Medical coding and billing is a responsibility involving technical expertise and high-tech software solutions. Outsourcing this can prevent errors which could lead to low and inadequate payments.

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Reasons Why Doctors and Physicians Outsource Medical Coding and
Billing
The reasons why doctors and physicians outsource medical coding and
billing are mainly to ensure efficiency in the billing and coding process and
thereby secure the full due amount from the insurance company for the
treatment they offer. It also helps them streamline their functioning and
thereby increase performance.
Medical billing and coding services include
submission of medical claims to insurance
companies. On the successful submission of
claims depends the payment which healthcare
providers should receive for the services they
provide to the patients. This is therefore a very
important responsibility for doctors and
healthcare institutions.
Complexity of the Task Demands Expert Assistance
But this is also a complex task requiring specialized knowledge and with a
potential for errors resulting in nonpayment by the insurance provider. In
fact, many millions of dollars are lost in the healthcare sector every year due
to errors in medical coding and billing.
Some of the commonly quoted issues are under coding, under pricing, un-
reimbursed claims and missed charges. These errors give insurance
companies the opportunity to deny claims or make you settle for a partial
reimbursement. Many a time around 50% of claims are denied or rejected
Medical Billing and Coding

2. Outsource strategies International Call: (800) 670 2809
and around 25% of chart audits are found to have errors in coding which
bring about nonpayment.
Since medical coding and billing demands expertise and has such a potential
for errors, healthcare providers can reduce the strain on themselves and
increase efficiency in their core tasks by outsourcing billing and coding to
reliable medical billing companies. The medical billing company offers
comprehensive billing and coding services.
Billing and Coding Services Offered
The medical billing services generally include:
• Patient Scheduling and Reminders
• Patient Enrollment
• Insurance Enrollment
• Insurance Verification
• Insurance Authorizations
• Coding and Audits
• Payment Posting
• Account Analysis and Denial Management
• AR Management
• Financial Management Reporting
Medical coding services also include the following aspects:
• Hospital / in-patient coding
• Emergency room e-code evaluation
• Medical coding audits
Medical Billing and Coding

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• Backlog coding resolution services
• DRG/ICD-9-CM coding validations
• CPT medical coding
• Ambulatory Surgical Centers Coding
• ICD-9 coding based on AMA and CMS guidelines
Advantages of Outsourcing Coding and Billing
Since billing and coding are all conducted electronically, more innovative
technology and better medical billing software can ensure better
performance.
• The medical billing company employs state-of-the-art software and
hardware solutions that ensure precise medical coding and billing and
also quick turnaround of the work.
• There are always changes in regulation and technology in this field
and a reliable billing company keeps tabs on these changes and
updates them, which is evident in the quality of their outsourcing
solutions.
• The company is also flexible enough to meet the requirements of
client doctors and healthcare institutions, which makes these services
cost-effective and able to be easily integrated into the functioning
process of the client practice.
Medical Billing and Coding

4. Outsource strategies International Call: (800) 670 2809
These are the reasons why doctors and physicians outsource medical coding
and billing – it ensures they no longer lose precious money through faulty
billing and coding.
MOS Outsource strategies International
8596 E. 101st Street, Suite H
Contact details Tulsa, OK 74133
Phone: (800) 670 2809
URL: http://www.outsourcestrategies.com/
Medical Billing and Coding