BILLING SERVICES FOR MEDICAL CLINICS
Wound Care is Complex For Several Reasons
A busy medical clinic is likely to serve many different types of patients ranging from infants to the elderly, being seen for anything from preventive care to acute illness. Medical billers must be experienced in all aspects of medical clinics billing and coding including special modifiers for infants, children and other special populations. Even the slightest mis- match in the chart or error in coding will get a claim denied or rejected.
Rising Cost And Budget Cuts
Outsourcing medical clinics billing services has proven to be the perfect solution for medical clinics where effective medical clinics’ revenue cycle management (RCM) is critical to maintaining a sustainable income. METACARE provides certified and experienced billers and coders who are familiar with the practices of medical clinics.
Small In-House Billing Staff
When medical billing is done in-house, there is often a small team working on it, which means that the entire revenue stream is affected if one person goes on vacation or gets sick.
Denied And Rejected Claims
The more patients a practice sees each day, the more likely it is that some of the payment claims will be rejected or denied. Medical clinics often deal with a multitude of different payers and insurers, making the chances of encountering claim problems even greater. Outsource medical clinics billing to professionals who are fully focused on the revenue cycle rather than patient care greatly and reduces the number of errors, so far less revenue is lost to claims not being paid.
Variety Of Patients And Payers
Medical clinics see a large number of patients, each of whom has a different issue that day. Each patient coming through the doors may also have a different insurance company or government payer, so the insurance set-up and processing has to be done for each one. Chances are, patients have minimal understanding about their coverage and expect the medical staff to understand it and deal with the insurer for them.
METACARE Specializes in RCM
At METACARE, billing and coding is all we do, so unlike the staff in a busy medical office, we can devote all our energy to staying on top of the changes to codes and requirements of payers, and getting claims filed and paid.
Our Software Brings Innovative Approach
Our proprietary software brings our innovative approach to medical clinic billing services right to your front office. When a patient schedules an appointment, the RCM process begins. We keep track of everything and get claims filed and resolved swiftly.
HIPAA Security And Privacy Requirements
We are also well versed in HIPAA security and privacy requirements and all our billing staff receive training and are certified to assure that our clients never have to worry about HIPAA violations. Our medical clinics billing solutions encompass the extent of RCM, including payer credentialing, bill collection, compliance reviews, annual payback, etc.—but all are customizable to provide exactly what you need, so you can continue to do whichever aspects you want to do yourself.