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As an ENT or otolaryngology professional practicing in the United States, you know how critical the function of medical billing is for you to get timely payments for your services rendered. But before these can be accurately billed, a lot of manual work and paperwork is usually needed by various authorities. These often take away from your productive time and can sometimes be a headache. 

Do you ever dream of a system that makes the entire process of medical billing simple, prompt, and effective for you? We are Medical Healthcare Solutions (MHS), and we are here to do just the above for you.

Making a Billable Claim with Revenue Cycle Management System

The core of any medical billing process, including that for ENT, is your claims and all paperwork in relation to it. You first convert the ENT service you have provided a particular patient into a billable claim. You submit this claim in the form of relevant documents and leave the medical billing company to follow up on the claim on your behalf. But, both you and we know that this process is not as straightforward and easy as writing about it is.

Now, with our full-practice revenue cycle management systems in place, we do everything for you. This includes registering patient information or processing and emailing patient systems, undertaking online insurance verification (iverify), or finally submitting your ENT claims electronically. Allow us to begin right at the beginning.

What are Doctor Credentialing Services?

We first undertake Doctor Credentialing Services. What are these? Are these necessary for you? You should enroll and certify yourself on authorized websites and portals for the insurance company. It will help you to reimburse you for your Otolaryngology services without question. So yes, it is necessary and quite advantageous for you, as an ENT specialist, to be doctor-credentialed with us. We undertake all the hassle on your behalf. Further, they will submit to the insurance carrier properly filled-in applications for having you credentialed. 

This credentialing service also lets the insurance companies know if you have changed the location or area. This also takes into consideration where you practice or have your hospital affiliations.

Electronic Health Records System

Next, we offer you an online system for storing all necessary and relevant patient information. We call it the Electronic Health Records System (EHR). It is a smart, intuitive system that helps you plan your day. Moreover, it lets you monitor, among other things, patient appointments and lab results. Not to mention the integrative benefit of having the all-important diagnosis and treatment information in the same electronic systems. This is similar to the medical billing solutions provider.

Medical Billing for ENT

Now, let’s talk a little about medical billing for ENT per se in the Boston area. That’s exactly where we are located and where your practice might be, too. With time, your practice booms, and the volume of patients increases manifold. With this, all administrative tasks and associated paperwork start eating up your productive time. It refers to the time you otherwise ought to spend helping patients alone. This is where we come in.

You and your practice need a medical billing company with professionals. These are aware of the numerous state and federal legal guidelines and rules with respect to the medical profession. It also includes confidentiality and insurance portability laws and their provisions as meted out by the HIPAA (Health Insurance Portability and Accountability Act). 

All our medical billing specialists are individuals well trained in all aspects of medical billing, including medical coding, which uses uniform diagnostic codes as per the ICD-10 manual issued by the Worth Health Organization. HIPAA also mandates the use of these codes from this manual as above.

Minimal Claim Denials

It often happens that claims are denied by insurance carriers on flimsy grounds that could be reversed and converted into a successful claim just by the right kind of persistent follow-up. Again, our well-trained professionals keep claim denials at a minimum, and should they occur, follow them up till reversing the denial. It goes without saying that our staff knows the kind of documents necessary for a successful, viable claim and that they ensure your claim folder has them all.

But at MHS, we go beyond the aspect of filing for claims and looking into denials. Our revenue cycle management also covers areas like collections management, posting payments, and bill adjustments.

Lastly, your ENT practice is essentially a fee-for-service practice, wherein the fees receivable depend on so many patient-related factors like underlying conditions, comorbidities, and in some cases, untreated diagnoses. Your medical billing company needs to be well acquainted with all the accurate medical coding involved in effective and on-point patient care. 

In addition, you, as a doctor or healthcare provider, should focus enough to treat your patient in a manner ensuring you meet all standards of American healthcare and there are no lacunae. Only a medical billing company offering comprehensive, thoughtful, and effective billing solutions can help you with this. We are that kind of medical billing company. Contact us today!

Do you want to increase your clinic’s collections by streamlining your urgent care billing process? Are you looking for highly qualified and experienced Massachusetts urgent care billing professionals who can handle all of your medical needs? Then outsourcing urgent care billing needs to an expert urgent care billing service provider can prove to be the best alternative for you.

Before we get started, let’s know more about Massachusetts Urgent Care Billing.

How does the urgent care billing process work?

Urgent Care Clinics are becoming increasingly popular as a way to bridge the gap between general care and the emergency department. To get the most out of this increasing phenomenon, businesses must pay close attention to their billing procedures.

