR
10-15%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
Overview of Infectious Disease Billing Services
Infectious diseases are caused by microorganisms such as viruses, bacteria, and fungi. Infectious disease billing services are specialized solutions that meet the unique requirements of medical billing, pertaining to infectious diseases. These billing procedures are crucial for the accurate reimbursement of services offered by an infectious disease doctor.
Infectious disease billing services require precise coding of diagnosis/ treatment, claims submission, and complete revenue cycle management. Infectious disease coding follows a specific process, divided into the following steps:
- The diagnosis code is the initial stage in billing for infectious diseases. For infectious diseases, numerous codes can be used, and the code selected will depend on the type of infection that the patient has.
- After detecting the diagnosis code, the treatment code is decoded.
- Finally, a claim is filed with the accurate details of the disease and treatment.
Challenges Faced in Infectious Disease Billing Services
The intricacies and diversity of the field complicate the process of infectious disease billing. Moreover, seasonal flu and epidemics can increase patient inflows and overwhelm the in-house billers, resulting in more errors during claims submission.
Outsourcing billing services to specialists who understand the intricacies of infectious disease billing can offload the healthcare providers. However, the common challenges faced by infectious disease billers are:
Erroneous Disease and Treatment Coding
Improper coding of disease and treatment options might result in claim denials.
Diagnostic Tests Coding
Regular changes in coding regulation also affect the diagnostic tests coding. Proper coding can be challenging.
Staying Up to Date with Regulatory Changes
Staying up-to-date with regulatory guidelines is challenging.
Proper Insurance Verification
Pre-authorization is time-consuming and can result in delayed reimbursements.
Management of Denials and Rejections
Proper management is critical to overcome denials.
Careful Attention to Specialized Drugs
Infectious diseases may require the prescribing of antivirals and antibiotics for treatment. Their coding can be complex.
Documentation Challenges
Accurate documentation with correct data is a must.
Variability in Reimbursement
It is critical to keep an eye on variability in payer types and demographics to maintain reimbursements.
Outsource Infectious Disease Billing Services
Outsourcing infectious disease billing services is a strategic move that provides various benefits to infectious disease management specialists. Some of the benefits of outsourcing are:
- Reduced Errors
- Focus on Patient Care
- Uninterrupted Cash Flow
- Proper Prior Authorization and Credentialing
- Cost Savings
- Patient Satisfaction
- Upgrades in Technology
FAQs
You can sit back, relax, and grow your revenue effortlessly. Partnering with MediBillMD gives you instant access to experienced and certified medical billers and coders who seamlessly maneuver advanced tools and software to optimize your revenue cycle.
They understand the depth of infectious diseases and disorders and expertly navigate intricate processes like coding, compliance, and documentation to submit error-free claims. The job does not end here. They vigilantly track the progress of each claim to prevent rejections and expedite collections.
Outsourcing infectious disease medical billing services to MediBillMD only costs a small percentage of your net collections. We charge 2-5% of the total monthly reimbursement amount for our comprehensive services.
Coding can be the biggest hurdle during infectious disease medical billing. This is because infectious diseases are of many kinds and range across several specialties. So, apart from reporting the most recent and accurate diagnostic and procedural codes, providers must collaborate with other specialists for effective treatment and management of the condition.
