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Specialized Medical Billing for Neurosurgeries
< 30
Days in AR
10-15%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
Neurosurgery Billing Services Services We Offer
Are you having trouble navigating the complex landscape of neurosurgery medical billing? A multitude of procedural codes and global surgery packages often lead to underbilling, abstaining your practice from the rightful reimbursements it deserves. But, at MediBillMD, we have an experienced team well-versed in neurosurgery procedures and their unique billing requirements. We ensure you stay compliant with state and federal laws, adhere to the varying payer policies, and achieve coding accuracy.
Enjoy an improved claim first-pass rate, minimized denial rate, reduced AR days, and enhanced collections as we help you bypass the common billing and coding challenges. Our neurosurgery billing services are designed after careful consideration and feedback from neurosurgeons to ensure the solutions meet your healthcare facility's specific requirements. Ranging from charge entry to payment posting, we offer everything so you can focus on providing quality patient care without worrying about the financial aspects.
Common Challenges in Neurosurgery Billing
Is your neurosurgery practice suffering because you are having trouble getting the rightful reimbursements from insurance payers (Medicare, Medicaid, and other commercial insurers) against your rendered surgical procedures? Setting up an in-house neurosurgery billing and coding team is often out of the question because of the high overhead costs and challenges related to hiring, training, and retaining talent.
Besides, unbundling global surgery packages or failure to provide adequate supporting documentation justifying the appropriateness of the performed surgical procedure can lead to claim denials or, even worse, heavy financial penalties or lawsuits. Moreover, keeping up with the ever-evolving industry regulations and payer guidelines is an added headache for already sleep-deprived and overworked neurosurgeons.
Documentation Requirements
In neurosurgery medical billing, detailed documentation is key to getting the claims processed on the first try. However, neurosurgeons are often overwhelmed by these requirements as they must document everything, from preoperative evaluation to postoperative care. These documents may include patient history, diagnostic tests, complications during the procedure, progress notes, etc.
Complex Procedures and Coding
The intricacies of neurosurgery procedures extend to the coding requirements. As each procedure involves multiple steps and complex techniques, neurosurgery billing requires you to choose the CPT codes accurately. Moreover, appropriate modifiers should be appended to provide further insight into the rendered procedure, including complications, location, and surgical approach.
Payment Reforms and Bundling
Bundled payment is another neurosurgery medical billing challenge that significantly impacts neurosurgeon reimbursements. For instance, the spinal fusion procedure is typically performed and reimbursed as a bundled payment covering all related services from preoperative planning to postoperative care. This emphasizes value-based, cost-effective care. However, it may strain neurosurgeons' revenue stream.
Non-Compliance to Regulations
The healthcare industry has a complex regulatory landscape, and complying with the ever-evolving challenges is essential for medical professionals, including neurosurgeons. Failure to adhere to the Stark Law, HIPAA, Anti-Kickback Statute, No Surprise Act, etc., can lead to serious repercussions, including audits, financial penalties, and lawsuits, jeopardizing your reputation.
Benefits of Outsourcing Neurosurgery Billing Services Services
Seamless clinical and financial operations of your neurosurgery practice are equally vital to keep your facility’s door open for care services. However, due to a lack of expertise in neurosurgery medical billing, many neurosurgeons are burnt out and struggle to maintain income generation. As a result, they fail to focus on their primary responsibility of delivering quality patient care, leading to a bad reputation and a decreased patient inflow.
But the good news is that many neurosurgeons play smart by outsourcing the out-of-expertise functions of their healthcare facility, i.e., neurosurgery billing, to professional revenue cycle management companies. You can do the same and focus on your core clinical activities by outsourcing neurosurgery billing services to MediBillMD.
At MediBillMD, we have certified professional coders (CPCs) and billing specialists experienced in complex neurosurgery procedural coding. Our team strives to stay abreast with the coding systems, billing requirements, and reimbursement guidelines. By acquiring our neurosurgery billing solutions, you can ensure coding accuracy, specificity, and appropriate modifier usage.
When you outsource neurosurgery billing services to MediBillMD, the risk of costly denials and audits decreases significantly. The reason? We strive to comply with state and federal laws, including but not limited to HIPAA. Besides, we invest in ongoing staff training to stay current on the changing neurosurgery billing requirements and payer guidelines.
Accurate claim creation, supported with adequate documentation, and timely submission are all essential elements of charge entry. Payment posting and reconciliation are also critical to ensure you receive maximum reimbursements and to proactively monitor and track your practice's revenue health. Our neurosurgery billing services are designed to handle both effectively.
Slow cash inflow and high denial rates are the main culprits that steal your neurosurgery practice’s hard-earned income. You can say goodbye to both with our tailored neurosurgery billing solutions. We have designed our services to keep the account receivables (A/R) and denial rate minimum with prompt follow-up and resolution strategies.
Medical billing for neurosurgery is complex, just like the procedures it involves. The varying billing regulations in different states further make the process challenging as practices struggle to find a billing company that understands their unique challenges. Luckily, at MediBillMD, we are offering neurosurgery billing services to all 50 states in the USA. So, you can experience ultimate financial success regardless of your location and practice size!
Overcome Neurosurgery Billing Challenges with MediBillMD
Are you having trouble understanding the global surgery packages, bundled payments, and extensive documentation requirements by the insurance companies? With MediBillMD’s neurosurgery billing solutions, you can rise above the medical billing and coding challenges and experience a seamless revenue cycle. Here’s how we help you streamline your practice’s revenue cycle for better financial standing and profitability!
| Common Neurosurgery Billing Challenges | MediBillMD Solution | |
|---|---|---|
| Global Surgery Packages | At MediBillMD, our neurosurgery medical billing specialists thoroughly review the global surgery packages, ensure accurate coding, and justify the medical necessity with adequate documentation, leading to faster reimbursements. | |
| Complex Procedures | We understand that the complexity of procedures makes neurosurgery billing more complicated. However, our CPCs are well-versed in neurosurgery coding requirements, ensuring a steady cash flow and a healthier revenue cycle. | |
| Underbilling and Unpaid Claims | Our team mitigates the risk of underbilling and unpaid claims with error-free code selection and appropriate modifier usage. As a result, you receive rightful reimbursements against your rendered care procedures. | |
| Documentation Requirements | Our neurosurgery billing team is trained in neurosurgery documentation requirements, including patient history, diagnostic tests, and postoperative notes supporting the services' appropriateness and medical necessity, so you receive your rightful payments. | |
Lowest Prices Guaranteed
Handling neurosurgery medical billing in-house can be expensive as it involves purchasing costly equipment, leasing a place, and hiring talent. But you can leverage our industry expertise at a mere percentage of your monthly collections.
Schedule a Consultation with our
Neurosurgery Billing Specialist
Do you have concerns related to outsourcing neurosurgery billing services? Schedule a free consultation with our neurosurgery billing specialist to ask away, clear the fog of doubt, and make an informed decision.
