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4 Reasons Why Outsourcing is Profitable for Family Practice

Medical billing is a key part of running a medical practice. Streamlining the process is important for making your family practice more profitable. Your goal is to focus on patients rather than medical billing and outsourcing provides you with numerous benefits that will help your practice run more smoothly. In fact, outsourcing provides benefits such as increased collections by 15% and decreased days in A/R by 19 days on average—all with a service tailored specifically to family practice providers.

Here are the top 4 reasons why outsourcing medical billing can be profitable for your family practice.

Fewer Days in A/R

Fewer days in A/R means that you are being paid faster. On average, when you outsource your medical billing you are looking to decrease the number of days in A/R by 19 days. This is achieved because the specialists working on your medical billing are quickly and accurately able to fill claims due to their expertise in billing for your area of specialty.

Remove the Risk of Costly Mistakes

When you are trying to train your own staff to handle medical billing who may be juggling other tasks or you’re attempting to handle the minutia of medical billing yourself, there’s a greater risk of costly mistakes. When you outsource, specialists will handle all of your medical billing. Medical billing specialists will be up-to-date on the latest changes in coding and billing procedures to ensure all billing is done correctly.

Free Up Your Time to See More Patients

Outsourcing your medical billing frees up hours of your and your staff’s time to focus on treating more patients. In turn, this boosts revenue as you are able to fit more patients into your schedule each day.

Save On Employee Overhead Costs

When you outsource you won’t need to employ a person specifically to handle medical billing for your family practice. Employees can be more costly than outsourcing as you have to handle all the costs associated with employees that exceed just their salary. For many practices, this makes outsourcing a no-brainer.

Outsourcing Your Medical Billing

With more time for patients, lower employee overhead, and fewer days in A/R, your family practice will more than benefit by outsourcing medical billing. You’ll also reap the benefits of less stress on you and your employees, giving you time to focus on expanding your practice instead of trudging through complicated medical billing processes.

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Family Practice CPT Codes for 2022 + Modifiers

Staying up-to-date on family practice CPT codes and modifiers is a key part of running a successful practice. Below is a cheat sheet to use for understanding family practice CPT codes in 2022.

Family Practice CPT Code Ranges in 2022

Below is a general list of the code ranges for family practice services and procedures in 2022:

  • 99214 – Established patient office visit (30 to 39 minutes)
  • 99213 – Established patient office visit (20 to 29 minutes)

Family Practice Modifiers

Below is a list of the common modifiers used in family practice medical billing. Modifiers are used in medical billing to avoid claim denials and incorporate a higher level of coding specificity to help get the right reimbursements.

  • GO – Telehealth services to diagnose/treat symptoms of acute stroke
  • GT or 95 – Diagnosis, evaluation, and treatment of symptoms through telemedicine
  • 59 – Denotes distinct procedural services from the rest of the services performed on the same day
  • 76 – Denote repeated procedure performed on the same day by the same physician

Learn more in our guide to family practice medical billing, or contact us to learn more about our family practice medical billing services.

How to Increase Family Practice Collections

As a family practice physician, you may be stuck when it comes to increasing your collections. With more collections, you can boost your practice’s profitability. Luckily, there are a few operational changes you can make to increase your family practice collections.

Here is an overview discussing how you can increase your family practice collections.

Increase Patient Visits

Increasing patient visits will help to increase family practice collections. To do this, alleviate the time spent on medical billing. This freed-up time can then be dedicated to taking on new patients. Seeing more patients in a day is the one true golden ticket to pulling in more revenue for your practice.

Streamline the Collections Process In-House

Streamlining your in-house medical billing process is another way to increase family practice collections. The collections process should be down to a science, ensuring the bills are timely and automated where possible. An excellent way to streamline your in-house collections process is to set up a swipe and hold feature which will allow for the automatic payment of future bills. This leads to higher profits and fewer headaches caused by trying to track down past due balances and other payments.

Hire an Outsourced Medical Billing Company

Working with an outsourced medical billing company can be a great way to increase family practice collections. This will give your practice access to medical billing staff with specialized training in family practice billing. This helps to ensure accuracy and efficiency during the billing process. At the end of the day, you’ll find that outsourcing your medical billing can lead to increased collections and decreased time in A/R for higher profitability.

If you are looking for a way to increase family practice collections, consider working with an outsourced medical billing company.

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How Is Mental Health Billing Different Than Medical Billing?

