Thursday, November 17, 2011

Internal Medicine Billing

The billing process for Internal Medicine practitioners is different than many specialties.  The American College of Physicians defines internists as “physicians who specialize in the prevention, detection, and treatment of illnesses in adults."  Internists must be skilled at managing patients who have undifferentiated or multi-system disease processes.  Internists will see patients in the office, at the hospital, in nursing homes, and also in skilled nursing facilities.  In summary, Internal Medicine is a broad specialty with many different aspects, all of which bring something unique to the medical billing process.
As a medical biller, it is important to make sure that you understand all aspects of Internal Medicine to ensure that the job is done correctly.  Since many internists see up to 40 or more patients per day, one simple mistake can result in 200 “simple” mistakes over the course of a week.  Just as the doctor has a background in coding, medical billers must also have a background in coding to make sure that what they are submitting to insurance companies is correct.
Someone handling the medical billing for an internal medicine practice should have a comprehensive education on what constitutes a Level 1, 2, 3, 4, and 5 office visit.  They should also be knowledgeable on ICD-10 changes that will eventually occur.  An Internal Medicine Biller should understand how to handle the billing of hospital charges, nursing home visits, and SNF encounters.  Collecting full reimbursement for immunizations and injectable drugs poses its own challenges.  Properly submitting charges for in house/CLIA waived labs is another aspect of the specialty that is unique.  To top it all off, we haven’t even discussed A SINGLE PROCEDURE yet!
Due to the volume of charges that Internal Medicine Practices produce, if an inexperienced biller is in charge, it can get costly, very quickly.  It is easy to submit claims to the different insurance carriers.  It is not easy to make sure that what was submitted is correctly submitted. 
The key to receiving full reimbursement is having the knowledge of how to submit the charges correctly the first time.  Then the biller must rigorously appeal all denials to make sure that the practice receives full reimbursement.

Medical Billing Services & Solutions

8 comments:

  1. Yeah that is really fantastic and exciting to read your dwI hope you never stop! This is one of the best blogs Ive ever read. Youve got some mad skill here, man. I just hope that you dont lose your style because youre definitely one of the coolest bloggers out there. Please keep it up because the internet needs someone like you spreading the word. Thank you.


    Laith Salma

    ReplyDelete
  2. Wow, nice post,there are many person searching about Medical Billing Service and Solutions, now they will find enough resources by your post. your post is really helpful to know how Medical Billing Service help healthcare practices reduce billing inefficiencies.

    ReplyDelete
  3. Well i see that you have been doing medical billing for 10 yrs, and its good to know that you are planning to start your own business, if you are planning to start your own billing company, i think we can make some business strategy which could be beneficial to you as well as to us. More info at this web site.

    ReplyDelete
  4. Medical billing and coding is not at all an easy task. It is very beneficial for doctors but at the same time it requires deep knowledge, specialization in medical billing services and also a good experience in this field.

    ReplyDelete
  5. the internal medical billing practitioners should different kind of skills they have to manage the patients by visiting to hospitals, their office and also skilled in nursing techniques. so it can easy recruit them for medical billing company

    ReplyDelete
  6. Ascent Business Solutions provides comprehensive medical billing services designed to meet the specific requirements of our US healthcare clients.

    Medical Billing India

    ReplyDelete
  7. Useful information shared. I am very happy to read this article. Thanks for giving us nice info. Fantastic walk through. I appreciate this post.
    Top Medical Billing Companies

    ReplyDelete
  8. In this, don't forget the fact that each and every supplier would have a price floor below which they can't go. So, if you are planning to press them to go below those prices, you may end on the negative side. information



    ReplyDelete