Massachusetts Urgent Care billing services assist through the typical service bureau approach as well as an online connection from the client site to their office by utilizing full, complete healthcare information software systems. Further, the provider will tailor their services to the client’s exact requirements.

Massachusetts Urgent Care Billing Services Offerings:

Some of the key Massachusetts Urgent Care Billing Services include –

Urgent Care Billing Data Entry

Providers of Massachusetts Urgent Care Billing have the necessary experience to give clients error-free and highly accurate urgent care billing data input. Thus, these services ensure that all data is entered correctly and that no errors are made while filing claims.

Fee Schedule Updation

They have some of the best and brightest urgent care billing professionals who can handle all of your fee schedule updates. Furthermore, their company assists you in negotiating timetables, setting them up, and ensuring that all is updated on a regular basis to meet the demands of the customer.

Urgent Care Billing Audit

In addition, the team evaluates each entry in the claim for accuracy and validates it after they get the money and proper reasoning from the clients. Such services assist clients in submitting error-free claims and minimizing rejections.

Urgent Care Claims Filing

Furthermore, Massachusetts Urgent Care Billing service providers employ the most up-to-date urgent care billing software and resources to assist customers in filing urgent care claims. Before the claims are uploaded to the site, they are double-checked for correctness. As a result, you may be confident in its correctness and get reimbursements within the stipulated period.

Appeal Management

The providers also help with high-quality and speedy appeal management services during insurance company denials for erroneous claims. This allows clients to file an appeal before the deadline. Furthermore, it guarantees that clients overcome denials and receive timely payments. 

Why choose Medical Healthcare Solutions as your Massachusetts Urgent Care Billing partner?

Medical Healthcare Solutions, Inc. (MHS) assists you in increasing revenue by optimizing your urgent care billing procedures. We have a team of billing professionals that are highly qualified and knowledgeable and can meet all of your demands.

We understand each client’s individual objectives and give them solutions that will meet their business demands, having been one of the best quality urgent care facility billing services since 1991.

MHS focuses on the Allscripts product line. Also, we have experience with IDX, GE Centricity, EPIC, eClinical, Cerner, and Athenahealth, among other software systems. Moreover, MHS can also connect to all of the most popular EMR systems on the market.

We have the expertise with a variety of products and interfaces that let us satisfy the specific demands of our diverse customer base.

Benefits of choosing MHS as your Massachusetts Urgent Care Billing provider

Some of the best advantages you will receive with us include:

• Flexible pricing approach according to the clients’ demands and expectations while keeping their financial capacity in mind.
• Complete data protection for both clients’ and patients’ information.
• Our clients benefit from world-class infrastructure and a devoted workforce that works around the clock to provide the finest service possible.
• Billing managers with years of experience assure the most accurate and cost-effective billing procedures.
• In comparison to our competitors, we have a faster turnaround time.
• Highly scalable approach that may scale in response to the client’s needs and requests.
• Insurance verification over the internet (iVerify)
• Calling to remind you of an appointment (iRemind)
• Others.

Contact Medical Healthcare Solutions now to learn more about our Massachusetts Urgent Care Billing services and solutions!

Medical billing is truly a fuss! Moreover, it isn’t necessary to carry out your billing services in-house. Fortunately, billing is mostly a clerical chore that involves skill sets and experience and can be performed outside the healthcare organization.

To put it another way, outsourcing this task is a great idea. Outsourcing medical billing is incredibly useful to medical practices. However, this may not suit everybody, and there are likely drawbacks.

On the other hand, finding qualified medical billers can be difficult and costly. Recruiting, interviewing, and training good medical billers requires time and money. You’ll have more costs in the shape of pay, bonuses, office area, technology, and taxes whenever you recruit people.   

You might think about outsourcing your medical billing to a medical billing company.

Four Ways You Can Save Money with Medical Billing Company

#1 Check for Patient Insurance Coverage Automatically

It’s a waste of time and resources if your organization relies on temporary staff or needs to hire part-timers to execute the fundamental task of validating a patient’s health insurance.

Allowing a medical billing company to handle this on your account is simpler and more convenient. Moreover, checking on this information automatically is simple. Also, knowing a patient’s policy means you’ll know significant facts faster, like whether they have reached a threshold or what may be covered versus what required pre-authorization.   

Moreover, if you don’t know your patient’s insurance policy, there may be chances that you would deduct a significant amount. So, you may incur a heavy loss. However, if you don’t address their insurance policy, patients will likely choose your medical services the next time.

#2 Spending minimal time and money on recruiting and retaining top performers.

Medical billers are in high demand, yet supply is limited with the number of physicians. On the contrary, hospitals often have far higher finances than private firms.