Medical billing can be a nightmare for any type of practice. The paperwork, the constant phone calls with insurance companies and providers to get paid what you deserve—it all takes its toll on medical professionals who have only two main options: building up their teams or outsourcing this responsibility entirely. The bureaucracy involved in managing these issues becomes more severe when dealing specifically with mental health practices because they often require additional steps compared with standard medical billing.

The limits that insurance companies place on mental health services can create a financial ceiling for providers of mental health services. While mental health providers may only be able to bill for one code during a behavioral health visit, another specialist will be able to bill multiple. This severely cuts into the amount of profit a mental healthcare provider can net. In a specialty that is already taxing, having to struggle with uncollected bills and lack of billing leniency leads to more stress for practitioners.

Mental health services are looked at differently by insurance companies and patients alike. This combination of cultural and corporate perception of mental health services places additional stress on providers.

Differences Between Medical Billing and Mental Health Billing

Major areas of difference or concern for medical billing versus mental health billing include:

  • Pre-authorization is almost always required before submitting medical claims.
  • Mental health providers often do not have front office staff who can handle billing and coding, this places those responsibilities onto the practitioners themselves.
  • Mental health practitioners provide and varied and diverse number of services customized to each individual’s needs making coding and billing more complex.

Standardization and Mental Health Billing

Mental health billing and standardization don’t mix well, but unfortunately insurance has rigid requirements that result in practitioners having to work with the lack of flexibility in billing and coding despite the flexibility required of their services. The major problems mental health practitioners face with mental health billing are session duration standardization and service limits. Different lengths of time spent with a patient must be billed using different codes, adding to the complexity of mental health billing. There are also maximum number of treatments a mental health patient can receive in a day or week, which greatly limits patients who may need to exceed that limit to receive proper treatment.

Outsourcing Medical Billing

Due to the complexity of mental health billing, outsourcing is often the best option for mental health practitioners. It’s important, however, to hire a firm that knows how to work with your specialty, especially one as complex as mental health services. Contact us to learn more about our outsourced medical billing services.

4 Reasons Why Outsourcing Medical Billing is Profitable for Mental Health Practices

Medical billing is an important aspect of running a medical practice. Psychiatrists need to focus on patients rather than medical billing when they outsource their billing operations. Outsourcing provides benefits such as increased collections by 15% and decreased days in A/R by 19 days on average – all with a service tailored specifically to mental health providers that will increase profits.

Here are the top 4 reasons why outsourcing medical billing can be profitable for your mental health practice.

More Time to Focus on Your Patients and Their Care

You free up time to focus on more important aspects of your practice when you outsource your medical billing. You can then spend this extra time with patients or working on ways to improve your existing services. With more time spent with patients you will increase your collections and up the profitability of your practice.

Avoid Costly Mistakes

Outsourcing your medical billing to a specialist who is up-to-date on the latest changes in coding and billing procedures can help you avoid costly mistakes that can cut into your revenue.

Decrease Days in A/R

On average, outsourcing your medical billing can decrease the number of days in A/R by 19 days. Specialists are able to bill insurance companies quickly and accurately. This allows you to focus on what you do best—treat your patients.

When you outsource your medical billing, you are trusting someone else with this important task. Specialists who work in medical billing have years of experience dealing with all types of insurance companies and claim forms. This means that you can focus on providing quality care to your patients without having to worry about medical billing claims.

Save Your Practice Money

With outsourcing, you won’t need to employ a person or multiple people to handle medical billing for your practice. This cuts out all the costs associated with employees that exceed just the salary.

Outsourcing Your Medical Billing

There are many benefits to outsourcing your medical billing.

Some of these benefits include increased collections, decreased days in A/R, and saved money.

Contact us today for more information about our medical billing services tailored specifically for mental health providers!

Outsource Your Mental Health Billing

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How to Increase Your Psychiatry Practice Collections

The medical billing process can be complicated, but it is necessary in order to increase the number of patients seen by psychiatrists. Billing companies work with doctors on improving efficiency and accuracy so they will have more claims that help boost practice revenue. This blog post will discuss how an outsourced medical billing company helps psychiatrists boost their revenue by increasing the number of patients that are seen each day.

Increase Patient Visits

In order to increase psychiatry practice collections you should increase the number of patient visits. Alleviating the time spend on medical billing can be allocated to taking on new patients. When a psychiatry practice works with an outsourced medical billing company, the staff at the billing company will free up your time. This will lead to seeing more patients in a day and pulling in more revenue for your practice.

