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Services


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Services


 
 

We are a local South Carolina company specializing in billing And coding for private practices. 

 
 

Our services include but not limited to the following:

 
  • Credentialing

  • Demographics

  • Coding & Posting Daily Charges

  • Coding & Posting Surgeries

  • Submitting Claims

  • Posting Payments

  • Posting Deposits

  • Denials

  • Rejections

  • Appeals

  • Insurance Tracking

  • Mailing Bills

  • Accounts Receivables

  • Soft Collections

  • Month-end Reports

 

843-757-7227

Call Us Today

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Family Medicine


Community

Family Medicine


Community

Family practice billing refers to the process of submitting and receiving payment for medical services provided by a family practice, which is a type of medical practice that provides primary care services to individuals and families. This type of billing typically involves submitting claims to insurance companies or other payers, such as Medicare or Medicaid, on behalf of patients who have received medical care.

The process of family practice billing begins when a patient receives medical care from a family practice provider. The provider will record the services provided, including any diagnoses, treatments, or procedures, and assign a code to each service using a system called Current Procedural Terminology (CPT). The provider will also document the patient's medical history and any other relevant information.

After the medical visit, the provider will submit a claim to the appropriate payer, such as an insurance company or government agency, for payment. The claim will include the CPT codes for the services provided, along with any additional information that may be required by the payer. The payer will review the claim and determine the amount that it will cover, based on the terms of the patient's insurance policy or other payment agreement. Any remaining balance may be the responsibility of the patient to pay.

It is important for family practice providers to ensure that their billing is accurate and complete, as errors or omissions can result in delays or denials of payment. Family practice providers may work with billing specialists or use software systems to assist with the billing process.

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Pediatric


Children

Pediatric


Children

 

Pediatric billing is the process of submitting claims to insurance companies or other payers for services provided to pediatric patients (children under the age of 18). This can include a range of medical services such as preventive care, diagnostic tests, and treatment for injuries or illnesses.

To bill for these services, healthcare providers must use specific codes that are recognized by insurance companies and other payers. These codes, known as Current Procedural Terminology (CPT) codes, are used to describe the services that were provided, the duration of the visit, and any supplies or materials used.

When submitting a claim, the healthcare provider will typically include the patient's demographic information, the dates of service, the CPT codes for the services provided, and any relevant diagnoses or treatment codes (called International Classification of Diseases, or ICD codes). The provider will also need to provide their billing and payment information, such as their National Provider Identifier (NPI) number.

The payer (usually an insurance company) will review the claim and determine whether or not to pay for the services based on the patient's coverage and the terms of their insurance policy. If the claim is approved, the payer will issue a payment to the provider. If the claim is denied, the provider may need to appeal the decision or submit additional documentation to support the claim.

It is important for healthcare providers to be familiar with the billing process and to follow proper procedures when submitting claims to ensure that they are paid accurately and in a timely manner.

 

Psychotherapy


In-check

Psychotherapy


In-check

 

Psychotherapy billing refers to the process of charging for mental health services provided by a licensed mental health professional, such as a psychologist, social worker, or counselor. These services may be provided in an individual, family, or group setting, and can involve a range of interventions, including talk therapy, cognitive-behavioral therapy, and other evidence-based treatments.

There are several factors that can impact the billing process for psychotherapy, including the type of therapy being provided, the length and frequency of sessions, and the type of insurance coverage the patient has.

In general, psychotherapy services are billed on a fee-for-service basis, which means that the therapist charges a fee for each session or for a set of sessions. The fee may be based on the therapist's hourly rate, and may vary depending on the type of therapy being provided and the length of the session. Some therapists may also offer sliding scale fees based on the patient's income or ability to pay.

If the patient has insurance coverage for mental health services, the insurance company may pay a portion of the fee and the patient may be responsible for paying the remaining balance. The insurance company may also have specific requirements or limitations on the type of therapy that is covered, which can impact the billing process.

It's important to note that psychotherapy billing can be complex and may involve interacting with insurance companies and other third parties. Patients should be aware of their own insurance coverage and any out-of-pocket expenses they may be responsible for, and should discuss any questions or concerns about billing with their therapist.

 
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gastroenterology


Digestive

gastroenterology


Digestive

Gastroenterology billing refers to the process of submitting and receiving payment for medical services related to the diagnosis and treatment of disorders of the digestive system. This includes conditions affecting the esophagus, stomach, small intestine, colon, rectum, liver, pancreas, and biliary system.

In gastroenterology billing, the provider (e.g., a gastroenterologist or a gastroenterology group) will submit a claim to the patient's insurance company or payer (e.g., Medicare) for the services rendered. The claim will include information about the patient, the type of service provided, the date of service, and the charges for the service.

The payer will review the claim to determine if the services are covered under the patient's insurance plan and, if so, how much they will pay. The payer may also apply any deductibles, copays, or coinsurance that the patient is responsible for paying. The provider will then bill the patient for any remaining balance.

It's important for patients to understand their insurance coverage and their financial responsibility for medical services. Patients should also be aware of any prior authorization requirements for certain procedures or tests, as well as any potential out-of-pocket costs. Patients should also keep track of their medical bills and check them for accuracy. If there are any discrepancies or issues with the billing, patients should contact the provider or the payer to resolve them.

Orthopedic


In-motion

Orthopedic


In-motion

 

Orthopedic surgery billing refers to the process of submitting claims to insurance companies or other payers for reimbursement of medical services related to the diagnosis and treatment of musculoskeletal conditions. These conditions can include injuries, deformities, and diseases that affect the bones, joints, muscles, tendons, and ligaments.

Orthopedic surgery billing involves several steps, including the following:

  • Pre-authorization: Before an orthopedic surgery is performed, the patient's insurance company may require pre-authorization to ensure that the procedure is covered under the patient's policy. This may involve providing the insurance company with information about the patient's medical history, the reason for the surgery, and the expected treatment plan.

  • Billing for the surgery: After the surgery is performed, the orthopedic surgeon's office will submit a claim to the insurance company or other payer for reimbursement of the surgical procedure. The claim will include information about the procedure, the patient's diagnosis, and the fees charged for the surgery.

  • Payment: If the claim is approved, the insurance company will pay the orthopedic surgeon's office for the surgery, typically at a discounted rate. The patient may be responsible for paying any remaining balance, which is known as a deductible or copayment.

  • Denied claims: If the insurance company denies the claim, the orthopedic surgeon's office may need to appeal the decision or work with the patient to find an alternative payment solution.

Orthopedic surgery billing can be complex, and it is important for patients to understand their insurance coverage and any potential out-of-pocket costs before undergoing a surgical procedure. It is also important for orthopedic surgeons to be familiar with the billing process and to work closely with their billing staff to ensure that claims are accurately submitted and processed.

 
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Call us


Local Billing Services

Call us


Local Billing Services

 

 Are you a looking to improve your billing?

Look no further! Our team of highly trained and experienced professionals can handle all of your billing and coding needs, ensuring that you receive accurate and timely payment for the services you provide. With medical billing and coding, you can streamline your billing process, reduce the risk of errors, and improve communication with insurance companies. Plus, accurate medical billing and coding can help to improve the overall quality of your medical records. Don't let inaccurate billing hold you back - contact us today to learn more about how medical billing and coding can benefit your practice!

CALL TODAY

843-757-7227