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Years of Experience
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Satisfied Clients
End-to-end Rheumatology Medical Billing and Coding Services from Industry Leaders
From checking E/M codes to avoiding RAC and OIG audits, we provide comprehensive rheumatology medical billing and coding solutions. Accurate coding in this specialty requires proper understanding of the nuances of disease manifestations, treatment modalities, and documentation requirements.
Our Outsource Strategies International (OSI) team is specialized in providing complete revenue cycle management solutions for the Rheumatology specialty. We serve rheumatologists in group practices, multi-specialty groups, clinics, free-standing diagnostic facilities, long-term care facilities, acute care facilities and hospitals. Our HIPAA-compliant company provides customized solutions that reduce your overhead expenses by 30% to 40%.
Comprehensive Rheumatology Medical Billing and Coding Services
Medical Billing
Ranging from charge entry and procedure coding, to claims submission and denial management, we handle every aspect of your billing process with precision and expertise. We strive to ensure a seamless revenue cycle management for your practice.
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Medical Coding
Our team of AAPC- and AHIMA-certified coders are well-versed in the latest ICD, CPT, HCPCS codes, and Modifiers. We analyze your medical documentation carefully to make sure that the most appropriate codes and modifiers are used on the medical claims.
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With our medical billing services, you can correctly bill for:
Laboratory and X-ray Procedures
Evaluation and Management Services
Synovial (Joint) Fluid Analysis
Bone Scan
Dual-energy CT Scan
MRI
Trigger-point Injections and Joint Injections
Ultrasound-guided Cortisone Injections
Cortisone Shots
Hip Replacement
Knee Replacement
Consultations and Special Services
Benefits of Accurate Rheumatology Billing and Coding
Accurate medical billing and coding services offers several benefits for providers, patients, and the healthcare system as a whole. Professional billing support helps avoid underbilling or overbilling, maximizing revenue for the practice.
- Increases revenue by ensuring proper reimbursement
- Minimizes claim denials and audits, reducing financial risks
- Facilitates accurate patient records and treatment histories
- Supports research and data analysis for improved care strategies
- Enhances efficiency in administrative processes
- Improves compliance with coding standards
- Boosts confidence among patients and providers
- Enables better tracking of treatment outcomes
Why Choose OSI?
OSI has more than two decades’ specialized experience, which helps us ensure accurate claims and optimal reimbursement for our clients. We stay abreast of the latest billing developments in this specialty, in the best interests of our valued clients.
- Services of skilled coding experts
- 30% to 40% cost savings
- Regular QA checks, reports and meetings
- No long-term yearly contracts
- Proven track record
- Stringent quality assurance checks
- Faster turnaround time
We serve all 50 states
Our Rheumatology Medical Billing Process
We have established procedures and processes in place for successfully carrying out all bill submission and collection processes.
1
Patient Scheduling
Claim Submission & Payment Posting
4
2
Eligibility Verification
Accounts Receivable (AR) Follow-up
5
3
Medical Coding
Denial
Management
Management
6
1
Patient Scheduling
2
Eligibility Verification
3
Medical Coding
4
Claim Submission & Payment Posting
5
Accounts Receivable (AR) Follow-up
6
Denial Management
Affordable & Flexible Pricing Plans
With our transparent pricing and customizable packages, you can optimize your medical billing and coding process without breaking the bank.
Full-Time Equivalent
In this model, services are billed based on the equivalent cost of a full-time employee (FTE) for a specified duration, usually monthly or annually.
Per Verification Billing
Like an FTE model, a person is dedicated to your practice. Perfect for a practice that is busy. They work as an extension to your business.
FTE/Per Verification Billing
This option is ideal for a practice that is unsure about their work requirements. This can have per request pricing for eligibility and other functions.
AR is only FTE
In this model, you will be charged a fixed monthly or annual fee based on the number of full-time equivalent staff required to manage your practice’s AR follow-up activities. We are also considering a blended model for AR.
FAQs
How do you ensure compliance with billing regulations?
We stay up-to-date with the latest billing guidelines and regulations, conducting thorough documentation reviews and maintaining strict adherence to industry standards to minimize audit risks.
How can OSI’s specialized services improve financial performance for our practice?
Specialized billing and coding in rheumatology ensures adherence to complex coding requirements specific to rheumatic diseases and treatments. This precision reduces claim denials, accelerates reimbursement cycles, and optimizes revenue generation, ultimately boosting your practice’s financial health.
How do you handle insurance claim denials and appeals?
We accurately track claim submissions and promptly address any denials. Our team conducts thorough reviews, prepares comprehensive appeals with supporting documentation, and communicates effectively with insurance companies to resolve issues swiftly and maximize reimbursement for your practice.
What are your fees for medical billing and coding?
We offer transparent and competitive pricing structures to fit your practice needs. Contact us for a free consultation to discuss customized pricing options.