See how to Boost Your Infectious Disease Practice Revenue
An infectious disease practice frequently faces specific billing challenges that other specialties don’t encounter.
Infectious disease practice needs accurate, timely billing to maximize reimbursements. Having a team of specialized infectious disease billing and certified coding specialists gives us the knowledge to ensure your claims will get paid when submitted. If you are considering moving your infectious disease billing to a new billing company, they must have the experience to handle the complexities of infectious disease billing and modifiers. Along with best-practice processes, we give you peace of mind that your infectious disease billing will always be processed correctly.
Due to the complexity, infectious disease billing services face their own set of challenges. Moreover, your billing company must have a deep understanding of infectious disease services and procedures and must know the rules for sequencing, specificity, and granularity to ensure each claim is paid correctly.
For instance, the ebix team includes experienced medical billers, medical coders, medical auditors, and a complete practice management division. Our team keeps us on the front line with all the new changes for you and your infectious disease practice.
Experienced Infectious Disease Billing Services get you more revenue
It is essential to realize that the key to successful Revenue Cycle Management is understanding all your practice’s revenue sources. Hence, our team will help improve profitability by monitoring, measuring, and managing all aspects of your revenue cycle.
Indeed, the ebix team has excellent tools and experience. Hence, our Revenue Cycle Management solutions are in place to capture revenue from claims remittances, patients, and evidence-based data. Specifically, collecting from all these sources will help secure your practice’s healthcare payments and make it more profitable.
Infectious Disease Billing Services for Your Practice
- Initial Credentialing is Free. Our expert staff contacts the carriers of your choice to obtain network status. Namely, accessible at a startup and a very reasonable fee per provider afterward.
- Fee Schedule Analysis. We enter the allowed amounts from the network contracts into the system to track and uncover any improper reimbursements. We will help research appropriate change levels.
- Workflow Consulting. Our management staff has over 100 years of combined experience. Therefore, we can advise you on best practices for building a team and processes that ensure results.
- Carrier Contract Advice. Consequently, there are pitfalls to avoid in contracts and situations that may cause you to choose non-network status with challenging carriers. We have additional expert resources to bring help when necessary.
- Coding Expertise. Because the ebix team offers certified coding staff to “abstract” codes from provider documentation or review your code for accuracy and completeness, we offer Chart auditing services and provider/staff education. Our efforts result from additional revenue opportunities, compliance, and audit survival.
- Fees based on Results. We don’t get paid until we’ve obtained reimbursement for you.
- No Surprises. No additional charges for postage, claims, statements, or custom report/data analytics needs.
- Fast Claim Submission. Your billing will be submitted promptly after receipt. Don’t suffer from delays or write-offs from inappropriate submissions.
- Up to 10% Better Reimbursements.
Medical Coding Compliance
The ebix Infectious Disease Billing Services team has a strong reputation as an expert in medical coding services. By and large, medical billing begins with accurate and complete documentation in the medical record. Hence, coding is the way your intellectual services and labor are translated into a code used to bill insurance and document the value of your services.
Perhaps most noteworthy are the ICD-10 codes. The ICD-10 is currently the cornerstone of classifying diseases, injuries, health encounters, and inpatient procedures in morbidity settings. Because of this, the ebix, Inc. team has honed medical coding skills and business processes to meet the needs of independent physicians.
Therefore, the transformation of a provider’s narrative or description of the disease, injury, and procedures into universal medical code numbers for the insurance claim is the fundamental purpose of medical coding. For this reason, our team of professional, certified medical coders ensures higher reimbursement by properly aligning services with medical diagnoses. Consequently, this doesn’t just assure proper payment. It will also minimize denials resulting from incorrect associations between diagnosis and procedure codes.
Data Analytics
Our financial reporting gives you the insight you need to address the root causes of charge issues, resolve process inefficiencies, improve coding compliance, and ensure the integrity of all claims. Office Managers and Administrators can quickly review performance and trends, drill down into the data to analyze root causes by reason, evaluate payer performance, and assess the financial impact of claim denials.
For example, some of the financial reports we provide (above and beyond the regular month-end reporting that gives details about charges, collections, and your AR) include:
- Charge & Revenue Analysis – evaluate financial ratios versus MGMA benchmarks
- Coding analysis – identify potential under, over, and incorrect coding scenarios
- Procedure Analysis – analyze top CPT codes for cost-benefit analysis
- Payer Reimbursement Analysis – assess which payers consistently slow down payments through unnecessary denials and “lost” claims.
- Provider & Staff Productivity Analysis – evaluate provider and staff productivity based on the specific place of service, revenue, and RVUs
- AR Aging Analysis – velocity of payments per payor and CPT, respectively
Minimize Medical Claim Denials
Based on our experience working with physicians and healthcare organizations, we understand that revenue cycle success starts at patient registration and continues throughout the claims cycle. Therefore, the accuracy of patient demographics and financial information upfront results in reduced denials, fewer rejected claims, and fewer returned statements. Claim cleanliness is the critical component that stops the denial from originating, and the following parameters impact it:
- Patient registration data quality
- Prior-authorizations
- Non-covered services and medical necessity management
- Eligibility and benefits coverage
- Clinical documentation quality
- Coding
- Claim editing
- Payor rules & mandates