Streamline the Collections Process In-House

Streamlining the patient collections process will boost practice collections. You can streamline the process by ensuring the bills are timely. You can also set up automated collections for past due balances, estimates, co-pay requests, and other payments. Setting up a swipe and hold feature will allow for the automatic payment of future bills which will result in easier collections and higher profits.

Hire an Outsourced Medical Billing Company

Working with an outsourced medical billing company can be a great way to increase psychiatry practice collections. Medical billing staff, when outsourced, will have specialized training in psychiatry medical billing. This will ensure accuracy and efficiency in billing practice. This can help to increase patient visits, which can lead to increased psychiatry practice collections by 15% and can decrease time in A/R by 19 days on average.

If you are looking for a way to increase psychiatry practice collections, consider working with an outsourced medical billing company.

Outsource Your Psychiatry Medical Billing

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How to Increase Your Ophthalmology Practice Collections

The ophthalmology medical billing process can be complicated. However, it is necessary in order to increase ophthalmology practice collections. Medical billing companies work with ophthalmologists and ophthalmic technicians to provide improved efficiency and accuracy with medical billing. Boosting efficiency and accuracy can lead to more claims which can help increase ophthalmology practice collections. This blog post will discuss how an outsourced medical billing company helps ocular physicians boost their revenue by increasing the number of patients that are seen each day.

Increase Patient Visits

In order to increase ophthalmology practice collections, it is important to increase the number of patient visits. One way to increase the number of patient visits is to hire a medical billing company to alleviate pressure from time spent dealing with medical billing processes. When an ophthalmology practice works with an outsourced medical billing company, the staff at the billing company will free up your time by helping to submit accurate and timely claims. This allows you to see more patients in a day, resulting in more revenue for your practice.

Streamline the Collections Process In-House

Streamlining the patient collections process is a surefire way to boost practice collections. Making it quick, simple, and convenient to pay bills will mean you’re less likely to be chasing after patients who haven’t paid. You can streamline the process by ensuring the bills arrive in a timely manner (not three months after the appointment). You can also set up automated collections for past due balances, estimates, co-pay requests, and other payments. Setting up a swipe and hold feature will allow for the automatic payment of future bills which will contribute to increased practice collections without the headache.

Hire an Outsourced Medical Billing Company

Working with an outsourced medical billing company can be a great way to increase ophthalmology practice collections. When ophthalmologists work with a billing company, the staff at the billing company will have specialized knowledge of ophthalmology. This will help to ensure that the ophthalmology medical billing process is accurate and efficient. The billing company will also work to improve patient communication and education. This can help to increase patient visits, which can lead to increased ophthalmology practice collections by 15% and can decrease time in A/R by 19 days on average.

If you are looking for a way to increase ophthalmology practice collections, consider working with an outsourced medical billing company.

Outsource Your Ophthalmology Medical Billing

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Ophthalmology CPT Codes & Modifiers for 2022

Staying up-to-date on ophthalmology CPT codes and modifiers is a key part of running a successful practice. Below is a cheat sheet to use for understanding ophthalmology CPT codes in 2022.

Ophthalmology CPT Code Ranges in 2022

Below is a general list of the code ranges for ophthalmology services and procedures in 2022:

  • 92002-92014 – General Ophthalmological Services and Procedures
  • 92002-92004 – New Patient General Ophthalmological Services and Procedures
  • 92012-92014 – Established Patient General Ophthalmological Services and Procedures
  • 92015-92287 – Special Ophthalmological Services and Procedures
  • 92015-92145 – Ophthalmological Examination and Evaluation Procedures
  • 92201-92260 – Ophthalmoscopy Procedures
  • 92265-92287 – Other Specialized Ophthalmological Services and Procedures
  • 92310-92326 – Contact Lens Services
  • 92340-92371 – Spectacle Services (Including Prosthesis for Aphakia)
  • 92499 – Other Ophthalmological Services or Procedures

Ophthalmology Modifiers

Below is a list of the common modifiers used in ophthalmology billing:

  • RT – right eye
  • LT – left eye
  • E1 – upper left eyelid
  • E2 – lower left eyelid
  • E3 – upper right eyelid
  • E4 – lower right eyelid
  • 24 – Use for unrelated E/M by the same doctor during the postoperative period
  • 25 – Used when a distinct service is provided by the same doctor on the same day as another procedure
  • 51 – Use when multiple procedures are performed on the same day during the same encounter
  • 59 – Used when two different procedures that are not normally reported together are appropriately billed together under the set circumstances
  • 79 – Use for unrelated procedures during the postoperative period performed by the same doctor

Learn more in our guide to ophthalmology medical billing, or contact us to learn more about our ophthalmology medical billing services.

