Effective Primary Care Billing Solutions for Optimal Results
< 30
Days in AR
10-15%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
Overview of Primary Care Billing Services
Primary care physicians are the medical practitioners who need professional medical billing services the most.The limited scope of their medical services, the larger composition of Medicare and Medicaid beneficiaries, the negative impact of healthcare reforms, pricing cuts, and the highly stringent insurance reimbursement environment have all begun to call into question their ability to survive. Let alone, the idea of managing the complex primary care billing operations in-house is just making things more complicated for them.The bulk of the primary care patient base has health insurance. Therefore, medical bills must be submitted and overseen by professional medical billing specialists to expedite reimbursement. MediBill MD has the number and efficiency that primary care billing and coding demands. Additionally, because of the volume of operations, the fees are affordable, without any compromise on the quality of the service.As a result, physicians can achieve operational efficiency and revenue maximization through denial-free and delay-free realization of their claims.
Common Challenges in Primary Care Medical Billing
Primary care billing is a complex and time-consuming procedure, and physicians frequently encounter unanticipated challenges that impact their practice's overall revenue cycle.
Coding Errors and Inaccuracies
Correct coding is critical in medical billing. Errors in CPT billing codes for primary care can result in claim denials, delayed payments, and compliance issues. Addressing these issues is essential to ensure a smooth billing process.
Claim Denial and Rejection
Claim denials can occur for many reasons, including inadequate information, erroneous patient information, or a lack of pre-authorization. Understanding the causes for denials and swiftly correcting them is critical to preventing revenue loss
Insurance Verification Issues
Inadequate insurance verification can cause invoicing complications. Before providing services, ensure that the patient’s insurance coverage and benefits information is accurate as it will help you avoid complications during claims submission and reimbursements.
Slow Reimbursements
Delays in payments can put a strain on a healthcare facility's finances. Besides, if a claim with errors gets rejected, reworking further delays your payment. Streamlining the billing process and following up on outstanding claims can help speed up refunds.
Regulatory Compliance Issues
Maintaining compliance with ever-changing healthcare standards is a serious problem. Non-compliance can result in fines and legal concerns, stressing the importance of fully understanding and adhering to billing standards.
Communication Problems
The communication gap between the providers, patients, and payers can lead to surprise medical bills. However, under the ‘No Surprises Act’, unexpected bills can be contested, resulting in financial and legal penalties for the providers.
Outsource Primary Care Billing Services to MediBill MD
Primary care physicians are generally quite busy managing patient care. From focusing on patients' overall health and well-being to referring them to specialists for complex chronic disorders, injuries, surgery, and cancer, they handle all.
Besides, primary care billing is a continuous procedure that keeps the revenue cycle running, and it cannot wait for staffing gaps, seasonal lows, or claim denials.
The benefits of outsourcing billing and coding for primary care outweigh in-house billing. Instead of spending grands on staff, infrastructure, equipment, and tech, you utilize third-party services at half the cost.
Finding the appropriate match for a billing team can be difficult because most billers and coders are well-paid.MediBill MD has the experience and competence to provide the reimbursement you seek. Our workforce is dedicated and trained in primary care billing.
Another reason for outsourcing primary care billing is cost reduction. Maintaining an in-house primary care billing and coding team necessitates a substantial financial commitment.Outsourcing enables you to save money you would have spent on establishing your in-house billing team and redirect it to scale your practice.
Focus on what is most important: taking care of your patients. From screening to diagnosis, your attention should be on what is critical and not the stress caused by the prospect of hiring a large primary care billing team. MediBill MD’s trained and certified workforce can help you keep your revenue moving.
Your reimbursement depends on accurate coding, knowledge of rules and insurance payer changes, and optimizing everything on a claim to get rightfully paid for your services.Clean claims ensure faster payout from third-party payers, which is made possible with our billing and coding services for primary care physicians.
Our billing specialists and certified professional coders (CPC) leverage new technologies and optimized processes, resulting in more efficient billing operations.Besides, faster claim submissions, shorter payment cycles, and increased cash flow are some tangible benefits that can help your practice's financial health.
Your billing staff is likely overwhelmed by other obligations at your facility, making it challenging to stay current on regulatory changes.The Centers for Medicare and Medicaid (CMS) and other payers update their billing criteria regularly, and our team stays abreast of these changes to ensure compliance.
Why Choose MediBill MD for Primary Care Billing Services?
MediBill MD's primary care billing services are tailored to meet the various demands of primary care practices. Our comprehensive approach guarantees that all part of your primary care, from routine check-ups to sophisticated treatments, is carefully invoiced and reimbursed, thereby improving the financial health of your primary care practice.
Besides, our billing specialists and CPCs work as an extension of your team. They are well-versed in billing codes for primary care, leading to accurate and timely claim submission, increasing your first-pass rate, and reducing account receivables and denials.
FAQs
You will not regret choosing MediBill MD for your primary care billing needs. Our A-team of certified professional coders (CPCs) is aware of the intricacies of primary care billing and coding. They adhere to the latest coding guidelines, government regulations, and payer policies to submit up to 98% clean claims and turn your revenue around in less than 30 days.
At MediBill MD, we only charge a small percentage of your combined monthly collections. Our primary care billing services are priced at 2-5% of your total monthly reimbursements.
Keeping up with frequent revisions in the code sets and managing legacy accounts receivables (AR) are perhaps the most difficult aspects of primary care billing. Correct and updated codes must be used for promotive, diagnostic, preventive, treatment, and rehabilitation procedures/ services for accurate reimbursements. Similarly, chasing old, unpaid claims can be a hassle if you are a one-person practice.
