Otolaryngology billing and coding is an essential part of running a successful medical practice or clinic. Clinical coding optimization is necessary to make sure that you aren’t leaving money on the table through improper billing procedures. Comprehensive record-keeping is vital to the entire process, ensuring that you have all of the data necessary to properly bill patients and insurance companies. All of these activities together fall under the umbrella of ENT account management. Ongoing education, training, and support are required to ensure that your billing department is working effectively and efficiently.
There are thousands of different codes assigned to various medical procedures, diagnoses, and treatments. Sometimes it can be hard to stay on top of all the changes occurring in the healthcare industry. Keeping your staff up-to-date on the latest options for Otolaryngology billing and coding will help you take control of your entire billing department. When everyone works together toward a common goal and provides their part of the puzzle with professionalism and confidence, the entire office succeeds.
Medical Billing and Coding
While we often hear these two terms together when discussing ENT account management, they really are two completely different processes. The coder translates the diagnoses, treatment, prescriptions, and procedures that are performed by the doctor into medical codes that are designated by the International Classification of Diseases of ICD. The latest version of those codes is ICD-10. The transition between ICD-9 and ICD-10 added thousands of additional codes, which caught many practices and clinics off-guard.
The biller takes the coding report and then submits a claim to the insurance company for payment. The codes reveal the type of visit, the symptoms, the diagnosis, and any treatment or prescriptions that were provided. The claim is submitted to the insurance company for evaluation. Once the evaluation is complete, the amount that the patient owes the physician is calculated after the insurance company pays their part. Comprehensive record-keeping plays a vital role in this process, ensuring that clinical coding optimization is on point and that nothing is forgotten or entered incorrectly.
A Well-Oiled Machine
For best results, your billing department should function effectively and efficiently, submitting claims in a timely manner to keep payments coming in on a regular basis. Education and training, along with professional support, can help busy practices stay on top of ENT account management and ensure that they are getting the most out of Otolaryngology billing and coding procedures. MD Pro Solutions offers a wide range of education and training programs. We also offer healthcare consulting services, which can help you identify underlying issues before they become big and expensive problems.
We can work with your billing department on clinical coding optimization, ensuring that they are current with the latest codes and billing procedures. Our team can also work directly with your front desk staff to improve understanding of what is required for medical billing and coding so that everyone will get paid for the work that is being done. Our ultimate goal is to help each client to optimize their coding system so they can maximize earning potential while protecting their practice from billing inaccuracies and fraud. We provide authorization training, testing, and screening, ICD-10 education and training, and even have online training and testing for all of your staff.
Other education and training programs available include:
- development of policy manuals
- online coding help (CPT with RVU global days and CCI edits)
- online coding support (ICD-9 to ICD-10 cross-links)
- education on patient financial policies
- suggestions for the latest financial tools to improve billing procedures
Contact MD Pro Solutions
We take a customer-focused approach to every relationship to develop a custom program design to boost communication and medical billing skills while reducing time-wasting activities and stress in the workplace. If you suspect that your Otolaryngology billing and coding department could use some extra training and support, contact our team by calling 508-946-1665. We can provide you with a FREE initial consultation and offer tools that you can use to improve ENT account management across the board. We will work with you and your team to ensure that solid practices are in place for clinical coding optimization and comprehensive record-keeping for the betterment of your practice and to provide you with more time to ensure quality patient care.