Physician Billing – When You Need to Maximize Now

We strive to be your trusted partner in enhancing your revenue and profitability as a physician by strategically optimizing your billing processes.

Billing for any specialty can be challenging due to the steep learning curve. Providers and billing staff often struggle to navigate the constantly changing payer rules and mandates, as well as the specific coding and billing requirements for each specialty. Billers sometimes rely on providers to provide accurate CPT and ICD codes, but providers may not always be informed about the latest coding guidelines. Of course, this lack of knowledge and coding experience can negatively impact your receivables.

At ebix, Inc., we recognize that each specialty faces unique challenges. Therefore, we develop customized workflows and a tailored set of coding rules based on the services offered by your healthcare organization.

We are silent partners with specialty physicians in the following medical practices.

Anesthesiologists          Cardiology          Cardiothoracic & Endovascular Surgery          Chiropractic Services          Emergency Medicine       Family Medicine       Geriatric Medicine           Gastroenterology      Hospitalist    Infectious Disease     Internal Medicine       OB/GYN     Orthopedic Surgery          Pain Management        Pediatrics     Physical Therapy      Plastic Surgery          Podiatry          Pulmonology          Radiology          Urgent Care      Urology    And many more…

PhysicianToday, managing the business side of medical practice has become more expensive and time-consuming due to increasingly complex regulations and decreasing reimbursements. If you are running a private practice and looking for a new medical billing service, ebix, Inc. is the answer. Specifically, our detail-oriented team thoroughly understands all the codes and modifiers. We can help you improve your revenue.

As a leading medical billing company, ebix, Inc. is a reliable advisor to our clients, helping them safeguard their financial future. We specialize in positioning our clients’ practices for immediate and sustainable industry success. You might be glad that we also offer proprietary billing software that adapts to industry changes effortlessly. Whether you want to enhance operational performance or increase revenue, we have your back.

Physicians Require Experienced Medical Billing Services.
  • Initial Credentialing is Free. Our expert staff contacts the carriers of your choice to obtain network status. Of course, this is accessible at startup and costs a very reasonable fee per provider afterward.
  • Fee Schedule Analysis. We enter the allowed amounts from the network contracts obtained 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 the best practices to build 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. 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. Therefore, 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. There are no additional charges for postage, claims, statements, or custom report/data analytics needs.
  • Fast Claim Submission. Billing is promptly submitted. Don’t suffer from delays or write-offs from inappropriate submissions.
  • Up to 10% Better Reimbursements.
A Physician Needs Medical Coding Compliance

The ebix Billing Services team, renowned for its expertise in medical coding, plays a pivotal role in the medical billing process. Critically, their proficiency ensures that your intellectual services and labor are accurately translated into a code used for insurance billing and documenting the value of your service.

Specifically, one of the most significant aspects of medical coding is using ICD-10 codes. The ICD-10 is the standard for classifying diseases, injuries, health encounters, and inpatient procedures in morbidity settings. Therefore, our team at ebix, Inc. has dedicated itself to mastering these codes and aligning our business processes to meet the needs of independent physicians.

By transforming a provider’s narrative or description of the disease, injury, and procedures into universal medical code numbers for the insurance claim, our professional certified medical coders ensure higher reimbursement by properly aligning services with a medical diagnosis. Hence, this guarantees reimbursement and minimizes denials resulting from the incorrect association of diagnosis and procedure codes. Therefore, with our services, you can be confident in the financial health of your practice.

A Physician Needs Informative Data Analytics

Of course, financial reporting provides the insight needed 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.

Our financial reports are more than just the standard month-end reports that detail charges, collections, and AR. We offer a range of detailed reports that can provide valuable insights into your financial performance. If you want to make informed decisions and take your business to new heights, our reports can help you achieve that. For example, the following reports will help you see your business progress.

  • 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 up 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 payer and CPT, respectively
A Physician Benefits from Minimized Medical Claim Denials

Based on our experience working with physicians and healthcare organizations, we understand that the revenue cycle success starts at patient registration and continues throughout the claims cycle. Accuracy of patient demographics and financial information upfront results in reduced denials, fewer rejected claims, and more occasional returned statements. Claim cleanliness is the critical component that stops the denial from origination, 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

We strive to maximize physician revenue through proactive Revenue Cycle Management, Predictive Analytics, and MIPS Compliance.

Additional Reading:

Billing Services: The Truth About Why Doctors Outsource

Cash Flow Tips – When You Need to Optimize Revenue

When You Outsource Medical Billing, Amazing Profits Return