Surgical Billing Services

surgical billingThe ClaimCare Medical Billing Company has significant experience and expertise in surgical billing that can generate a major increase in collections for your surgical practice. Medical billers and medical billing services are the financial backbone of a medical practice. Practices that do not have the right medical billing expertise in their corner can easily lose more than 20 percent of their practice's potential revenue.

As physicians are taking into consideration the use of medical billing services to stop the hemorrhaging of cash from their practices, they are faced with a broad range of options. On the diminutive end of the spectrum are home-based medical billers. On the opposite end of the spectrum are medical billing companies that employ hundreds of medical billers and have thousands of clients.

Although the complexity of basic medical billing is quite high, it pales in comparison to the complications that come to play for surgical billing. Successful navigation of the payers' policies and procedures for paying surgical claims requires specialized knowledge that comes from experience with billing for surgeons.

With surgeons facing ever increasing costs they must insure that money is not being left on the table because they have a billing company that is not a surgical billing expert. Surgeons must also be aware that that many billing companies that claim surgical billing expertise actually outsource their surgical billing work to at home billers. Situations like this are fraught with risk since the remote workers are not working in a controlled and monitored environment.

One of the major drawbacks of hiring a medical billing company that does not specialize in surgical billing is their lack of familiarity with the procedures and the terminologies used. Even if the medical billing company serves one or two surgeons, they will lack the depth and breadth of expertise required for successful surgical billing. Moreover if the hired company does not specialize in billing for surgeons, then they will not have the expertise to effectively appeal denied claims or answer questions raised by the insurance companies.

A typical shortcoming with medical billing services that do not specialize in surgical billing is the inability to properly track and pursue insurance underpayments. These underpayments cost most surgeons about 10% of their potential income. If a medical billing company does not understand the multi procedure rules and have a system that can track underpayments (and does not flag every payment on a second procedure as underpaid), they will find it difficult to capture this lost revenue is a systematic manner.

It is not only insurance billing that is more complicated for surgeons; patient billing is also more difficult. The patients often have high balances, complicated explanations from their payers and do not understand all of the invoices they are receiving from their surgeons. A billing company that has strong surgical billing experience has spoken with patient about such statements many times before. A less skilled patient collection effort could leave the surgeon with less money and unhappy patients.

The safest way for a surgeon to navigate the medical billing land mines outlined above is to travel the surgical billing battlefield with a medical billing service like ClaimCare that has deep and proven expertise in traversing the surgical billing hazards.

To learn more about how ClaimCare Medical Billing Services can help your surgical practice please fill out the form to the left or contact a local ClaimCare office.