How to Submit Measures for MIPS 2020?
Medical billing is a process by which providers get paid in the US healthcare system. It is also called insurance billing in which insurance companies (e.g. Medicare) reimburse practitioners for their services to the patients. The services and procedures map onto a claim form through a series of codes (ICD-10 and CPT) after which it goes to the clearinghouse.
Healthcare clearinghouses are intermediaries who forward claims information from providers to insurance companies. To undergo ‘claims scrubbing’, they check the medical claims for errors and their compatibility with the payer’s software.
As a medical billing service, ‘QPP MIPS’ has a claim-approval rate in the late 90s. It implies the precision of our medical billing and coding staff as they are articulate, meticulous, and thorough in their work. A claim’s accuracy is everything when it comes to seamless processing later on. To put this in simple English, it means we must enter the right information from start to finish if we want it to be accepted.
Outsourced billing services are the new norm of doctors, hospitals, small and large practices in every corner of the country. Medical billing companies have risen in the last twenty years almost as if they were necessary for healthcare professionals in the first place. It also suggests the growing demand for nurses and doctors in the US as we speak and in years to come.
Medical Billing and Coding for Healthcare Specialties
- Internal Medicine
- Pain Management
- Infectious Disease
- Primary Care
- Family Medicine
- Cardiothoracic Surgery
- Physical Therapy
- Public Health
- Sports Medicine
- Chiropractic Physicians
- Colorectal Surgery
- Reproductive Medicine
- Chiropractic Physicians
- Emergency Medicine
- Orthopedic Surgery
- Organ Transplantation
- Gynecologic Oncology
Revenue Cycle Management (RCM) Services
The electronic claim submission process mostly happens, but in some cases, paper billing becomes a necessary chore. RCM process involves the stages of the billing cycle in addition to the payment adjustments through the MIPS program. We assign account managers to each of our clients to work on their behalf, and in case they want to talk to them; they can call them from 8:30 a.m. to 8:30 p.m. ET, Monday through Friday.
Remember, you are only a call away from a hiccup-free revenue cycle management process. Dial us on this number 888 902 1035 as we are eager to be at your service.
HIPAA refers to the Health Insurance Portability and Accountability Act. It is a law that protects the privacy of patients. It safeguards Patient health information (PHI) which ought to stay under close supervision and should not go public where it can be misused.
Six Steps of Medical Claim Processing
We run point from the time a patient checks in to the time he/she checks out.
- Insurance eligibility and verification
- Patient Checks-in
- Charge Entry
- Diagnosis and Procedural Coding
- Claims Submission
- Payment Posting
At each step of the process, ‘QPP MIPS’ takes practices as smoothly as possible and they end up finding their true earning potential. Moreover, we deal with accounts receivable before they even start piling up and causing anxiety.
Why Do I Need Medical Billing Services?
As a physician, this question might pop up in your mind at a time when you’re least thinking about it. The answer to it is simple. The reimbursement process is more like an accounting process in which numerous codes occur and accuracy is the key. Neither you nor your staff have the time to get busy in additional accounting work because of the patients. We deliver such tedious tasks on your behalf until you are rightfully paid.
Medical billing software is where it all starts. It is used to create the computerized version of claims to be sent out to insurance companies for clearance. Such applications are either customized for each specialty or available for general submissions with medical billing companies. In spite of the low reimbursement rates and MIPS program in action, medical billing services have a role to play in the best interest of health care dignitaries. These dignitaries are anyone in the healthcare industry with a bill to claim.