However, hospitals are in a stronger position to support and maintain the leading medical billing professionals now that they have more financial capital. As a result, you may need to devote a significant amount of time and money to finding qualified medical billers for your firm.

Also, you’ll need to set aside cash to keep a qualified medical biller once you’ve hired them. Due to the great demand for medical consultants, they may seek employment elsewhere if they are dissatisfied with your clinic’s salary or working environment.

Moreover, a medical billing company is a vendor; thus, the partnership is at the authority of your practice. The medical billing business is responsible for continually providing value and retaining you as a client. It’s in their best interests to keep your business so they can maximize revenue and maintain client acquisition expenses down.

#3 Secure Patient Data

Furthermore, one of the strongest reasons for outsourcing medical billing services is its increased protection.

In 2018, 222 cases of hacked medical records were reported, and around 11 million patient information was affected.

Cybersecurity is a top priority for medical billing organizations. After all, healthcare providers’ confidence in them makes or breaks their organization, and even a single data breach might jeopardize their professional reputation.

They have the provision of storing electronic health data in the most secure environment.

Do your research before selecting a medical billing company. Make sure they have a good track record when it comes to security.

A competent medical billing service will take care of cybersecurity and ensure that your patients’ information is kept safe in all situations.

#4 Reducing Coding and Billing Errors

Even the most competent and professional setting can lead to human errors and blunders. There might be chances your team might not suggest that there might be a better way to deal with an increase in billing errors or incorrect diagnosis and treatment codes.   

You may bet on fewer billing errors if you outsource billing.

The reason for this is simple: a medical billing company spends all of its work, especially with codes, and its employees have a lot more familiarity with them. They will make significantly fewer mistakes and will be able to detect and correct them far quicker than your team employees.

Bottom Line

Many practices benefit from outsourcing medical billing to a medical billing company; nevertheless, your revenue and expenses will ultimately drive your decision. We recommend thoroughly evaluating the medical billing company to ensure they have professional experience, in addition to the cost-benefit analysis.

With Medical Healthcare Solutions, the most reputable medical billing company in Boston, be assured you will get top-notch medical billing services.

You have toiled for years to gain the right skills, knowledge, and training to become a doctor who selflessly serves their patients. Finally, you are looking forward to joining a clinic or practice. You are certain this is the start of a golden career ahead. But before you can actually start practicing medicine, you need to become a credentialed physician. 

Credentialing is the process of verifying your education, training, experience, and license to practice. It basically means the medical authorities authenticate you as a physician with an original and genuine educational and professional background. Though you can undertake this exercise yourself, physician credentialing services take away all the hassle from you and do the verification in an organized, professional manner. Their services are trustworthy, and important medical institutions and offices vouch for them.

The Significance of Physician Credentialing Services

Physician credentialing is important for doctors, nurses, and all healthcare providers. This physician credentialing process acknowledges and places on record the training and certification of these professionals in medicine. It also implies that your license to practice is valid, recognized, and authenticated. 

A physician credentialing service undertakes a high level of scrutiny so that no one and nothing can compromise the integrity of the medical profession. The ethical standards of people working in medicine should always match standards set by various medical authorities and institutions.

Why Outsource Physician Credentialing Services

If you undertake physician credentialing by yourself, there will be a lengthy procedure to follow. There will also be considerable paperwork to submit and numerous phone calls to make. You also need to be familiar with various rules and regulations, which vary from state to state in the USA. 

So, do you have the time and resources to undertake this by yourself? You need a minimum of 3 months to complete the credentialing. However, it might take longer than that, and there will be a lot of communication and coordination you will have to do in the interim. As a doctor who is first and foremost a caregiver, your priority would be diagnosing and treating people. This indicates that you may have to leave this task to the professional physician credentialing services. After all, just a month of time and expense diverted to activities not related to providing patient care is a considerable dent in your income. Multiply this by (at least) 3, and you know how much you are losing when you undertake physician credentialing on your own.

Relying on a Physician Credentialing Service Provider

Now, let’s consider a scenario where you have roped in a professional physician credentialing service to do this for you. You just provide them with the necessary documents and sit back and relax. Such a service usually has experts who undertake complete physician enrolment and credentialing services for you. 

How do they do that? They have worked with and are familiar with the functioning of all major commercial insurance carriers. So, no matter which insurance carrier covers your practice, the credentialing service will take care of everything for you. They are there for you right from filling the application. These services then submit the same and also continue following up with these carriers until such time that your application is approved.

Your credentials are very significant for your professional identity and future medical practice. When selecting the physician a patient would like to visit, the first thing they check is the education and years of experience a doctor has. It goes without saying that you don’t want to make any errors while undergoing credentialing – all the more reason to select an expert, trustworthy physician credentialing service that does full justice to your profile.

