Thoracic Surgery Billing Services

Expert Medical Billing Services to Maximize Revenue and Minimize Errors

Thoracic Surgery Medical Billing Services

Navigating the complexities of medical coding and billing can be particularly challenging for specialized fields like thoracic surgery. With a vast array of procedures and a multitude of coding requirements, ensuring accurate and timely submission of claims is essential to maintaining a healthy revenue cycle.

Ensuring a Smooth Revenue Cycle

As operational costs continue to rise, it’s crucial to keep your revenue cycle running smoothly. Delays caused by claim denials or slow submission can significantly impact your practice’s income, making it harder to cover expenses and maintain day-to-day operations.

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Unique Challenges in Thoracic Surgery Billing and Coding

Complex Coding Increases the Risk of Errors

In thoracic surgery, where procedures range from minimally invasive operations to heart transplants, the complexity of coding leaves much room for human error. Unlike general practice, where codes are more frequently used and familiar, thoracic surgery billing involves intricate, less common codes and modifiers that must be applied correctly.

Early Data Entry Errors Can Compound Over Time

In cases where treatment is ongoing or consists of multiple stages, an initial coding error can lead to significant issues as the treatment progresses. This can result in claim denials or rejections, forcing your staff to revisit multiple records to identify and correct the errors.

Additional Coding for Equipment and Supplies

Beyond procedural codes, accurate billing for thoracic surgery also requires proper coding for monitoring systems, medications, and supplies, often transcribed from physician notes. This additional layer of complexity increases the potential for mistakes.

Risks of Nonmatching Fees and Service Invoices

Undercoding can lead to financial losses, while overcoding not only delays payments but can also violate legal standards, potentially triggering an investigation by the Office of Inspector General (OIG) for fraud, waste, and abuse.

Our Complete Thoracic Surgery Billing Services

  1. Patient Registration and Demographics: Ensuring accurate and complete patient information, including name, date of birth, insurance details, and contact information.
  2. Procedure Documentation: Comprehensive documentation of all thoracic procedures, covering pre-operative, intra-operative, and post-operative notes to support the billing process.
  3. Coding and Charge Entry: Assigning appropriate CPT and ICD-10-CM codes to accurately describe procedures and diagnoses, along with entering charges for services provided.

 

  • Claim Submission: Preparing and submitting claims to insurance payers, adhering to specific payer requirements and timelines, and ensuring the accuracy of patient information and charges.
  • Claim Adjudication and Payment: Processing claims with insurance payers to determine reimbursement amounts, with payments made electronically or by check.
  • Denial Management: Reviewing and appealing denied claims, identifying reasons for denials, and taking corrective actions with necessary documentation.
  • Accounts Receivable Management: Following up on unpaid claims, managing patient balances and collections, and implementing effective billing practices.
  • Compliance and Auditing: Adhering to regulatory requirements and industry standards, conducting regular audits for billing accuracy and compliance, and implementing fraud prevention measures.

Why Choose HBH Solutions for Thoracic Surgery Billing?

HBH Solutions has a proven record of helping practices like yours grow, with outstanding results:

  • 97% Claim Acceptance Rate: We ensure that nearly every thoracic surgery claim we submit is accepted quickly and without issues.
  • Cost-Effective Pricing: Our services are competitively priced, offering exceptional value.
  • HIPAA Compliance: We provide reliable billing services that meet all industry standards.

 

  • 23% Revenue Increase: Our clients have experienced significant revenue growth thanks to our strategic billing methods.
  • Advanced EHR Software: We use cloud-based EHR systems to maintain billing efficiency and accuracy.
  • Expert Billing Specialists: Our team is well-versed in thoracic surgery billing and follows industry best practices.
  • 30% Reduction in AR: We expedite payments by reducing the time your accounts receivable remain outstanding.
  • Quick Turnaround: We meet all deadlines, eliminating billing delays.
  • 24/7 Customer Service: Our support team is available around the clock to assist you.

Boost Your Practice’s Revenue Growth Today with HBHS!

Contact us today to learn how we can streamline your billing process and increase your practice’s efficiency by up to 20-30%!

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