medical management service

Medical billing and coding are two of the most critical components in any medical practice. Accuracy in both of these areas is critical to patient safety, rapid payment and efficient operations.

Medical billing and coding requires skilled professionals who can read, interpret, record and track complex medical information quickly, maintain patient confidentiality and strong attention to detail.

Regulatory and contractual compliance

Medical billing and medical coding fall under many state and federal guidelines. Perhaps the most significant is the Health Insurance Portability and Accountability Act (HIPAA). HIPAA protects patient confidentiality, requiring any medical practice or hospital to take safeguards to protect confidential patient information. HIPAA guidelines also cover electronic medical records and the International Classification of Diseases (ICD-10) uniform diagnostic codes issued by the World Health Organization (WHO).

Furthermore, medical practitioners are bound by contracts with insurance companies. Contracts spell out negotiated rates for various medical procedures and treatments.  accurate coding and billing ensure that practices are in contractual compliance.

Ensuring payment flow

Medical billing is an important component of practices, ensuring smooth operation of the revenue cycle. Medical billers have to understand different medical regulations and private and public insurance plan policies. They need specialized knowledge of claim follow-up, claim denial resolution, posting payments and bill adjustments, appeal submissions, and collections management. Efficient management of these components ensures improved revenue flow throughout the practice.

The role of medical billing and coding is critical. Medical Management Services (MMS) offers a Medical Billing and Coding services.

The world of health care is always changing. Now more than ever, hospitals, physician groups  and private practices rely on the expertise of billing and practice management professionals. Since 1987, MMS has built a solid reputation for helping our clients maximize revenue and streamline their processes.

Finding “Hidden” Revenue

Many billing services place their sole focus on filing initial claims. MMS goes the extra mile with:

•comprehensive AR follow up

• appeals of incorrect payment and denials

• consistent cycle statements

• and several additional steps to ensure optimal revenue returns for you

MMS is comprised of a team of certified and enthusiastic professionals…

with over 30 years of experience in the medical billing industry, information technology, and business consulting.

Our leadership team has served many anesthesia groups, pain management groups, hospitals, group clinics and even solo practices over the past 34 years.

Contact Us and let’s get started. 

Call Mark Manning directly at 706.315.4660.