Last Updated on May 24, 2023 by admin
As a nephrologist, your job is to help patients with various kidney diseases that include the kidney’s failure and renovascular hypertension kidney stones, diabetic nephropathy and many more. Certain patients might require surgery, based on their condition, whereas others might not require surgery. Thus, your medical billing team should be knowledgeable of various forms of documentation and codes in order to ensure accurate and prompt billing. For a perfect administration of medical billing in nephrology you should consider hiring top medical billing services. These companies may assist your nephrology clinic in billing and compliance, which will improve your cash flow and also improve the efficiency of your practice.
As a physician in nephrology, you will probably face the following challenges:
- Controlling dialysis orders on move
- Receiving updates on changes to the status of the patient
- Refusals and denials
- Being alerted of changes in the status of patients
- Maintaining a proper documentation
- Correctly billing and coding correctly
Nephrology-specific Billing Will Benefit You in the Following Ways
Electronic Claim Submission
Manually submitting claims to dialysis patients is a time-consuming. When using standard billing software, nephrology specialists must submit each claim one at a time. Nephrology-specific billing software, such as the kind iSalus provides, is familiar with the unique requirements the nephrologists face and provides them with a variety of options for submitting claims. This software allows providers to classify and submit claims based on the visit level and carrier.
For example, when a doctor is treating ten level four patients who have United Healthcare insurance, a physician can file each of the ten claims at just a click. This function of the nephrology-specific software minimizes time spent making claims, while also increasing the clean claim rate and reducing denial rates. Because of the huge amount of dialysis patients are treated by nephrologists in the course of a week, or even in a single day, this feature is crucial. Therefore, it could be beneficial to employ an expert from a reputable medical billing business, because they use the most recent software to submit nephrology medical billing claims swiftly.
Some Additional Nephrology-Specific Billing Features
Nephrology-specific billing does not just help reduce the stress to submit individual reimbursements, but it also offers the ability to verify eligibility in real-time. By identifying care gaps and separating payers this technology can also help an organization to increase its revenues. When healthcare providers are able to differentiate between those who allow mid-month billing as well as those that allow only the billing at the end of the month, they can improve the amount of money they receive by not letting money pass through their fingers. Physicians in the field of nephrology who want to make the most of their billing practices should consider putting the importance of billing in a way relevant to their field of expertise.
Verification of Real-Time Eligibility
The staff at the front desk of a physician may need to check the patient’s insurance. It is therefore possible to have difficulties with reimbursement when there is no way to confirm the coverage of the patient. A doctor must ask the patient to request payment in case the patient receives treatment which are not insured by the insurance. The provider should be able to access real-time eligibility information through nephrology-specific bill. Utilizing this feature, staff members of providers can check the status of a patient’s health benefits such as their copay, coinsurance and service coverage, by the click of a mouse. The staff is able to quickly determine if a patient can be eligible for help.
Why Medcare MSO?
If you’re a nephrologist who is concerned about the growth in revenue of your practice there is no need to worry about it. Medcare MSO is a reputable team of experts who have assisted specialists in nephrology with their practices management and revenue cycle duties for a long time. Your clinic’s nephrology practice will benefit from our help in coding and billing, EHR installation, and healthcare IT support that can result in better practice management as well as a greater revenue stream. So, contact us at 800 640 6409 now to discover how we can streamline your billing processes and increase your practice’s profits.