ENT Billing & Coding: Clinical Coding Optimization & Compliance

Clinical Coding Compliance for ENT PracticesOne of the most difficult things about ENT billing and coding today is keeping up with coding compliance issues. The healthcare industry has experienced some monumental changes in recent years. The migration from ICD-9 to ICD-10, the requirements imposed by the Affordable Care Act (ACA), and technology changes within the industry itself have made it difficult for many practices to keep up. Unfortunately, without proper clinical coding optimization and current authorization training, many practices and clinics are unable to work as effectively or efficiently as they would like. Professional medical billing services through consulting organizations like MD Pro Solutions have been a huge advantage to practices in need of support.

What Do You Want to Do?

You have three options as a medical office manager or administrator: continue in the way that you are going, outsource ENT billing and coding to a third-party, or get training and support for your staff. If you continue without any professional training, education, and support, the chances are good that your practice will continue down a dangerous path. Loss of revenue, possible compliance issues with industry regulators, and problems with insurance companies will be just the beginning.

Outsourcing these essential tasks can be a great way to regain control over a failing situation. While most people think that outsourcing is giving up or means that they will never be able to do in-house billing again, this is false. In many cases, outsourcing to a professional medical billing service is the smartest decision you can make. When you work with a reputable provider like MD Pro Solutions, you can also take back your in-house billing services whenever you are ready to get back on track. In the meantime, while your bills are being taken care of by a team of professionals, you can provide your staff with the education, training, and support they need to succeed.

Faster Claims Processing

In addition to outsourcing ENT billing and coding, many medical practices choose to automate specific routine administrative tasks. This aids in clinical coding optimization across the board, reducing the amount of time spent handling each claim, resulting in an office that is more productive and efficient. Same-day claims submissions can be automated to boost cash flow. Traditional paper-based claims can take 30-60 days to move through the proper channels for reimbursement. Expedited claims, which are properly coded and handled for maximum reimbursement potential, can be paid fully in one to two weeks.

How is this possible? By eliminating or at least significantly reducing billing and coding errors through advanced authorization training and education for ENT billing and coding, reimbursement will naturally be expedited. This can be achieved through outsourcing of professional medical billing or by ensuring that your staff stays current with clinical coding optimization compliance. Outsourcing services will scrub each claim, looking for simple errors that could potentially slow down reimbursement payments.

At MD Pro Solutions, our proprietary medical billing software helps us to ensure that there are absolutely no coding errors or incorrect information before the claims are submitted to the provider. This translates to faster payouts, fewer denied or rejected claims, and less work for everyone involved.

Tools for Improvement

One of the most beneficial side effects of working with a professional medical billing company like MD Pro Solutions is having the data and tools necessary to make smarter practice management decisions. Our team will provide you with detailed monthly reports and support that is designed to help you make improvements through better information. We can assist you in making other time-management changes in your practice as well, suggesting the latest financial tools and technology to increase the ability of your existing medical billing software. Training, education, support, and online resources will help your Otolaryngology office to get on track and stay in control.

Our consultation services were developed with the goal or providing each client with the tools they need to reduce the amount of time spent on ENT billing and coding to provide them with more time for delivering quality patient care. Our mission is to become an essential extension of your office, working closely with your staff to eliminate time-wasting practices and to boost efficiency and revenue. If you recognize a need for improvement in the area of clinical coding optimization or know that your team needs authorization training and support, give us a call. Our team can help you with a variety of professional medical billing solutions that you can use to your advantage.

Call MD Pro Solutions at 508-946-1665. We understand that there is no one-size-fits-all solution for every ENT practice or clinic. We work with each client as an individual, providing a comprehensive evaluation before delivering a recommendation for improvement. Call today and see for yourself why MD Pro Solutions is a popular option among your fellow Otolaryngology specialists.