Why Medical Healthcare Solutions?

At Medical Healthcare Solutions, we provide a doctor credentialing service that is efficient, timely, and comprehensive. We don’t mind going the extra mile to ensure nothing is left to chance when it comes to your physician enrolment and credentialing. We hand-hold you throughout the process, leaving your time and resources for other, more important tasks. With us as your credentialing service partner, all your information and documents are in safe, expert hands.

How exactly do we undertake such an accurate physician credentialing service on a large scale? It’s simple. We have a team of experts who are well versed with the functioning of major insurance carriers and their framework of rules and regulations with respect to physician enrolment and establishing credentials. 

We are there with you from start to finish. Not only do we help you actually fill in the application, but we don’t rest until the final credentialing is done. It does not matter how often we need to initiate and follow up; what matters is the seamless process completion.

The internet today is a major part of the healthcare system. A majority of patient appointments nowadays have found a place online. This also has extended to updates regarding treatment and other health-related activities. 

Before any physician can have an online profile as part of their practice, the hosting portal or platform needs to verify the genuineness of the physician. In addition, they should garner basic information like their registration number, board certifications, admission privileges, work history, etc. 

You also perform background checks to rule out any prior medical malpractice or otherwise untoward event in the doctor’s earlier period of caregiving. You can call this process of authenticating a physician’s record and ascertaining whether the practice falls under illegal or illegitimate as credentialing.

Process of Physician Credentialing Services

Under this process of physician credentialing services, the entire professional life of a doctor is vouched for and ascertained to be true. For instance, it includes their degrees and board certifications, years of practice, hospitals where they help and provide care. Further, it also looks after their clinic and registration numbers, and anything else related to their work histories.

Most health maintenance organizations and online healthcare portals have a physician credentialing service in place. This process begins with the physician (or healthcare platform/portal) completing an application for charges against care provided. Later, they submit it to the insurance carriers. 

Once the carriers accept such an application, the process of credentialing is complete. Besides this, healthcare provider enrollment, or the procedure of including a doctor as a caregiver with a particular healthcare portal, also falls under physician credentialing service. 

Undertaking a physician credentialing service ensures that the doctor’s information and records are up-to-date in the insurance carrier’s accounts. Also, the insurance carriers receive intimations about the changes in hospital affiliations and practice locations as part of credentialing follow-up.

This process of physician credentialing service is really beneficial to both doctors and health maintenance organizations. Let us look at how and why.

Less Time Wasted in Undertaking Self-Credentialing by the Physician:

According to a study, physicians spend a significant amount of time in activities not related to direct caregiving and examining patients. Paperwork and other administrative tasks like scheduling eat up this time. 

When a doctor undertakes the process of credentialing themself, they lose valuable time. This time, they could otherwise spend productively examining patients and generating revenue. In such a scenario, outsourcing the physician credentialing service makes a lot of financial sense.

Professional Handling of Claims and Payments by Experts:

As a medical professional, suppose you have hired a third-party entity to undertake your credentialing. In that case, you can rest assured that all the paperwork related to claims processing and ensuring that payments are secured will be undertaken by them knowledgeably and professionally, devoid of errors. 

Getting claims approved by insurance carriers can be tedious and a little complicated. Leaving this job in the hands of experts and experienced to do so will turn out as a strategic move. Moreover, it will prove quite beneficial to your practice.

Physician credentialing services ensure that the entire process of submission of forms and claims and any follow-up required in this regard is carried out meticulously by personnel trained for the same.

Updating Changes to Your Professional Profile:

Your physician credentialing service does not merely undertake a background check on you and verify your details. It also follows through and keeps track of any changes in areas of your functioning. For instance, it updates for any change in location practice, hospital affiliations, etc. 

Imagine informing every known as well as a prospective patient that you are now practicing in a different area. You may have a lot of work to do. Thus, the credentialing service follows such details, and updates your information regularly. So once you have a credentialing service on board, you can forget any headache about intimating new information to those concerned. It will all be taken care of.

Physician Credentialing Services Also Provide Additional Services

Nowadays, you have physician credentialing services that are also into revenue cycle management, maintenance of finance and accounting services, and marketing. They basically offer you a bouquet of services in the realm of administration which takes away a massive chunk of the paperwork that otherwise you would have ended up doing. 

Overall and in the long run, this system simplifies the entire caregiving process for you, so you have all the technicalities of administrative work sorted out under one roof. What’s not to like?

Come, partner with us today, and get more productive in your medical career!