On-time billing, timely follow-up, and account reimbursement are all closely tied to the revenue of your nephrology services. Choosing a reputable medical billing services firm is one of the most important decisions medical service providers must make when it comes to the business side of things.
It’s critical that your revenue cycle is managed by a reputable and well-versed Nephrology billing firm. Due to the complexity of Nephrology medical codes, invoicing for this specialty can be more difficult than billing for other specialties. As a result, skilled nephrology coders who are familiar with cardiovascular terminologies, coding, and billing are required.
Medical billing for nephrology is extremely complicated, requiring specialized resources to handle, analyze, and navigate ever-changing federal laws and insurance obligations. Inadequate and incorrect paperwork frequently leads to costly mistakes, refused or misadjudicated claims, and, on rare occasions, RAC audits and legal action. It’s no surprise that over the last five years, the overall nephrology practice has seen a 9% decrease in reimbursement.
Why Outsource Medical Billing and RCM for Your Nephrology Practice?
As a nephrologist, you assist patients in the treatment of a variety of kidney illnesses, including diabetic nephropathy, kidney failure, renovascular hypertension, and kidney stones, among others. Some patients require surgical treatments, while others do not, therefore your medical billing team must be familiar with a wide range of documents and codes in order to ensure correct and timely billing.
A medical billing company can assist your nephrology clinic with billing and compliance, forming a business partnership that will help you increase your revenue and enhance the efficiency of your practice.
How Can ZMB Assist You With Nephrology Billing Services?
Zee Medical Billing has years of experience providing Nephrology billing services. Our expert Nephrology billing service staff will complete proper Nephrology billing in order to receive prompt payment and the highest potential reimbursement. Contact us right away for more information on how we may help you get the most out of your Nephrology services reimbursement.
We offer comprehensive nephrology billing services as well as customized billing services, including the following:
Insurance Eligibility Verification Services
During this procedure, we will verify that patients are covered by their insurance plan for nephrology services and that their plan has a referral or pre-authorization criteria. Following that, we calculate the deductible and the patient’s co-payment. The cash flow, reimbursements, and insurance eligibility verification services provided by our nephrology billing have all advanced.
Nephrology Billing & Analysis
Our Nephrology medical billing team evaluates several sources in a patient’s file, such as the doctor’s transcription, diagnostic test reports, imaging reports, and other sources, to verify the services performed and assign appropriate Nephrology codes.
Continuous claim denials, underpayments, and a disturbing workflow can all result from incorrect code input. Unnecessary claim-related burdens and complex medical billing issues can come from such challenges.
Demographics & Charge Entry Services
Charge input is the most important phase in the billing process since it defines the amount of payment for healthcare organizations. Patient FaceSheet charges are recorded in the patient’s account. Because they must enter extremely accurate data into the system, it is critical to have a professional crew working on patient demographics entry.
Our Nephrology billing services team can provide you with high-quality patient demographic and Nephrology charge entry services that are free of errors.
Nephrology Services Collection & Denial Analysis
Claim denials can result in significant losses for companies hence, they must keep track of them. Our nephrology collection services team determines the reason for denial, fixes any issues, and resubmits denied claims within the timeframe allowed.
If a claim is denied because of a lack of information, the gaps are filled as quickly as possible.
AR Follow up Services
It can be time-consuming and difficult to keep track of all accounts receivable cases. To keep AR days to a minimum, we actively investigate unpaid Nephrology claims. Our accounts receivable management team in Nephrology also makes sure that denied or underpaid claims are appealed as soon as possible to ensure that they are processed and reimbursed on time.
Providers Credentialing Services
Provider credentialing is an important step in the revenue cycle that establishes a physician’s or provider’s relationship with payers. The technique allows patients to pay for Nephrology services using their insurance cards while also allowing the physician to be reimbursed for the medical services rendered.
Our nephrology billing team collects more referrals, reduces revenue leakage, minimizes denials, and detects the provider’s trend by setting up ERA.
Payment Posting
Payment posting is the first line of defense in recognizing payer difficulties. Denials for medical necessity, non-covered treatment, and prior authorization will be identified and allocated to suitable Nephrology RCM team members to manage.
We review ERAs and scanned EOBs (Explanation of Benefits) to ensure that all payment information is submitted accurately. After that, the information is properly updated in the patient accounts.
Providers Credentialing Services
Provider credentialing is an important step in the revenue cycle that establishes a physician’s or provider’s relationship with payers. The technique allows patients to pay for Nephrology services using their insurance cards while also allowing the physician to be reimbursed for the medical services rendered.
Our nephrology billing team collects more referrals, reduces revenue leakage, minimizes denials, and detects the provider’s trend by setting up ERA.
Why ZMB for Nephrology Medical Billing?
ZMB offers a wide range of Nephrology Medical Billing Solutions to meet the unique demands of your healthcare organization.
The ZMB certified team has a long history of aiding nephrology practices with revenue cycle and practice management issues. We can assist your nephrology practice with billing, as well as EHR adoption and healthcare IT services, all of which can help you run your business more efficiently and generate more income.
Our medical billing services include:
- Medical billing
- Revenue cycle management solutions
- Financial reporting
- Accounts receivable and denial management
- Electronic health records (EHR) system installation and optimization for meaningful use
- MACRA/MIPS
Our professionals are available 24/7 to address your queries and provide prompt billing services. We offer medical billing services that are both affordable and customized.
To learn more about nephrology billing services___
Call @ +1 (224) 999-6997
Or
Get a free no-sting attached billing services quote from ZEE Medical Billing for your practice.
