As a nephrologist, you assist patients in treating a variety of kidney disorders, including kidney failure, renovascular hypertension, diabetic nephropathy, kidney stones, and many others. Some patients may need surgery, depending on their health, while others may not. So, your medical billing staff must be familiar with a wide range of documents and codes to guarantee proper and timely billing. Therefore, for perfect management of nephrology medical billing, you may rely on top medical billing companies. These medical billing companies might be able to help your nephrology clinic with billing and compliance, which would increase your cash flow and improve the way your practice works.
As a nephrology practitioner, you likely confront the following major challenge:
- Managing dialysis orders on the move
- Receiving notifications of changes in patient status
- Denials and rejections of claims
- Getting alerted to changes in patient status
- Maintaining adequate documentation
- Correctly billing and coding
Nephrology-specific Billing Will Benefit You in the Following Ways
Electronic Claim Submission
Manually submitting claims for dialysis patients is time-consuming. With normal billing software, nephrology providers have to file one claim at a time. Nephrology-specific billing, such as the kind that iSalus offers, is familiar with the specific requirements that nephrologists have and provides them with several claim submission options. This tool enables providers to categorize and file claims depending on visit level and insurance carrier. For instance, if a practitioner is seeing ten level four patients with United Healthcare insurance, a nephrologist can submit all ten claims with a single click of the mouse.
This feature of nephrology-specific billing software reduces the time consumed in submitting claims while simultaneously improving clean claims rates and decreasing denial rates. Due to the large number of dialysis patients that nephrologists treat in a week or even a day, this function is essential. So, it might be a good idea to use the services of a top medical billing company, since they have the most up-to-date software for submitting nephrology medical billing claims quickly.
Some Additional Nephrology-Specific Billing Features
Nephrology-specific billing not only helps to reduce the tiresome task of submitting individual claims but also provides real-time eligibility verification. By spotting care gaps and differentiating across payers, this technology also enables a provider to boost revenue. When providers can distinguish between payers that permit mid-month billing and those that only permit end-of-month billing, they may optimize the payments they get by never letting money slip through their fingers. Nephrology physicians that are keen to get the most out of their billing processes should put a value on billing that is relevant to their specialty.
Verification of Real-Time Eligibility
The front office personnel of a doctor may have to spend time verifying a patient’s insurance. Therefore, it is possible for there to be problems with the reimbursement if there is a failure to verify patient coverage. A provider must contact the patient for payment if a patient obtains treatments that are not covered by insurance. Providers should have access to real-time eligibility through nephrology-specific billing. Using this function, providers’ staff may verify a patient’s benefits status, including their copay, coinsurance, and service coverage, with a mouse click. The staff can quickly determine whether a patient qualifies for assistance.
Why Medcare MSO?
If you are a nephrologist and worried about the financial growth of your practice, then you do not need to be concerned about it. Medcare MSO has a professional staff that has assisted nephrology specialists with revenue cycle and practice management responsibilities for many years. Your nephrology clinic can benefit from our assistance with billing and coding, EHR installation, and healthcare IT services, all of which can lead to more effective practice management and a stronger revenue stream. Therefore, call us at +1 800 640 6409 right now to learn more about how we can simplify your billing process and boost your practice’s profitability.