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How to Choose Between E/M and Eye Codes for Ophthalmology Medical Billing

When billing for ophthalmology services, it is important to choose the correct code to use. There are two types of codes that can be used: evaluation and management (E/M) codes and eye codes. In this blog post, we will discuss the differences between these two types of codes and help you decide which one is best for your ophthalmology practice.

E/M Codes Are More Specific

E/M codes are used to bill for all types of medical services including, but not limited to, the eyes. These codes can be used for any type of visit, including initial visits, follow-ups, and consultations. There are several different e/m codes available, and each one is specific to a certain type of visit. E/M codes have been suggested as being easier to defend under audit.

Eye Codes Are More Vague

Eye codes are used to bill for services that are related to the eyes but tend to be vague. These codes can be used for exams, treatments, and procedures. There are also several different eye codes available, and each one is specific to a certain type of service.

Choosing the Right Code

So, which code should you use for ophthalmology billing? The answer depends on what type of services you are providing. It should also take into consideration compliance, medical necessity, and financial optimization.

Choosing the correct code is important for ensuring that your ophthalmology billing is accurate and compliant with Medicare and other insurance providers. If you select the wrong code it could lead to lost revenue for the practice or denial of a claim. If a worst-case scenario were to arise, selecting the wrong code could lead to an audit and potential paybacks. It’s an understatement to say that routinely choosing the right codes is important for the success of your practice.

If you are unsure which code to use, be sure to consult with your billing specialist for assistance. And if you’re looking for more information on ophthalmology medical billing, be sure to check out our other blog posts! We have a variety of resources available that can help you get started in the world of medical billing.

Outsource Your Ophthalmology Medical Billing

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4 Reasons Why Outsourcing Medical Billing is Profitable for Ophthalmology Practices

Medical billing is an important aspect of running a medical practice. In the United States, there are roughly 20,000 ophthalmologists who all undoubtedly would like to be paid on time for their services.

Ophthalmologists need to focus on patients rather than medical billing when they outsource their billing operations. Outsourcing provides benefits such as increased collections by 15% and decreased days in A/R by 19 days on average – all with a service tailored specifically to ophthalmology providers that will increase profits.

Here are the top 4 reasons why outsourcing medical billing can be profitable for your ophthalmology practice.

More Time to Focus on Your Patients and Their Care

When you outsource your medical billing, you are freeing up time in your day to focus on more important aspects of your practice.

You can spend this extra time with patients or working on new ways to improve your services. Increased Collections – Outsourcing your medical billing to a specialist can result in an increase in collections by 15%.

Avoid Costly Mistakes

Billing mistakes can be costly for any medical practice.

In fact, a study by the Medical Group Management Association showed that billing and coding errors cost practices an average of $383,000 per year.

Outsourcing your medical billing to a specialist who is up-to-date on the latest changes in coding and billing procedures can help you avoid these costly mistakes.

Decrease Days in A/R

On average, outsourcing your medical billing can decrease the number of days in A/R by 19 days.

This is due to the fact that specialists have processes and systems in place that allow them to bill insurance companies quickly and accurately. You Can Focus on What You Do Best – Ophthalmology is a complex field with a lot of specialized knowledge required.

When you outsource your medical billing, you are trusting someone else with this important task. Specialists who work in medical billing have years of experience dealing with all types of insurance companies and claim forms. This means that you can focus on providing quality care to your patients without having to worry about medical billing claims.

Save Your Practice Money

You don’t need to employ a billing department when you outsource your medical billing.

In fact, the average cost of employing a full-time medical biller is $38,000 per year.

That’s a lot of money that can be saved by outsourcing your medical billing. Get More for Your Money – Medical billing specialists work with many different clinics and have access to first-in-class software and services.

This means that you will be getting more for your money when you outsource your medical billing.

When it comes to making decisions about your ophthalmology practice, outsourcing medical billing should be one of the top items on your list. By doing so, you can focus on providing quality care to your patients.

Outsourcing Your Medical Billing

There are many benefits to outsourcing your medical billing.

Some of these benefits include increased collections, decreased days in A/R, and saved money.

Contact us today for more information about our medical billing services tailored specifically for ophthalmology providers!

Outsource Your Ophthalmology Medical Billing

Contact us to get started.

Contact us