Hepatology Medical Billing Services
Claims4Medical specializes in revenue cycle management for hepatology practices. Our certified coders are experts in ICD-10, CPT, and HCPCS coding for liver diseases and treatments.
We maximize reimbursement by providing coding accuracy and staying current on payer policies. Our services cover the full billing cycle, from patient registration to collections. Advanced software automates billing tasks and easily blends with your EHR.
Detailed financial reporting provides transparency into your practice’s performance.Partner with Claims4Medical to increase collections, decrease denials, and reduce billing work. Our dedicated account managers provide responsive support to address your unique needs. With us, you can provide maximum patient care with confidence that your billing is optimized.
Treatments Included In Medical Billing Services
Liver Cancer Treatment
Billing for liver cancer treatments includes therapies like chemotherapy, immunotherapy, surgeries, and transplants. We manage prior authorizations and code all procedures properly, guaranteeing to increase your claim approval rate and reimbursements.
Autoimmune Hepatitis Management
Long periods of billing are needed for treatments like immunosuppressive therapy and steroid management. Our team monitors the approval of current medications and ensures accurate coding of these treatments. This lowers the chances of claim denial for chronic treatments.
Chronic Liver Disease Management
We manage the billing for monthly liver function tests (LFTs), medications, and appointments for people with chronic liver disease. To get reimbursements on time, our team uses correct evaluation and management (E/M) codes. This prevents revenue loss and speeds up claim approvals.
Hepatitis B and C Treatment
Antiviral drugs, lab tests, and liver biopsies are all billed as part of hepatitis care. We keep track of approved medications and send in all correct diagnostic numbers. This makes sure that all of a patient's care is covered and there are fewer rejections.
Fatty Liver Disease (NAFLD/NASH)
Fatty liver treatments involve imaging, lab tests, and dietary counseling. We manage billing for diagnostic imaging and nutritional therapy with proper coding. Our team helps avoid unnecessary claim rejections for lifestyle and dietary services.
Cirrhosis Treatment
Cirrhosis management often includes paracentesis, diuretics, and dietary care. We apply the correct procedural codes for these services and document regular care accurately. This helps guarantee that your practice gets paid on time without disputes.
Medical Billing Process
Patient Registration
Our billing process starts with patient registration. Patient information is collected by healthcare staff when the patient walks in. Patient information includes the patient’s age, medical history, contact number, and date of birth. These details are entered into the healthcare provider system to create a record.
Insurance Verification
For insurance verification, we confirm the insurance details of the patient from their insurance providers to confirm if the insurance plan is active and what benefits are covered in the plan. Any mistake in this may result in billing errors later on.
Medical Coding
Once the patient’s visit is complete, all services are recorded in documents by healthcare providers, which are then converted by our coders. Our AAPC-certified coders are experts in ICD-10, CPT, and HCPCS coding. Correct coding provides the basis for accurate claim submission.
Claim Submission
For claim submission, we prepare and submit the medical claim to the insurance company, either electronically or on paper. The claim contains all the necessary details about the patient, provider, and services given. Our team provides timely claim submission that helps in faster approvals.
Payment Posting
Once the insurance reviews the claim, we receive an Explanation of Benefits (EOB) that outlines what the insurance will cover and what the patient owes. We record all insurance reimbursements and patient payments in the billing system to provide correct payment tracking for your practice.
Denial Management and Follow-Up
If a claim is denied or only partially paid, we follow up with the insurance company right away. We reopen the claim, review the claim details, identify the issue, remove the error, and then resubmit the claim along with supporting documentation. We also track denial patterns, making sure there are no claim denials in the future.
Report Generation
For clear billing, we create detailed reports for the provider. This includes reports that monitor unpaid balances, revenue summaries that highlight payment trends, and patient account statements to show transactions. These reports help your medical practice and keep track of your finances.
Why choose us?
Expertise in hepatology coding and billing regulations
Our team knows how to code for liver disease, so we send in the right claims for all hepatology treatments and diagnosis. We keep up with the latest rules and regulations for billing that are special to liver care. This knowledge guarantees that your hepatology business will get the best reimbursement rates and have fewer claims denied.
Certified coders experienced with all major liver diseases
Our certified medical coders understand the difficulties of liver disease documentation and coding requirements. They accurately code for conditions ranging from hepatitis and cirrhosis to liver transplant procedures. Each coder undergoes regular training to maintain expertise in liver disease coding updates.
99% clean claim rate and less than 20 days in A/R
Our 99% clean claim rate means that we send in claims that are correct the first time. This speeds up your payouts. You'll have more cash on hand because most claims are paid within 20 days. Our quick process means that fewer claims will be rejected, and your practice will get paid faster.
Cloud-based software
Our billing software works with the systems you already have, so you don't have to pay for expensive changes. Through our safe cloud platform, you can get to your financial data at any time and from anywhere.
Dedicated account manager for support
One account manager will work with you and know everything about your business. Regularly, they look at how your account is doing and fix any problems they see before they get worse. Your manager is always there to answer questions and to provide you with updates.
95%+ client retention rate over 10 years in business
Our high client retention shows our commitment to quality service and results. Most practices stay with us long-term because we consistently meet their billing needs. This track record proves our ability to deliver reliable billing services year after year.
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Frequently Asked Questions
What Do Your Hepatology Medical Billing Services Cover?
Payment for hepatology services includes doctor visits, scans, biopsies, liver function tests, and care for liver diseases like hepatitis, cirrhosis, and cancer. We deal with code, submit claims, keep track of payments, and manage denials.
How Do You Make Sure that The Codes for Hepatology Treatments Are Correct?
We only hire qualified medical coders who know how to use hepatology-specific codes like CPT, ICD-10, and HCPCS. Our team follows the latest policies to cut down on mistakes and prevent claim denial.
What Happens if A Claim Is Turned Down?
Our denial management team looks over the reason the claim was denied, fixes any mistakes, and sends the claim again. We also check in with insurance companies to make sure problems are fixed and payments are made.
Do You Deal with Prior Authorizations for Hepatology Treatments?
Prior authorizations for procedures like liver biopsies, imaging, and expensive medicines like antiviral drugs or chemotherapy are managed by us. This confirms that services are pre-approved to avoid claim denials.
How Do You Manage Paying Patients for Hepatology Services?
After insurance payments are posted, we send detailed patient statements for any amount that is still due. We also help patients with their billing questions and make the payment process easy.
